Radiotherapy-Triggered Proteolysis Targeting Chimera Prodrug Activation in Tumors

J Am Chem Soc. 2023 Jan 11;145(1):385-391. doi: 10.1021/jacs.2c10177. Epub 2022 Dec 21.

Abstract

Proteolysis targeting chimera (PROTAC) is an emerging protein degradation strategy, which shows excellent advantages in targeting those so-called "undruggable" proteins. However, the potential systemic toxicity of PROTACs caused by undesired off-tissue protein degradation may limit the application of PROTACs in clinical practice. Here we reported a radiotherapy-triggered PROTAC prodrug (RT-PROTAC) activation strategy to precisely and spatiotemporally control protein degradation through X-ray radiation. We demonstrated this concept by incorporating an X-ray inducible phenyl azide-cage to a bromodomain (BRD)-targeting PROTAC to form the first RT-PROTAC. The RT-PROTAC prodrug exhibits little activity but can be activated by X-ray radiation in vitro and in vivo. Activated RT-PROTAC degrades BRD4 and BRD2 with a comparable effect to the PROTAC degrader and shows a synergistic antitumor potency with radiotherapy in the MCF-7 xenograft model. Our work provides an alternative strategy to spatiotemporally control protein degradation in vivo and points to an avenue for reducing the undesired systemic toxicity of PROTACs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell Cycle Proteins / metabolism
  • Humans
  • Neoplasms* / drug therapy
  • Neoplasms* / radiotherapy
  • Nuclear Proteins / metabolism
  • Prodrugs* / pharmacology
  • Prodrugs* / therapeutic use
  • Proteolysis
  • Proteolysis Targeting Chimera
  • Transcription Factors / metabolism

Substances

  • Prodrugs
  • Nuclear Proteins
  • Proteolysis Targeting Chimera
  • Transcription Factors
  • BRD4 protein, human
  • Cell Cycle Proteins