许建飞, 闫兆鹏, 郭东阳, 王倩, 王静, 汤新景. 基于核酸的PROTAC技术: 新兴策略与未来展望J. 药学学报, 2025, 60(11): 3283-3296. DOI: 10.16438/j.0513-4870.2025-0456
引用本文: 许建飞, 闫兆鹏, 郭东阳, 王倩, 王静, 汤新景. 基于核酸的PROTAC技术: 新兴策略与未来展望J. 药学学报, 2025, 60(11): 3283-3296. DOI: 10.16438/j.0513-4870.2025-0456
XU Jian-fei, YAN Zhao-peng, GUO Dong-yang, WANG Qian, WANG Jing, TANG Xin-jing. Nucleic acid-based PROTACs: emerging strategies and future perspectivesJ. Acta Pharmaceutica Sinica, 2025, 60(11): 3283-3296. DOI: 10.16438/j.0513-4870.2025-0456
Citation: XU Jian-fei, YAN Zhao-peng, GUO Dong-yang, WANG Qian, WANG Jing, TANG Xin-jing. Nucleic acid-based PROTACs: emerging strategies and future perspectivesJ. Acta Pharmaceutica Sinica, 2025, 60(11): 3283-3296. DOI: 10.16438/j.0513-4870.2025-0456

基于核酸的PROTAC技术: 新兴策略与未来展望

Nucleic acid-based PROTACs: emerging strategies and future perspectives

  • 摘要: 靶向蛋白降解技术(targeted protein degradation, TPD) 通过泛素-蛋白酶体系统(ubiquitin-proteasome system, UPS) 或溶酶体途径实现目标蛋白的特异性降解。作为该领域的突破性策略, 蛋白降解靶向嵌合体(proteolysis-targeting chimeras, PROTACs) 因其独特的催化性降解机制、靶向“不可成药蛋白”的能力、克服耐药性的潜力及高度选择性, 已成为创新药物研发的重要方向。然而, 对于缺乏明确结合位点的蛋白, 如转录因子(transcription factors, TFs) 和RNA结合蛋白(RNA-binding proteins, RBPs) 等, 依赖靶蛋白配体的传统小分子PROTACs降解靶蛋白的效果不佳。基于此, 以寡核苷酸为靶向元件的PROTAC技术应运而生, 其通过核酸序列特异性识别靶标, 显著拓展了可降解蛋白的范围。本文系统综述了寡核苷酸-PROTAC技术的前沿进展, 涵盖靶向转录因子降解嵌合体(TF-PROTACs)、RNA靶向蛋白嵌合体(RNA-PROTACs)、G四链体靶向蛋白降解嵌合体(G4-PROTACs) 和核酸适配体靶向蛋白降解嵌合体(aptamer-PROTACs) 等创新设计策略及其在疾病治疗中的应用前景, 并探讨其面临的稳定性、递送效率等挑战及未来发展方向。通过整合核酸分子生物学与蛋白降解技术, 这一交叉学科策略有望为靶向“不可成药”蛋白及难治性疾病治疗开辟全新的药物研发策略。

     

    Abstract: Targeted protein degradation (TPD) technology achieves selective degradation of target proteins through the ubiquitin-proteasome system (UPS) or lysosomal pathways. Among TPD strategies, proteolysis-targeting chimeras (PROTACs) have emerged as a transformative approach in innovative drug discovery, offering unique advantages such as the ability to target "undruggable" proteins, catalytic degradation kinetics, potential to circumvent drug resistance, and high selectivity. However, conventional small-molecule PROTACs depend on ligands binding to target proteins, limiting their effectiveness against molecules without well-defined binding sites, such as transcription factors (TFs) and RNA-binding proteins (RBPs). To overcome this limitation, oligonucleotide-based PROTAC technology has been developed, utilizing sequence-specific nucleic acid recognition to significantly expand the repertoire of degradable targets. This review systematically summarizes recent advances in oligonucleotide-PROTACs, including innovative designs like TF-PROTACs, RNA-PROTACs, G4-PROTACs, and aptamer-PROTACs, along with their therapeutic potentials. We further discuss persisting challenges such as molecular stability and delivery efficiency, and propose future directions for the field. By integrating nucleic acid molecular biology with protein degradation technologies, this interdisciplinary paradigm promises to unlock novel therapeutic strategies for "undruggable" targets and previously intractable diseases.

     

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