刺激响应型PROTAC用于肿瘤精准治疗
Stimuli-activatable PROTAC for precise cancer therapy
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摘要: 蛋白降解靶向嵌合体(proteolysis-targeting chimeras, PROTAC) 凭借其“事件驱动”特性, 能够靶向传统小分子抑制剂无法成药的靶点, 从而大大拓宽了药物开发空间。此外, PROTAC通过完全降解靶蛋白而非仅仅抑制其功能, 有效克服了小分子抑制剂的耐药性问题。然而, PROTAC的持续催化活性可能导致脱靶毒性。为解决这一问题, 刺激响应型PROTAC应运而生。PROTAC前药能够通过光、酶或活性氧等内源性或外源性刺激, 在肿瘤微环境中被特异性激活、释放PROTAC, 从而减少PROTAC的脱靶毒性并保持对靶蛋白的降解效率。本文系统总结了刺激响应型PROTAC领域的最新进展, 讨论了该领域的不足与挑战, 并展望了未来的发展方向, 以推动癌症精准治疗的进步。Abstract: Proteolysis-targeting chimeras (PROTACs) leverage their "event-driven" mechanism to target traditionally undruggable proteins inaccessible to conventional small molecule inhibitors, thereby significantly expanding the therapeutic landscape of drug discovery. Furthermore, PROTACs overcome the resistance associated with small molecule inhibitors by achieving complete degradation of target proteins rather than transient functional inhibition. However, their sustained catalytic activity may induce off-target effects and systemic toxicity. To mitigate these limitations, stimuli-responsive PROTAC prodrug systems have emerged as a promising strategy to spatiotemporally control PROTAC activation within tumor microenvironments. PROTAC prodrug systems demonstrate tumor microenvironment-responsive activation through endogenous/exogenous stimuli (e.g., light, enzymes, reactive oxygen species), enabling spatiotemporal control of PROTAC liberation. This precision engineering strategy significantly reduces off-target toxicity while maintaining potent on-target protein degradation efficacy. This review provides a systematic overview of cutting-edge advances in stimuli-activatable PROTAC platforms, critically examines current limitations and challenges in the field, and proposes strategic directions for future development to accelerate the evolution of precision cancer therapeutics.
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