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Production and Detection of Reactive Oxygen Species ROS in Cancers
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Harnessing reactive oxygen species for precision medicine: ROS-Activatable PROTACs for lung Cancer.

M Olazábal-Morán1, C Blázquez-Barbadillo1, E Pérez-Izquierdo1

  • 1Nanocaging Research Group; Department of Biosciences; Faculty of Biomedical and Health Sciences; Universidad Europea de Madrid; Campus de Villaviciosa, Calle Tajo s/n, 28670, Villaviciosa de Odón, Madrid, España.

Advanced Drug Delivery Reviews
|March 7, 2026
PubMed
Summary

Reactive oxygen species (ROS) have a dual role in lung cancer. ROS-activatable proteolysis-targeting chimeras (PROTACs) offer a promising new strategy to target cancer cells specifically, improving treatment effectiveness and safety.

Keywords:
Innovative therapyLung CancerParadoxical role of ROSPrecision medicineROS-activatable PROTACROS-related SMIsROS-related prodrugsReactive oxygen species (ROS)

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Area of Science:

  • Redox biology
  • Oncology
  • Chemical biology

Background:

  • Reactive oxygen species (ROS) are crucial in cellular signaling and can paradoxically promote or inhibit cancer. In lung cancer, dysregulated ROS contributes to tumor progression and treatment resistance.
  • Traditional ROS-modulating therapies for lung cancer have yielded inconsistent outcomes due to the complexity of redox biology and tumor heterogeneity.

Purpose of the Study:

  • To review the multifaceted roles of ROS in cancer, particularly lung cancer.
  • To examine current ROS-targeting strategies in lung cancer therapy.
  • To highlight the potential of ROS-activatable proteolysis-targeting chimeras (PROTACs) as an innovative therapeutic approach.

Main Methods:

  • Literature review integrating research on ROS in cancer, lung cancer therapeutics, and PROTAC technology.
  • Analysis of the mechanisms underlying ROS generation and signaling in cancer cells.
  • Evaluation of the design principles and potential applications of smart-PROTACs, specifically ROS-activatable PROTACs.

Main Results:

  • ROS exhibits a complex, context-dependent role in lung cancer, influencing DNA stability, signaling pathways, and drug resistance.
  • Existing ROS-targeting strategies face limitations due to biological complexity and tumor variability.
  • ROS-activatable PROTACs demonstrate potential for targeted cancer therapy by exploiting the tumor microenvironment's oxidative stress.

Conclusions:

  • ROS-activatable PROTACs represent a promising next-generation therapeutic strategy for lung cancer.
  • These agents leverage tumor-specific oxidative conditions for targeted protein degradation, potentially enhancing efficacy and reducing toxicity.
  • The integration of redox biology, chemical innovation, and precision oncology may lead to improved lung cancer treatments.