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Epidermal growth factor receptor PROTACs as an effective strategy for cancer therapy: A review
Chao Wang1, Yujing Zhang2, Wujun Chen1
1The Affiliated Hospital of Qingdao University, Cancer Institute, Qingdao University, Qingdao 266071, Shandong, China; Qingdao Cancer Institute, Qingdao University, Qingdao 266071, Shandong, China.
Abstract:
Epidermal growth factor receptor (EGFR), a transmembrane glycoprotein that mediates cellular signaling pathways involved in cell proliferation, angiogenesis, apoptosis, and metastatic spread, is an important oncogenic drug target. Targeting the intracellular and extracellular domains of the EGFR has been authorized for a number of small-molecule TKIs and mAbs, respectively. However, their clinical application is limited by EGFR catalytic structural domain alterations, cancer heterogeneity, and persistent drug resistance. To bypass these limitations, protease-targeted chimeras (PROTACs) are emerging as an emerging and promising anti-EGFR therapy. PROTACs compensate for the limitations of traditional occupancy-driven small molecules by exploiting intracellular protein destruction processes. Recently, a mushrooming number of heterobifunctional EGFR PROTACs have been created using wild-type (WT) and mutated EGFR TKIs. PROTACs outperformed EGFR TKIs in terms of cellular inhibition, potency, toxicity profiles, and anti-drug resistance. Herein, we present a comprehensive overview of the development of PROTACs targeting EGFR for cancer therapy, while also highlighting the challenges and opportunities associated with the field.
Insights
Protease-targeted chimeras (PROTACs) offer a novel approach to cancer therapy by degrading epidermal growth factor receptor (EGFR). These PROTACs show improved efficacy and overcome resistance compared to traditional EGFR inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Epidermal growth factor receptor (EGFR) is a key oncogenic target in cancer, mediating critical cellular processes.
- Current EGFR inhibitors, including TKIs and mAbs, face limitations due to drug resistance and cancer heterogeneity.
- Alterations in EGFR's catalytic structural domain pose significant challenges for conventional targeted therapies.
Purpose of the Study:
- To provide a comprehensive overview of the development of PROTACs targeting EGFR for cancer therapy.
- To highlight the advantages of PROTACs over traditional EGFR inhibitors.
- To discuss the challenges and future opportunities in the field of EGFR-targeted PROTACs.
Main Methods:
- Review of recent advancements in the design and application of heterobifunctional EGFR PROTACs.
- Analysis of PROTACs utilizing wild-type (WT) and mutated EGFR TKIs.
- Comparison of PROTACs with conventional EGFR inhibitors based on cellular inhibition, potency, and toxicity.
Main Results:
- PROTACs leverage intracellular protein destruction pathways, bypassing limitations of occupancy-driven small molecules.
- EGFR PROTACs have demonstrated superior cellular inhibition and potency compared to traditional EGFR TKIs.
- PROTACs exhibit improved toxicity profiles and enhanced effectiveness against drug-resistant cancer models.
Conclusions:
- PROTACs represent a promising emerging therapy for targeting EGFR in cancer.
- The development of EGFR-targeted PROTACs offers a strategy to overcome existing therapeutic limitations.
- Further research into EGFR PROTACs holds significant potential for advancing cancer treatment.
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