新兴的癌症治疗策略:克服不可成药蛋白。

Emerging Pharmacotherapeutic Strategies to Overcome Undruggable Proteins in Cancer.

机构信息

Dalian Medical University, 116044 Dalian City, Liaoning Province, China.

Shanghai University of Traditional Chinese Medicine, 201203 Shanghai City, China.

出版信息

Int J Biol Sci. 2023 Jun 26;19(11):3360-3382. doi: 10.7150/ijbs.83026. eCollection 2023.

Abstract

Targeted therapies in cancer treatment can improve efficacy and reduce adverse effects by altering the tissue exposure of specific biomolecules. However, there are still large number of target proteins in cancer are still undruggable, owing to the following factors including (1) lack of ligand-binding pockets, (2) function based on protein-protein interactions (PPIs), (3) the highly specific conserved active sites among protein family members, and (4) the variability of tertiary docking structures. The current status of undruggable targets proteins such as KRAS, TP53, C-MYC, PTP, are carefully introduced in this review. Some novel techniques and drug designing strategies have been applicated for overcoming these undruggable proteins, and the most classic and well-known technology is proteolysis targeting chimeras (PROTACs). In this review, the novel drug development strategies including targeting protein degradation, targeting PPI, targeting intrinsically disordered regions, as well as targeting protein-DNA binding are described, and we also discuss the potential of these strategies for overcoming the undruggable targets. Besides, intelligence-assisted technologies like Alpha-Fold help us a lot to predict the protein structure, which is beneficial for drug development. The discovery of new targets and the development of drugs targeting them, especially those undruggable targets, remain a huge challenge. New drug development strategies, better extraction processes that do not disrupt protein-protein interactions, and more precise artificial intelligence technologies may provide significant assistance in overcoming these undruggable targets.

摘要

癌症治疗中的靶向治疗可以通过改变特定生物分子的组织暴露来提高疗效并减少不良反应。然而,由于以下因素,癌症中仍有大量的靶蛋白难以治疗,包括(1)缺乏配体结合口袋,(2)基于蛋白质-蛋白质相互作用(PPIs)的功能,(3)蛋白质家族成员之间高度特异性的保守活性位点,以及(4)三级对接结构的可变性。本文仔细介绍了 KRAS、TP53、C-MYC、PTP 等目前难以治疗的靶蛋白的现状。已经应用了一些新的技术和药物设计策略来克服这些难以治疗的蛋白质,最经典和著名的技术是蛋白酶体靶向嵌合体(PROTACs)。在这篇综述中,描述了包括靶向蛋白降解、靶向 PPI、靶向固有无序区域以及靶向蛋白-DNA 结合在内的新型药物开发策略,我们还讨论了这些策略克服难以治疗的靶蛋白的潜力。此外,像 Alpha-Fold 这样的智能辅助技术可以帮助我们预测蛋白质结构,这有利于药物开发。发现新的靶点并针对这些靶点开发药物,特别是针对那些难以治疗的靶点,仍然是一个巨大的挑战。新的药物开发策略、不破坏蛋白质-蛋白质相互作用的更好提取过程以及更精确的人工智能技术可能在克服这些难以治疗的靶点方面提供重要帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e466/10367563/563050683402/ijbsv19p3360g001.jpg

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