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.

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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