Targeted Degradation of eEF2K by a Structure-Guided PROTAC Strategy for the Treatment of Triple-Negative Breast

Shijun Cao1,2,3, Changxin Zhong2,3, Shilong Jiang4,5

  • 1Department of Pathology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University /Hunan Cancer Hospital, Changsha, Hunan, China.

Insights

A novel proteolysis-targeting chimera (PROTAC) effectively degrades eukaryotic elongation factor 2 kinase (eEF2K), showing significant promise for treating triple-negative breast cancer (TNBC) by suppressing tumor growth.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Eukaryotic elongation factor 2 kinase (eEF2K) is a key therapeutic target in triple-negative breast cancer (TNBC).
  • eEF2K regulates cancer cell survival under nutrient stress.
  • Targeting eEF2K offers a promising strategy for TNBC treatment.

Purpose of the Study:

  • To develop and evaluate a novel proteolysis-targeting chimera (PROTAC) targeting eEF2K for TNBC therapy.
  • To investigate the mechanism of action and antitumor efficacy of the eEF2K-targeting PROTAC.

Main Methods:

  • Structure-guided design of an eEF2K-targeting PROTAC (A6) by linking an eEF2K inhibitor (2S) to a CRBN ligand.
  • Assessment of A6-mediated eEF2K degradation in TNBC cell lines.
  • Evaluation of A6's anti-proliferative effects in vitro and in vivo TNBC models.
  • Engineering of a pH-sensitive nanocarrier (A6@ZIF-8) for enhanced tumor-specific delivery.

Main Results:

  • The developed PROTAC, A6, achieved >90% degradation of eEF2K while preserving its substrate eEF2 levels.
  • A6 demonstrated potent anti-proliferative effects across various TNBC cell lines.
  • In vivo and organoid models showed significant suppression of tumor growth with favorable tolerability.
  • The A6@ZIF-8 nanocarrier enhanced drug accumulation at tumor sites, improving therapeutic outcomes.

Conclusions:

  • Targeted degradation of eEF2K using PROTAC technology is a novel and effective therapeutic strategy for TNBC.
  • A6 represents a promising eEF2K-targeting PROTAC with significant antitumor activity.
  • Engineered nanocarriers can improve the tumor-specific delivery and efficacy of PROTACs for TNBC treatment.

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