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靶向蛋白降解剂正朝着用于治疗神经退行性疾病的临床应用迈进。

Targeted protein degraders march towards the clinic for neurodegenerative diseases.

作者信息

Kumar Dhiraj, Hassan Md Imtaiyaz

机构信息

Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, New Delhi 110025, India.

Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, New Delhi 110025, India.

出版信息

Ageing Res Rev. 2022 Jun;78:101616. doi: 10.1016/j.arr.2022.101616. Epub 2022 Apr 1.

Abstract

Protein degraders are emerging as potent therapeutic tools to address neurological disorders and many complex diseases. It offered several key advantages, including the doses, drug resistance, and side effects over traditional occupancy-based inhibitors. Translation of chemical degraders into a clinical therapy for neurodegenerative disorders has a well-documented knowledge and resource gap. Researchers strive to develop clinical candidates employing chemical degraders' technologies, including hydrophobic tagging, molecular glues, proteolysis targeting chimeras (PROTACs), specific and nongenetic Inhibitor of Apoptosis Protein (IAP)-dependent protein erasers (SNIPERs), autophagy targeted chimeras, and autophagosome-tethered compounds for targeted degradation of pathological markers in neurodegenerative disease. Herein, we examined the present state of chemical-mediated targeted protein degradation in the quest for medications to treat neurodegenerative diseases. We further identified targeted degraders under clinical development for neurodegenerative diseases summarizing pertinent discoveries guiding the future of degradation therapeutics. We also addressed the necessary pharmacological interventions needed to achieve unprecedented therapeutic efficacy and its associated challenges.

摘要

蛋白质降解剂正成为治疗神经系统疾病和许多复杂疾病的有力治疗工具。与传统的基于占据的抑制剂相比,它具有几个关键优势,包括剂量、耐药性和副作用。将化学降解剂转化为神经退行性疾病的临床治疗方法存在着有据可查的知识和资源差距。研究人员努力利用化学降解剂技术开发临床候选药物,包括疏水标记、分子胶、蛋白酶靶向嵌合体(PROTAC)、特异性和非基因凋亡抑制蛋白(IAP)依赖性蛋白清除剂(SNIPER)、自噬靶向嵌合体以及用于靶向降解神经退行性疾病中病理标志物的自噬体连接化合物。在此,我们研究了化学介导的靶向蛋白质降解在寻找治疗神经退行性疾病药物方面的现状。我们进一步确定了正在临床开发的用于神经退行性疾病的靶向降解剂,总结了指导降解疗法未来发展的相关发现。我们还讨论了实现前所未有的治疗效果所需的必要药理学干预措施及其相关挑战。

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