Proteolysis-targeting chimeras in biotherapeutics: Current trends and future applications

Eur J Med Chem. 2023 Sep 5:257:115447. doi: 10.1016/j.ejmech.2023.115447. Epub 2023 May 10.

Abstract

The success of inhibitor-based therapeutics is largely constrained by the acquisition of therapeutic resistance, which is partially driven by the undruggable proteome. The emergence of proteolysis targeting chimera (PROTAC) technology, designed for degrading proteins involved in specific biological processes, might provide a novel framework for solving the above constraint. A heterobifunctional PROTAC molecule could structurally connect an E3 ubiquitin ligase ligand with a protein of interest (POI)-binding ligand by chemical linkers. Such technology would result in the degradation of the targeted protein via the ubiquitin-proteasome system (UPS), opening up a novel way of selectively inhibiting undruggable proteins. Herein, we will highlight the advantages of PROTAC technology and summarize the current understanding of the potential mechanisms involved in biotherapeutics, with a particular focus on its application and development where therapeutic benefits over classical small-molecule inhibitors have been achieved. Finally, we discuss how this technology can contribute to developing biotherapeutic drugs, such as antivirals against infectious diseases, for use in clinical practices.

Keywords: Biotherapeutics; Drug development; PROTACs; Protein degradation.

Publication types

  • Review

MeSH terms

  • Ligands
  • Proteasome Endopeptidase Complex* / metabolism
  • Proteins* / metabolism
  • Proteolysis
  • Ubiquitin-Protein Ligases / metabolism

Substances

  • Ligands
  • Proteasome Endopeptidase Complex
  • Proteins
  • Ubiquitin-Protein Ligases