Discovery of a Novel Class of PROTACs as Potent and Selective Estrogen Receptor α Degraders to Overcome Endocrine-Resistant Breast Cancer In Vitro and In Vivo
Abstract
The estrogen receptor (ER) is a well-established target for endocrine therapies of ER-positive breast cancer (ER + BC), but endocrine resistance limits the efficacy of clinical drugs. Using proteolysis targeting chimera (PROTAC) technology to degrade ERα may be an effective alternative to endocrine therapies. Herein, we disclose a novel series of potent and selective ERα PROTACs based on an oxabicycloheptane sulfonamide (OBHSA) scaffold, with no associated ERβ degradation. These PROTACs showed significant antiproliferation and ERα degradation activities against a broad spectrum of ER + BC cells including tamoxifen-resistant and ERα mutant cell lines. Genomics analysis confirmed that these PROTACs inhibited the nascent RNA synthesis of ERα target genes and impaired genome-wide ERα binding. Compound ZD12 exhibited excellent antitumor potency and ERα degradation activity in both tamoxifen-sensitive and -resistant BC mice models, which are superior to fulvestrant. This study demonstrates the potential of these PROTACs as novel drug candidates for endocrine-resistant BC treatment.
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Recent studies have shown that ERα-targeting PROTACs can also effectively degrade ERα and combat endocrine-resistant breast cancer.
“In line with this, recent studies have shown that ERα-targeting PROTACs can also effectively degrade ERα and combat endocrine-resistant breast cancer61,62.”
From Harnessing artificial intelligence to identify Bufalin as a molecular glue degrader of estrogen receptor alpha (2025) · cites this paper as [61]
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- Authors
- Xie, B., Yin, Z., Hu, Z., Lv, J., Du, C., Deng, X., Huang, Y., Li, Q., Huang, J., Liang, K., Zhou, H.-B., & Dong, C.
- Affiliations
- Wuhan University (CN)
- Corresponding author
- Huang, Jian
- Liang, Kaiwei
- Zhou, Hai-Bing
- Dong, Chune
- Venue
- Journal of Medicinal Chemistry
- Publisher
- American Chemical Society (ACS)
- Published
- 2023-05-10
- Volume
- 66
- Issue
- 10
- Pages
- 6631-6651
- ISSN
- 0022-2623 (ISSN-L)
- 1520-4804
- OpenAlex
- W4376108966
- Cited by
- 39
- References
- 53
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 14 · 2023: 3
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Science and Technology of the People's Republic of China (2020YFA0908800)
- Central University Basic Research Fund of China (2042021kf1033)
- National Natural Science Foundation of China (81773557, 82073690, 82173676, 82273774)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Advanced Breast Cancer Therapies
- Keywords
- PROTACs, estrogen receptor alpha, endocrine therapy resistance, estrogen receptor-positive breast cancer, tamoxifen resistance, fulvestrant
- MeSH terms
- Proteolysis Targeting Chimera, Animals, Breast Neoplasms, Estrogen Antagonists, Female, Humans, Receptors, Estrogen, Tamoxifen, Drug Resistance, Neoplasm, Estrogen Receptor alpha, Cell Proliferation, Mice, MCF-7 Cells
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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