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Integrating Proteolysis-Targeting Chimeras (PROTACs) with Delivery Systems for More Efficient and Precise Targeted
Jiachan Lin1, Zirui Chen1, Dan Zhang1
1School of Pharmaceutical Sciences (Shenzhen), Sun Yat-sen University, Shenzhen, 518107, China.
Abstract:
Targeted protein degradation (TPD) using the proteolysis-targeting chimeras (PROTACs) is emerging as a revolutionary technology, offering a potential strategy for cancer treatment by inducing the degradation of overexpressed oncogenic proteins in tumors. PROTACs function by recruiting E3 ligases and utilizing the ubiquitin-proteasome pathway (UPS) to catalyze the degradation of target oncogenic proteins. Compared to traditional small molecules inhibitors, PROTACs exhibit enhanced selectivity, the ability to overcome drug resistance, and target proteins traditionally deemed "undruggable". However, the poor water solubility and low cellular permeability of PROTACs significantly limit their pharmacokinetic properties, while potential systemic toxicity may hinder their clinical application. To address these limitations, strategies that integrate PROTACs with drug delivery systems are gaining attention. This review summarizes the latest advancements in various delivery strategies to enhance the in vivo degradation efficacy and reduce off-target effects of PROTACs, including the prototype delivery of PROTACs using nanoparticles, covalent modification-based prodrug strategies, innovative multi-headed PROTACs designs, and microneedle delivery systems, while discussing their design principles and associated challenges. The combination of potent PROTACs with multifunctional delivery systems holds promise for accelerating clinical translation and improving therapeutic efficacy in cancer treatment.
Insights
Targeted protein degradation (TPD) with proteolysis-targeting chimeras (PROTACs) offers new cancer therapy options. Delivery system innovations are improving PROTAC efficacy and reducing toxicity for better clinical translation.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Targeted protein degradation (TPD) utilizes proteolysis-targeting chimeras (PROTACs) to degrade oncogenic proteins, a promising cancer treatment strategy.
- PROTACs leverage the ubiquitin-proteasome pathway (UPS) for selective protein degradation, overcoming limitations of traditional inhibitors and targeting undruggable proteins.
- Challenges include poor solubility, low cell permeability, and potential systemic toxicity, hindering PROTACs' clinical application.
Purpose of the Study:
- To review advancements in drug delivery systems for PROTACs to enhance in vivo degradation efficacy.
- To discuss strategies for reducing off-target effects and improving pharmacokinetic properties of PROTACs.
- To highlight the potential of combining PROTACs with delivery systems for improved cancer therapy.
Main Methods:
- Review of current literature on PROTAC delivery strategies.
- Analysis of nanoparticle-based delivery, covalent modification prodrugs, multi-headed PROTACs, and microneedle systems.
- Discussion of design principles, challenges, and therapeutic potential of these delivery systems.
Main Results:
- Various delivery strategies, including nanoparticles and prodrugs, show promise in enhancing PROTAC performance.
- Innovative PROTAC designs and microneedle systems offer new avenues for targeted delivery and improved efficacy.
- These integrated approaches aim to overcome the pharmacokinetic and toxicity limitations of PROTACs.
Conclusions:
- Integrating PROTACs with advanced delivery systems is crucial for overcoming current limitations.
- Delivery strategies can significantly improve in vivo degradation efficacy and reduce systemic toxicity.
- The combination holds substantial promise for accelerating the clinical translation of PROTAC-based cancer therapies.
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