4.7 Review

The rise and rise of protein degradation: Opportunities and challenges ahead

期刊

DRUG DISCOVERY TODAY
卷 26, 期 12, 页码 2889-2897

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.drudis.2021.08.006

关键词

Targeted protein degradation; PROTAC; E3 ligase; Drug discovery; Cereblon; VHL; IAP; Drug resistance; Molecular glue

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Targeted protein degradation strategies, such as PROTACs, have shown potential for potent in vivo pharmacology, but there are still opportunities for further improvement. Expanding knowledge may lead to the discovery of new degrading mechanisms to address limitations and improve efficiency, drug-like properties, and resistance to current approaches. Further advancements in TPD utility are possible through potential routes discussed in the study.
The transformational mechanism of action underpinning targeted protein degradation strategies, including proteolysis-targeting chimeras (PROTACs), gives potential for potent in vivo pharmacology and has allowed projects to move rapidly to the clinic. Despite this remarkable progress, there remain many opportunities to improve current, first-generation approaches even further. Our expanding knowledge will allow discovery of new degrading mechanisms with potential to address several limitations of current approaches, including improving scope and efficiency of degradation, improving drug-like properties of degraders, and reducing potential for the emergence of acquired resistance. Here, we discuss potential routes to realize these advances to expand TPD utility even further.

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