孟鼎伦, 李舒弘, 刘星雨, 陆晨曦, 靳雅惠. 靶向蛋白降解技术调控蛋白稳态的药学机制及其在疾病治疗中的应用J. 药学学报, 2026, 61(1): 122-134. DOI: 10.16438/j.0513-4870.2025-0621
引用本文: 孟鼎伦, 李舒弘, 刘星雨, 陆晨曦, 靳雅惠. 靶向蛋白降解技术调控蛋白稳态的药学机制及其在疾病治疗中的应用J. 药学学报, 2026, 61(1): 122-134. DOI: 10.16438/j.0513-4870.2025-0621
MENG Ding-lun, LI Shu-hong, LIU Xing-yu, LU Chen-xi, JIN Ya-hui. Pharmaceutical mechanism of targeted protein degradation technology regulating protein homeostasis and its application in disease treatmentJ. Acta Pharmaceutica Sinica, 2026, 61(1): 122-134. DOI: 10.16438/j.0513-4870.2025-0621
Citation: MENG Ding-lun, LI Shu-hong, LIU Xing-yu, LU Chen-xi, JIN Ya-hui. Pharmaceutical mechanism of targeted protein degradation technology regulating protein homeostasis and its application in disease treatmentJ. Acta Pharmaceutica Sinica, 2026, 61(1): 122-134. DOI: 10.16438/j.0513-4870.2025-0621

靶向蛋白降解技术调控蛋白稳态的药学机制及其在疾病治疗中的应用

Pharmaceutical mechanism of targeted protein degradation technology regulating protein homeostasis and its application in disease treatment

  • 摘要: 蛋白质稳态(proteostasis) 是细胞维持正常功能的核心机制, 其本质在于协调蛋白质的合成、折叠、转运与降解的动态平衡。当稳态失衡时, 错误折叠蛋白积累与功能蛋白的缺失将触发病理级联反应, 成为跨疾病谱系的共性病理特征。传统药物开发主要聚焦于抑制致病蛋白的功能, 但大量蛋白因缺乏明确结合位点或功能冗余而难以成药。目前, 靶向蛋白降解技术(targeted protein degradation, TPD) 的兴起为传统难治性靶点提供了新的干预策略。本文将从蛋白质降解技术分类、分子机制及疾病应用入手, 系统解析TPD如何通过重塑蛋白质稳态网络突破“不可成药”瓶颈, 并展望其临床转化前景, 为攻克复杂疾病提供新的治疗方法及理论依据。

     

    Abstract: Proteostasis is the fundamental process by which cells maintain their normal functions. It involves maintaining the dynamic equilibrium of protein synthesis, folding, transport, and degradation. Disruption of proteostasis leads to the accumulation of misfolded proteins and a deficiency of functional proteins, triggering a pathological cascade—a hallmark of various diseases. Traditional drug development primarily focuses on inhibiting the activity of disease-causing proteins. However, many proteins are considered "undruggable" due to the absence of well-defined binding sites or functional redundancy. Recently, the targeted protein degradation (TPD) has provided a novel therapeutic strategy for traditionally undruggable targets. In this review, we systematically analyze how TPD overcomes the limitations of undruggable targets by remodeling the proteostatic network, covering the classification of protein degradation technologies, molecular mechanisms, and disease applications. Furthermore, we explore the clinical translation potential of TPD technologies, providing novel therapeutic strategies and theoretical frameworks for complex diseases.

     

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