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Published on: November 9, 2020
Targeted protein degradation in cancers: Orthodox PROTACs and beyond
Jin Li1, Xinxin Chen1, Aiping Lu2,3
1Department of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen 518055, China.
Abstract:
Targeted protein degradation (TPD) is emerging as a strategy to overcome the limitations of traditional small-molecule inhibitors. Proteolysis-targeting chimera (PROTAC) technology can be used to target proteins by hijacking the ubiquitin-proteasome system. Conceptually, PROTAC aims to target the "undruggable" majority of proteins in the human proteome. Through constant exploration and optimization of PROTACs and the exploitation of other TPD strategies over two decades, TPD has expanded from theoretical studies to clinical strategies, with practical applications in oncological, immunological, and other diseases. In this review, we introduce the mechanisms, features, and molecular targets of orthodox PROTACs and summarize the PROTAC drugs under study as cancer therapeutics in clinical trials. We also discuss PROTAC derivatives and other TPD strategies, such as lysosome-targeting chimeras, autophagy-targeting chimeras, and molecular glue strategies. Collectively, the studies summarized herein support the full potential of TPD in the biomedical industry.
Insights
Targeted protein degradation (TPD) offers a novel approach to drug discovery by degrading disease-causing proteins. This review explores proteolysis-targeting chimeras (PROTACs) and other TPD strategies for treating various diseases.
Area of Science:
- Biochemistry
- Molecular Biology
- Drug Discovery
Background:
- Traditional small-molecule inhibitors face limitations in targeting specific proteins.
- Targeted protein degradation (TPD) presents a promising alternative strategy.
- Proteolysis-targeting chimeras (PROTACs) leverage the ubiquitin-proteasome system to degrade target proteins.
Purpose of the Study:
- To review the mechanisms, features, and molecular targets of PROTACs.
- To summarize PROTAC drugs in clinical trials for cancer therapy.
- To discuss PROTAC derivatives and alternative TPD strategies.
Main Methods:
- Review of existing literature on PROTAC technology and TPD strategies.
- Analysis of PROTAC mechanisms and molecular targets.
- Summary of clinical trial data for PROTAC-based cancer therapeutics.
Main Results:
- TPD, particularly PROTACs, has evolved from theoretical concepts to clinical applications.
- PROTACs are being investigated as cancer therapeutics in clinical trials.
- Other TPD strategies like LYTACs, ATACs, and molecular glues are also emerging.
Conclusions:
- TPD strategies, including PROTACs, demonstrate significant potential in the biomedical industry.
- These approaches offer new avenues for treating oncological, immunological, and other diseases.
- Continued exploration of TPD holds promise for overcoming drug resistance and targeting previously undruggable proteins.
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