Development of targeted protein degradation therapeutics
Abstract
Targeted protein degradation as a therapeutic modality has seen dramatic progress and massive investment in recent years because of the convergence of two key scientific breakthroughs: optimization of first-generation peptidic proteolysis-targeted chimeras (PROTACs) into more drug-like molecules able to support in vivo proof of concept and the discovery that clinical molecules function as degraders by binding and repurposing the proteins cereblon and DCAF15. This provided clinical validation for the general approach through the cereblon modulator class of drugs and provided highly drug-like and ligand-efficient E3 ligase binders upon which to tether target-binding moieties. Increasingly rational and systematic approaches including biophysical and structural studies on ternary complexes are being leveraged as the field advances. In this Perspective we summarize the discoveries that have laid the foundation for future degradation therapeutics, focusing on those classes of small molecules that redirect E3 ubiquitin ligases to non-native substrates.
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Molecular glues constitute another important therapeutic class of targeted protein degraders.
“Molecular glues, based on the serendipitous discovery that thalidomide and its analogues act as degrader molecules, constitute another important therapeutic class1–8.”
From PROTAC targeted protein degraders: the past is prologue (2022) · cites this paper as [8]
Elotuzumab has no anti-myeloma activity as monotherapy, but the addition of elotuzumab to lenalidomide or pomalidomide and dexamethasone improved ORRs, PFS and OS in patients with R/R MM.
“The anti-SLAMF7 antibody elotuzumab has no anti-myeloma activity as monotherapy65, but the addition of this agent to lenalidomide or pomalidomide and dexamethasone improved ORRs, PFS and OS in patients with R/R MM47,66,67.”
From Cancer therapies based on targeted protein degradation — lessons learned with lenalidomide (2021) · cites this paper as [65]
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Unifying principles of bifunctional, proximity-inducing small molecules
Gerry, C. J., & Schreiber, S. L. (2020) · Nature Chemical Biology · doi:10.1038/s41589-020-0469-1 · Cited by 199 · see citing works
DCAF11 Supports Targeted Protein Degradation by Electrophilic Proteolysis-Targeting Chimeras
Zhang, X., Luukkonen, L. M., Eissler, C. L., Crowley, V. M., Yamashita, Y., Schafroth, M. A., Kikuchi, S., Weinstein, D. S., Symons, K. T., Nordin, B. E., et al. (2021) · Journal of the American Chemical Society · doi:10.1021/jacs.1c00990 · Cited by 199 · see citing works
Chasing molecular glue degraders: screening approaches
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Cancer therapies based on targeted protein degradation — lessons learned with lenalidomide
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Integrative Modeling of PROTAC-Mediated Ternary Complexes
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Crystal structure of the SALL4-pomalidomide-cereblon-DDB1 complex
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Self-citationMonomeric Targeted Protein Degraders
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Profiling the Landscape of Drug Resistance Mutations in Neosubstrates to Molecular Glue Degraders
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Toward a More Precise Future for Oncology
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Identification of oleoylethanolamide as an endogenous ligand for HIF-3α
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Application of Novel Degraders Employing Autophagy for Expediting Medicinal Research
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Targeted protein modification as a paradigm shift in drug discovery
Amirian, R., Azadi Badrbani, M., Izadi, Z., Samadian, H., Bahrami, G., Sarvari, S., Abdolmaleki, S., Nabavi, S. M., Derakhshankhah, H., & Jaymand, M. (2023) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2023.115765 · Cited by 18 · see citing works
- Authors
- Chamberlain, P. P., & Hamann, L. G.
- Corresponding author
- Chamberlain, Philip P.
- Venue
- Nature Chemical Biology
- Published
- 2019-09-16
- Volume
- 15
- Issue
- 10
- Pages
- 937-944
- ISSN
- 1552-4450 (ISSN-L)
- 1552-4469
- OpenAlex
- W2974568688
- Semantic Scholar
- 4227e4a70123498985809182272a39c2ba314ab9
- Cited by
- 489
- References
- 77
- Citations by year
- 2026: 50 · 2025: 74 · 2024: 84 · 2023: 74 · 2022: 74 · 2021: 70 · 2020: 62 · 2019: 1
- FWCI
- 4.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nature Chemical Biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chemical Synthesis and Analysis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
- Keywords
- targeted protein degradation, PROTACs, DCAF15, protein degraders, ternary complex, ligand efficiency, drug repurposing, small molecule drugs
- MeSH terms
- Binding Sites, Humans, Protein Binding, Ubiquitin-Protein Ligases, Proteasome Endopeptidase Complex, Small Molecule Libraries, Proteolysis
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