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Updated: Mar 19, 2026

A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
Prospects and advances of PROTAC in the treatment of hematologic malignancies
Xinyang Wang1,2,3, Ming Zhang1,2,3, Heng Mei4,5,6
1Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, Hubei, China.
Abstract:
Over the past years, target protein degradation (TPD) has emerged as a hot topic in treating hematologic malignancies out of its strong ability to eliminate pathological proteins precisely. And as a flagship, Proteolysis-Targeting Chimeras (PROTACs) hijack the ubiquitin- proteasome system to catalytically degrade protein of interest (POI). Compared to small-molecule inhibitors (SMIs) and Chimeric antigen receptor T-cell (CAR-T) therapies, PROTACs exhibit distinct advantages in mechanism of action, toxicity profile, specificity, diversity of targets, and ability to overcome drug resistance. In this review, we comprehensively summarize PROTAC drugs that have entered clinical trials, with particular focus on eight candidates being developed for hematologic malignancies. We also classified 56 protein targets whose PROTACs are in pre-clinical stage into seven groups based on their functions, including "epigenetic regulators", "kinases", "RNA regulators", "transcriptional regulators", "protein regulators", and so on. In summary, this review synthesizes the current landscape of PROTAC therapeutics in hematologic malignancies and provides perspectives on future development directions.
Insights
Targeted protein degradation using Proteolysis-Targeting Chimeras (PROTACs) offers a novel therapeutic strategy for hematologic malignancies. This review highlights PROTACs in clinical trials and preclinical development for these cancers.
Area of Science:
- Biochemistry
- Oncology
- Pharmacology
Background:
- Targeted protein degradation (TPD) is a rapidly advancing field for treating hematologic malignancies.
- Proteolysis-Targeting Chimeras (PROTACs) leverage the ubiquitin-proteasome system to degrade target proteins.
- PROTACs present advantages over small-molecule inhibitors and CAR-T therapies in mechanism, toxicity, specificity, and resistance.
Purpose of the Study:
- To review PROTAC drugs in clinical trials for hematologic malignancies.
- To classify preclinical protein targets for PROTAC development.
- To provide an overview of the current PROTAC landscape and future directions in hematologic malignancies.
Main Methods:
- Comprehensive literature review of PROTACs in clinical trials.
- Classification of 56 preclinical protein targets based on function.
- Analysis of PROTAC advantages compared to other therapies.
Main Results:
- Focus on eight PROTAC candidates in clinical development for hematologic malignancies.
- Categorization of 56 preclinical targets into seven functional groups (e.g., epigenetic regulators, kinases).
- Identification of PROTACs' distinct benefits in treating blood cancers.
Conclusions:
- PROTACs represent a promising therapeutic modality for hematologic malignancies.
- The field is expanding with numerous targets in preclinical development.
- Further research and development are crucial for advancing PROTAC therapeutics.
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