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靶向蛋白降解剂在癌症治疗中的开发:进展、挑战与机遇。

Targeted protein degrader development for cancer: advances, challenges, and opportunities.

机构信息

Clinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

Department of Chemistry, BeiGene (Beijing) Co. Ltd, Beijing 100020, China.

出版信息

Trends Pharmacol Sci. 2023 May;44(5):303-317. doi: 10.1016/j.tips.2023.03.003.

Abstract

Anticancer-targeted therapies inhibit various kinases implicated in cancer and have been used in clinical settings for decades. However, many cancer-related targets are proteins without catalytic activity and are difficult to target using traditional occupancy-driven inhibitors. Targeted protein degradation (TPD) is an emerging therapeutic modality that has expanded the druggable proteome for cancer treatment. With the entry of new-generation immunomodulatory drugs (IMiDs), selective estrogen receptor degraders (SERDs), and proteolysis-targeting chimera (PROTAC) drugs into clinical trials, the field of TPD has seen explosive growth in the past 10 years. Several challenges remain that need to be tackled to increase successful clinical translation of TPD drugs. We present an overview of the global landscape of clinical trials of TPD drugs over the past decade and summarize the clinical profiles of new-generation TPD drugs. In addition, we highlight the challenges and opportunities for the development of effective TPD drugs for future successful clinical translation.

摘要

抗癌靶向治疗抑制了多种与癌症相关的激酶,已在临床环境中使用了数十年。然而,许多与癌症相关的靶点是没有催化活性的蛋白质,使用传统的占据驱动抑制剂很难靶向。靶向蛋白降解(TPD)是一种新兴的治疗方式,它扩展了癌症治疗的可用药蛋白组。随着新一代免疫调节药物(IMiDs)、选择性雌激素受体降解剂(SERDs)和蛋白水解靶向嵌合体(PROTAC)药物进入临床试验,TPD 领域在过去 10 年中经历了爆炸式增长。为了增加 TPD 药物成功临床转化的机会,仍需要解决几个挑战。我们介绍了过去十年 TPD 药物临床试验的全球概况,并总结了新一代 TPD 药物的临床特征。此外,我们强调了开发有效 TPD 药物以实现未来成功临床转化的挑战和机遇。

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