Targeted protein degradation in oncology: novel therapeutic opportunity for solid tumours?

Noé Herbel1,2,3, Sophie Postel-Vinay1,2,4

  • 1ERC Chromatin Remodelling, DNA Repair and Epigenetics Laboratory, INSERM Unit U981, Gustave Roussy Institute, Villejuif, France.

Molecular Oncology
|April 23, 2025
PubMed

Insights

Targeted protein degraders (TPDs) offer new ways to treat diseases by degrading disease-causing proteins. This approach expands treatment options for previously undruggable targets and resistance mechanisms.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Drug Discovery

Background:

  • Targeted and immune therapies have limitations, including inevitable resistance and undruggable targets.
  • A significant portion of the proteome remains inaccessible to conventional therapeutics due to various constraints.

Purpose of the Study:

  • To provide a viewpoint on novel therapeutic opportunities presented by Targeted Protein Degraders (TPDs).
  • To highlight the potential of TPDs in targeting previously undruggable proteins and overcoming resistance mechanisms.

Main Methods:

  • Discussion of TPDs, including proteolysis-targeting chimeras (PROTACs) and molecular glues (MGs).
  • Exploration of the mechanism of action involving the ubiquitin-proteasome system and ternary complex formation.

Main Results:

  • TPDs represent a promising strategy to expand the druggable proteome.
  • TPDs can selectively degrade proteins of interest (POIs) by hijacking cellular degradation machinery.

Conclusions:

  • TPDs offer novel therapeutic avenues for diseases with limited treatment options.
  • Challenges in clinical development, such as dose optimization, patient selection, and drug delivery, require further investigation.

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