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Updated: Jun 1, 2025

Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Development of PROTACs targeting estrogen receptor: an emerging technique for combating endocrine resistance
Rouming Peng1, Xin Liu1, Chun-Chi Chen1,2
1State Key Laboratory of Biocatalysis and Enzyme Engineering, National & Local Joint Engineering Research Center of High-throughput Drug Screening Technology, School of Life Sciences, Hubei University Wuhan 430062 China guoreyting@hubu.edu.cn jianmin@hubu.edu.cn.
Abstract:
Despite the success of endocrine therapies in treating ER-positive breast cancer, the development of resistance remains a significant challenge. Estrogen receptor targeting proteolysis-targeting chimeras (ER PROTACs) offer a unique approach by harnessing the ubiquitin-proteasome system to degrade ER, potentially bypassing resistance mechanisms. In this review, we present the drug design, efficacy and early clinical trials of these ER PROTACs. This review underscores the academic and industrial opportunities presented by this emerging technology, as well as the challenges that must be addressed to translate these findings into effective clinical therapies.
Insights
Estrogen receptor proteolysis-targeting chimeras (ER PROTACs) offer a novel strategy to degrade estrogen receptors, potentially overcoming resistance to endocrine therapies for ER-positive breast cancer. This review covers their design, efficacy, and clinical trials, highlighting future opportunities and challenges.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Endocrine therapies are successful for ER-positive breast cancer but face resistance.
- Estrogen receptor (ER) is a key target in breast cancer treatment.
Purpose of the Study:
- To review the drug design, efficacy, and early clinical trials of ER PROTACs.
- To highlight opportunities and challenges in developing ER PROTACs for clinical use.
Main Methods:
- Review of existing literature on ER PROTACs.
- Analysis of drug design principles for ER PROTACs.
- Summary of preclinical and early clinical trial data.
Main Results:
- ER PROTACs utilize the ubiquitin-proteasome system to degrade ER.
- This degradation mechanism may bypass common resistance pathways.
- Early data suggest potential efficacy and feasibility of ER PROTACs.
Conclusions:
- ER PROTACs represent a promising therapeutic strategy for ER-positive breast cancer.
- Further research and development are needed to overcome challenges for clinical translation.
- This emerging technology presents significant academic and industrial opportunities.
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