Progress of small molecules for targeted protein degradation: PROTACs and other technologies

Drug Dev Res. 2023 Apr;84(2):337-394. doi: 10.1002/ddr.22026. Epub 2023 Jan 6.

Abstract

Recent years have witnessed the rapid development of targeted protein degradation (TPD), especially proteolysis targeting chimeras. These degraders have manifested many advantages over small molecule inhibitors. To date, a huge number of degraders have been excavated against over 70 disease-related targets. In particular, degraders against estrogen receptor and androgen receptor have crowded into phase II clinical trial. TPD technologies largely expand the scope of druggable targets, and provide powerful tools for addressing intractable problems that can not be tackled by traditional small molecule inhibitors. In this review, we mainly focus on the structures and biological activities of small molecule degraders as well as the elucidation of mechanisms of emerging TPD technologies. We also propose the challenges that exist in the TPD field at present.

Keywords: biological activity; degraders; mechanism; structure; targeted protein degradation.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Proteolysis
  • Proteolysis Targeting Chimera*
  • Receptors, Estrogen*

Substances

  • Proteolysis Targeting Chimera
  • Receptors, Estrogen