Lysosome-targeting chimaeras for degradation of extracellular proteins
Open accessAbstract
The majority of therapies that target individual proteins rely on specific activity-modulating interactions with the target protein-for example, enzyme inhibition or ligand blocking. However, several major classes of therapeutically relevant proteins have unknown or inaccessible activity profiles and so cannot be targeted by such strategies. Protein-degradation platforms such as proteolysis-targeting chimaeras (PROTACs)1,2 and others (for example, dTAGs 3, Trim-Away 4, chaperone-mediated autophagy targeting 5 and SNIPERs 6) have been developed for proteins that are typically difficult to target; however, these methods involve the manipulation of intracellular protein degradation machinery and are therefore fundamentally limited to proteins that contain cytosolic domains to which ligands can bind and recruit the requisite cellular components. Extracellular and membrane-associated proteins-the products of 40% of all protein-encoding genes 7-are key agents in cancer, ageing-related diseases and autoimmune disorders 8, and so a general strategy to selectively degrade these proteins has the potential to improve human health. Here we establish the targeted degradation of extracellular and membrane-associated proteins using conjugates that bind both a cell-surface lysosome-shuttling receptor and the extracellular domain of a target protein. These initial lysosome-targeting chimaeras, which we term LYTACs, consist of a small molecule or antibody fused to chemically synthesized glycopeptide ligands that are agonists of the cation-independent mannose-6-phosphate receptor (CI-M6PR). We use LYTACs to develop a CRISPR interference screen that reveals the biochemical pathway for CI-M6PR-mediated cargo internalization in cell lines, and uncover the exocyst complex as a previously unidentified-but essential-component of this pathway. We demonstrate the scope of this platform through the degradation of therapeutically relevant proteins, including apolipoprotein E4, epidermal growth factor receptor, CD71 and programmed death-ligand 1. Our results establish a modular strategy for directing secreted and membrane proteins for lysosomal degradation, with broad implications for biochemical research and for therapeutics.
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LYTACs are chimeric molecules that combine cell surface lysosomal targeting receptors and extracellular or membrane proteins to expand TPD to extracellular targets; Bertozzi's group developed the first LYTAC molecule, Ab-2, by fusing cetuximab with an M6P-modified peptide, and Ab-2 significantly reduced EGFR levels in HeLa cells.
“Consequently, researchers have proposed lysosomal targeting chimera technologies (LYTACs), chimeric molecules that combine cell surface lysosomal targeting receptors and extracellular or membrane proteins, to expand TPD technologies to extracellular targets. Bertozzi’s group at Stanford University developed the first LYTAC molecule, Ab-2, by fusing cetuximab (ctx), a monoclonal antibody targeting”
From Recent advances in targeting the “undruggable” proteins: from drug discovery to clinical trials (2023) · cites this paper as [544]
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“Other bivalent degraders follow a similar logic: lysosome-targeting chimeras (lytAcs) engage lysosomal degradation pathways (Banik et al. 2020) whereas autophagy-targeting chime-ras (AutAcs) interact with autophagosomal components to initiate autophagy (li et al. 2019; takahashi et al. 2019).”
- Authors
- Banik, S. M., Pedram, K., Wisnovsky, S., Ahn, G., Riley, N. M., & Bertozzi, C. R.
- Affiliations
- Stanford University (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Bertozzi, Carolyn R.
- Venue
- Nature
- Published
- 2020-07-29
- Volume
- 584
- Issue
- 7820
- Pages
- 291-297
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC7727926
- OpenAlex
- W3045619116
- Cited by
- 1,199
- References
- 46
- Citations by year
- 2026: 259 · 2025: 273 · 2024: 216 · 2023: 182 · 2022: 141 · 2021: 97 · 2020: 27 · 2019: 1 · 2014: 1
- FWCI
- 36.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health (K00 CA21245403)
- National Cancer Institute (K00CA212454, P30CA124435, R01CA227942)
- National Institute of General Medical Sciences (T32GM120007)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- lysosome-targeting chimeras, targeted protein degradation, extracellular proteins, membrane proteins, cation-independent mannose 6-phosphate receptor, exocyst complex, CRISPR interference screen, APOE ε4, epidermal growth factor receptor, transferrin receptor, PD-L1, lysosomal degradation
- MeSH terms
- Protein Domains, Animals, Antibodies, Cell Line, Extracellular Space, Female, Glycopeptides, Humans, Ligands, Lysosomes, Membrane Proteins, Receptors, Transferrin, Recombinant Fusion Proteins, Solubility, Substrate Specificity, Antigens, CD, Receptor, IGF Type 2, Protein Transport, Mice, Apolipoprotein E4, Proteolysis, B7-H1 Antigen, CRISPR-Cas Systems, ErbB Receptors
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