Small-molecule PROTACs: An emerging and promising approach for the development of targeted therapy drugs
Open accessAbstract
There are several challenges towards the development and clinical use of small molecule inhibitors, which are currently the main type of targeted therapies towards intracellular proteins. PROteolysis-TArgeting Chimeras (PROTACs) exploit the intracellular ubiquitin-proteasome system to selectively degrade target proteins. Recently, small-molecule PROTACs with high potency have been frequently reported. In this review, we summarize the emerging characteristics of small-molecule PROTACs, such as inducing a rapid, profound and sustained degradation, inducing a robust inhibition of downstream signals, displaying enhanced target selectivity, and overcoming resistance to small molecule inhibitors. In tumor xenografts, small-molecule PROTACs can significantly attenuate tumor progression. In addition, we also introduce recent developments of the PROTAC technology such as homo-PROTACs. The outstanding advantages over traditional small-molecule drugs and the promising preclinical data suggest that small-molecule PROTAC technology has the potential to greatly promote the development of targeted therapy drugs.
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Thalidomide binds to the E3 ligase substrate adapter Cereblon (CRBN) and has often been used as the E3 ligase-binding moiety in degraders.
“The small molecule thalidomide, which binds to the ubiquitously expressed E3 ligase substrate adapter Cereblon (CRBN), has often been used as the E3 ligase-binding moiety in degraders[11].”
From Development of dual and selective degraders of cyclin-dependent kinases 4 and 6 (2019) · cites this paper as [11]
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Development of dual and selective degraders of cyclin-dependent kinases 4 and 6
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E3 Ligase Ligands in Successful PROTACs: An Overview of Syntheses and Linker Attachment Points
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The role of ubiquitination and deubiquitination in tumor invasion and metastasis
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New-generation advanced PROTACs as potential therapeutic agents in cancer therapy
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Degradation of Polycomb Repressive Complex 2 with an EED-Targeted Bivalent Chemical Degrader
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Emerging strategies to overcome resistance to third-generation EGFR inhibitors
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PROTACs– a game-changing technology
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Cereblon versus VHL: Hijacking E3 ligases against each other using PROTACs
Girardini, M., Maniaci, C., Hughes, S. J., Testa, A., & Ciulli, A. (2019) · Bioorganic & Medicinal Chemistry · doi:10.1016/j.bmc.2019.02.048 · Cited by 157 · see citing works
The role of reversible and irreversible covalent chemistry in targeted protein degradation
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Developments of CRBN-based PROTACs as potential therapeutic agents
Wang, C., Zhang, Y., Wu, Y., & Xing, D. (2021) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2021.113749 · Cited by 152 · see citing works
Amide-to-Ester Substitution as a Strategy for Optimizing PROTAC Permeability and Cellular Activity
Klein, V. G., Bond, A. G., Craigon, C., Lokey, R. S., & Ciulli, A. (2021) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.1c01496 · Cited by 152 · see citing works
Neuroinflammation as a Factor of Neurodegenerative Disease: Thalidomide Analogs as Treatments
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Intracellular Delivery of Glutathione Peroxidase Degrader Induces Ferroptosis In Vivo
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Discovery of an AKT Degrader with Prolonged Inhibition of Downstream Signaling
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Bivalent Ligands for Protein Degradation in Drug Discovery
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A bibliometric analysis of PROTAC from 2001 to 2021
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Quantitating Endosomal Escape of a Library of Polymers for mRNA Delivery
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Discovery of potent small molecule PROTACs targeting mutant EGFR
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Identification of a potent and selective covalent Pin1 inhibitor
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An overview of kinase downregulators and recent advances in discovery approaches
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Proteolysis targeting chimeras (PROTACs) in cancer therapy
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Structural Insights into PROTAC-Mediated Degradation of Bcl-xL
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Targeting the Ubiquitin-Proteasome System for Cancer Therapeutics by Small-Molecule Inhibitors
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Multiple Myeloma Therapy: Emerging Trends and Challenges
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Drug delivery challenges and formulation aspects of proteolysis targeting chimera (PROTACs)
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Autophagy in the cancer-immunity dialogue
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Recent Advances in PROTACs for Drug Targeted Protein Research
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PIKES Analysis Reveals Response to Degraders and Key Regulatory Mechanisms of the CRL4 Network
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Advancing targeted protein degradation for metabolic diseases therapy
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Novel approaches for the rational design of PROTAC linkers
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Selective CDK6 degradation mediated by cereblon, VHL, and novel IAP-recruiting PROTACs
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VHL-based PROTACs as potential therapeutic agents: Recent progress and perspectives
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PROTACs: A novel strategy for cancer drug discovery and development
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Targeting bromodomain-containing protein 4 (BRD4) inhibits MYC expression in colorectal cancer cells
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MYCN Impact on High-Risk Neuroblastoma: From Diagnosis and Prognosis to Targeted Treatment
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Targeting androgen receptor degradation with PROTACs from bench to bedside
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Discovery of a First-in-Class Mitogen-Activated Protein Kinase Kinase 1/2 Degrader
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Cullin Ring Ubiquitin Ligases (CRLs) in Cancer: Responses to Ionizing Radiation (IR) Treatment
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A Bioorthogonal Small Molecule Selective Polymeric “Clickase”
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Application of machine learning models for property prediction to targeted protein degraders
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Journey of PROTAC: From Bench to Clinical Trial and Beyond
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Proteolysis targeting chimeras (PROTACs) for epigenetics research
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Advances in targeted therapy for tumor with nanocarriers: A review
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Non-small molecule PROTACs (NSM-PROTACs): Protein degradation kaleidoscope
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Small molecule PROTACs in targeted therapy: An emerging strategy to induce protein degradation
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Recent Advances in PROTAC-Based Antiviral Strategies
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Triazol: A Privileged Scaffold for Proteolysis Targeting Chimeras
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PROTAC technology for the treatment of Alzheimer’s disease: advances and perspectives
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Recent advances in IAP-based PROTACs (SNIPERs) as potential therapeutic agents
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Discovery of pomalidomide-based PROTACs for selective degradation of histone deacetylase 8
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Novel STAT3 Inhibitors Targeting STAT3 Dimerization by Binding to the STAT3 SH2 Domain
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- Authors
- An, S., & Fu, L.
- Affiliations
- Sun Yat-sen University Cancer Center (CN)
- Sun Yat-sen University (CN)
- Corresponding author
- Fu, Liwu
- ORCID
- Fu, Liwu
- Venue
- EBioMedicine
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 36
- Pages
- 553-562
- ISSN
- 2352-3964 (ISSN-L)
- PMC
- PMC6197674
- OpenAlex
- W2890850288
- Cited by
- 363
- References
- 75
- Citations by year
- 2026: 36 · 2025: 40 · 2024: 57 · 2023: 37 · 2022: 57 · 2021: 55 · 2020: 46 · 2019: 35
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- EBioMedicine (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Natural Science Foundation of Guangdong Province (2016A030312014)
- National Key Scientific Instrument and Equipment Development Projects of China (2018ZX09711002-003-011)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chemical Synthesis and Analysis
- Keywords
- PROTACs, targeted protein degradation, ubiquitin-proteasome system, target selectivity, drug resistance, tumor xenografts, intracellular protein degradation, targeted therapy
- MeSH terms
- Animals, Antineoplastic Agents, Humans, Signal Transduction, Biomarkers, Proteasome Endopeptidase Complex, Small Molecule Libraries, Ubiquitination, Drug Discovery, Molecular Targeted Therapy, Proteolysis, Proteasome Inhibitors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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