开发DOT1L向蛋白质降解剂,用于治疗MLL-r白血病
Songhua Quan1,2, Kenji Unno1,2, Dikshat G Gupta1,2
1Department of Urology, Northwestern University Feinberg School of Medicine; Chicago, Illinois 60611, United States.
Journal of medicinal chemistry
|February 13, 2026
概括
新的蛋白质分解向嵌合体 (PROTACs) 有效降解DOT1L,这是MLL重组白血病的关键驱动因素. 这种蛋白质降解方法在治疗抗性白血病形式方面显示出前景.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- DOT1L是MLL重排列 (MLL-r) 白血病中的关键瘤原因驱动因素.
- 现有的催化抑制剂已经显示出有限的临床疗效.
- 对于白血病的进展来说,DOT1L的非酶功能至关重要.
研究的目的:
- 开发新的DOT1L向PROTAC来降解DOT1L并抑制其功能.
- 评估这些PROTACs在MLL-r白血病模型中的疗效.
主要方法:
- 针对DOT1L的PROTAC的开发和描述 (DOT1L705和DOT1L808).
- 评估PROTACs的功效和选择性.
- 对DOT1L705对白血病细胞活性的影响的评估,包括抗敏抑制剂的细胞.
- 在体内对DOT1L808的研究,用于正位白血病模型.
主要成果:
- DOT1L705和DOT1L808表明DOT1L具有强大和选择性的降解 (DC50值低至5nM).
- DOT1L705显示有效性取决于MLL-r状态,并保留了对抗性细胞的活性.
- DOT1L808在体内实现了完全的瘤回归,没有显著的毒性.
结论:
- 通过PROTACs降解蛋白质是MLL-r白血病的可行的治疗策略.
- 针对DOT1L的PROTAC提供了一种有希望的方法来克服当前治疗方法的局限性.
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