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An Update on Clinically Advanced PROTAC Degraders and Their Synthesis
Ranjan Kumar Acharyya1, Yugandhar Kothapalli2, Suresh Yarlagadda3
1Rogel Cancer Center, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Molecules (Basel, Switzerland)
|January 10, 2026
Summary
Proteolysis-targeting chimeras (PROTACs) offer a novel therapeutic approach by degrading target proteins using the cell's natural disposal system. This review highlights PROTACs' progress, clinical development, and the design of molecules advancing to trials.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- Proteolysis-targeting chimeras (PROTACs) represent a groundbreaking therapeutic strategy.
- PROTACs utilize the ubiquitin-proteasome system (UPS) for targeted protein degradation.
- Unlike traditional inhibitors, PROTACs offer enhanced specificity and can target previously undruggable proteins.
Purpose of the Study:
- To provide a comprehensive review of PROTAC technology.
- To detail current PROTAC targets and clinical development.
- To examine the design and synthesis of clinically advanced PROTAC molecules.
Main Methods:
- Literature review of PROTAC research and clinical trials.
- Analysis of PROTAC design principles and synthetic strategies.
- Overview of target protein degradation (TPD) mechanisms.
Main Results:
- PROTACs have demonstrated significant advancements in TPD over 20 years.
- Several PROTACs are nearing their first clinical approval.
- The review covers specific PROTAC targets and their clinical progress.
Conclusions:
- PROTACs are a revolutionary therapeutic modality with broad potential.
- The field is rapidly progressing towards clinical application.
- Understanding PROTAC design and synthesis is crucial for future drug development.
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