Recent Advances in Pro-PROTAC Development to Address On-Target Off-Tumor Toxicity

J Med Chem. 2023 Jul 13;66(13):8428-8440. doi: 10.1021/acs.jmedchem.3c00302. Epub 2023 Jun 14.

Abstract

Proteolysis-targeting chimera (PROTAC) technology represents a novel and promising modality for targeted protein degradation with transformative implications for the clinical management of various diseases. Despite notable advantages, the possibility of on-target off-tumor toxicity in healthy cells represents a critical challenge to clinical applications in cancer treatment. Researchers are currently exploring strategies to enhance targeted degradation activity in a cell-selective manner to minimize undesirable side effects. In this Perspective, we highlight innovative approaches for prodrug-based PROTACs (pro-PROTACs) that facilitate tumor-targeted release. The development of such approaches may further expand the range of potential applications of PROTAC technology within drug development.

Publication types

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

MeSH terms

  • Drug Development
  • Drug-Related Side Effects and Adverse Reactions*
  • Humans
  • Neoplasms* / drug therapy
  • Prodrugs* / pharmacology
  • Proteolysis
  • Proteolysis Targeting Chimera
  • Ubiquitin-Protein Ligases

Substances

  • Prodrugs
  • Proteolysis Targeting Chimera
  • Ubiquitin-Protein Ligases