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基于 PROTAC 的蛋白降解技术作为肉瘤靶向治疗的一种有前途的策略。

PROTAC-Based Protein Degradation as a Promising Strategy for Targeted Therapy in Sarcomas.

机构信息

Laboratory of Experimental Oncology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, Department of Biology, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA.

出版信息

Int J Mol Sci. 2023 Nov 15;24(22):16346. doi: 10.3390/ijms242216346.


DOI:10.3390/ijms242216346
PMID:38003535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10671294/
Abstract

Sarcomas are heterogeneous bone and soft tissue cancers representing the second most common tumor type in children and adolescents. Histology and genetic profiling discovered more than 100 subtypes, which are characterized by peculiar molecular vulnerabilities. However, limited therapeutic options exist beyond standard therapy and clinical benefits from targeted therapies were observed only in a minority of patients with sarcomas. The rarity of these tumors, paucity of actionable mutations, and limitations in the chemical composition of current targeted therapies hindered the use of these approaches in sarcomas. Targeted protein degradation (TPD) is an innovative pharmacological modality to directly alter protein abundance with promising clinical potential in cancer, even for undruggable proteins. TPD is based on the use of small molecules called degraders or proteolysis-targeting chimeras (PROTACs), which trigger ubiquitin-dependent degradation of protein of interest. In this review, we will discuss major features of PROTAC and PROTAC-derived genetic systems for target validation and cancer treatment and focus on the potential of these approaches to overcome major issues connected to targeted therapies in sarcomas, including drug resistance, target specificity, and undruggable targets. A deeper understanding of these strategies might provide new fuel to drive molecular and personalized medicine to sarcomas.

摘要

肉瘤是一种异质性的骨和软组织癌症,是儿童和青少年中第二常见的肿瘤类型。组织学和基因分析发现了超过 100 种亚型,这些亚型的特点是具有独特的分子弱点。然而,除了标准疗法之外,治疗选择有限,而且只有少数肉瘤患者从靶向治疗中获益。这些肿瘤的罕见性、可操作性突变的缺乏以及当前靶向疗法的化学成分限制,阻碍了这些方法在肉瘤中的应用。靶向蛋白降解(TPD)是一种创新的药理学模式,可直接改变蛋白质丰度,在癌症治疗方面具有有前景的临床潜力,即使是针对不可成药的蛋白质也是如此。TPD 基于使用称为降解剂或蛋白水解靶向嵌合体(PROTAC)的小分子,这些小分子触发靶蛋白的泛素依赖性降解。在这篇综述中,我们将讨论 PROTAC 和 PROTAC 衍生的遗传系统在靶标验证和癌症治疗中的主要特点,并重点介绍这些方法克服肉瘤中靶向治疗相关主要问题的潜力,包括耐药性、靶标特异性和不可成药靶标。对这些策略的更深入了解可能为推动肉瘤的分子和个性化医学提供新的动力。

相似文献

[1]
PROTAC-Based Protein Degradation as a Promising Strategy for Targeted Therapy in Sarcomas.

Int J Mol Sci. 2023-11-15

[2]
Novel strategies and promising opportunities for targeted protein degradation: An innovative therapeutic approach to overcome cancer resistance.

Pharmacol Ther. 2023-4

[3]
Proteolysis-targeting chimeras (PROTACs) in cancer therapy.

Mol Cancer. 2022-4-11

[4]
[Induced degradation of proteins by PROTACs and other strategies: towards promising drugs].

Biol Aujourdhui. 2021

[5]
PROTAC targeted protein degraders: the past is prologue.

Nat Rev Drug Discov. 2022-3

[6]
Degraders upgraded: the rise of PROTACs in hematological malignancies.

Blood. 2024-3-28

[7]
PROTAC therapy as a new targeted therapy for lung cancer.

Mol Ther. 2023-3-1

[8]
Advancement of targeted protein degradation strategies as therapeutics for undruggable disease targets.

Future Med Chem. 2023-5

[9]
PROTACs: Current and Future Potential as a Precision Medicine Strategy to Combat Cancer.

Mol Cancer Ther. 2024-4-2

[10]
PROTAC-DB 2.0: an updated database of PROTACs.

Nucleic Acids Res. 2023-1-6

引用本文的文献

[1]
Fungi and cancer: unveiling the complex role of fungal infections in tumor biology and therapeutic resistance.

Front Cell Infect Microbiol. 2025-6-10

[2]
Protacs in cancer therapy: mechanisms, design, clinical trials, and future directions.

Drug Deliv Transl Res. 2025-6

[3]
Targeted protein degradation: advances in drug discovery and clinical practice.

Signal Transduct Target Ther. 2024-11-6

[4]
Pathology, Diagnosis, and Management of Sarcoma.

Int J Mol Sci. 2024-6-15

[5]
Extracellular Interactors of the IGF System: Impact on Cancer Hallmarks and Therapeutic Approaches.

Int J Mol Sci. 2024-5-29

[6]
Targeting SWI/SNF Complexes in Cancer: Pharmacological Approaches and Implications.

Epigenomes. 2024-2-4

本文引用的文献

[1]
Gastrointestinal Stromal Tumours (GISTs) with KRAS Mutation: A Rare but Important Subset of GISTs.

Case Rep Gastrointest Med. 2023-8-24

[2]
Sarcoma care in the era of precision medicine.

J Intern Med. 2023-12

[3]
Targeted Therapy for EWS-FLI1 in Ewing Sarcoma.

Cancers (Basel). 2023-8-9

[4]
Innovative Breakthroughs for the Treatment of Advanced and Metastatic Synovial Sarcoma.

Cancers (Basel). 2023-7-30

[5]
Click, release, destroy.

Nat Chem Biol. 2023-8

[6]
Hydrogen Peroxide-Inducible PROTACs for Targeted Protein Degradation in Cancer Cells.

Chembiochem. 2023-9-1

[7]
Molecular Glue Discovery: Current and Future Approaches.

J Med Chem. 2023-7-27

[8]
Clinician's guide to targeted estrogen receptor degradation using PROTAC in patients with estrogen receptor-positive metastatic breast cancer.

Curr Opin Oncol. 2023-11-1

[9]
Identification of RNA-binding proteins' direct effects on gene expression via the degradation tag system.

RNA. 2023-10

[10]
Bioorthogonal PROTAC Prodrugs Enabled by On-Target Activation.

J Am Chem Soc. 2023-6-28

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