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35 pages, 11470 KB  
Review
Mapping Scientific Landscapes and Therapeutic Innovations of Targeted Protein Degradation: A Scientometric Review
by Chong Li, Xiangxiu Wang, Anqi He, Tianjie Bao, Weihua Zhuang, Chengqi He and Yonghong Yang
Pharmaceutics 2026, 18(7), 887; https://doi.org/10.3390/pharmaceutics18070887 - 20 Jul 2026
Viewed by 1151
Abstract
Targeted Protein Degradation (TPD) has emerged as a transformative paradigm in drug discovery, offering a robust strategy to address “undruggable” targets. This study presents the first 25-year longitudinal scientometric analysis (2001–2025) of the TPD field, integrating data from 2750 publications across the Web [...] Read more.
Targeted Protein Degradation (TPD) has emerged as a transformative paradigm in drug discovery, offering a robust strategy to address “undruggable” targets. This study presents the first 25-year longitudinal scientometric analysis (2001–2025) of the TPD field, integrating data from 2750 publications across the Web of Science Core Collection, Scopus, and PubMed to map the global research landscape and therapeutic innovations. The results indicate that TPD research entered an explosive growth phase post-2016. China leads in publication volume (1247 papers), while the USA maintains dominance in citation impact (H-index = 80) and foundational leadership. The Chinese Academy of Sciences and Harvard University were identified as core institutions, with Craig M. Crews confirmed as a pivotal scholar. Thematic analysis reveals a systematic evolution from foundational ubiquitin-proteasome mechanisms to the clinical translation of advanced modalities, including Proteolysis-Targeting Chimeras (PROTACs), molecular glues, and non-ubiquitin-dependent platforms like LYTACs and AUTACs. Clinical viability is evidenced by the FDA approval of the agent ARV-471 for oncology. Despite this progress, critical challenges remain regarding E3 ligase expansion, molecular design optimization, and off-target toxicity. This review provides a data-driven roadmap for future TPD development, bridging the gap between academic output and real-world translational science to guide researchers, clinicians, and industry partners in navigating this dynamic therapeutic frontier. Full article
(This article belongs to the Special Issue Recent Advances in Inhibitors for Targeted Therapies)
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35 pages, 2122 KB  
Review
From Epigenetic Regulation to Protein Degradation: Emerging Strategies for Anti-Infective Drug Discovery
by Andressa Francielli Bonjorno, Diogo Boreski, Ana Luísa Rodriguez Gini, Pamela Souza Tada da Cunha, Jhonnathan Alves Moura, Chung Man Chin, Cauê Benito Scarim and Jean Leandro Dos Santos
Int. J. Mol. Sci. 2026, 27(9), 3977; https://doi.org/10.3390/ijms27093977 - 29 Apr 2026
Viewed by 1049
Abstract
Infectious diseases remain a major global health challenge, driven by antimicrobial resistance, pathogen persistence, and the limited integration of mechanistically innovative therapeutic approaches. Emerging evidence indicates that epigenetic regulation is fundamental to host–pathogen interactions, influencing transcriptional programmes associated with virulence, immune evasion, stress [...] Read more.
Infectious diseases remain a major global health challenge, driven by antimicrobial resistance, pathogen persistence, and the limited integration of mechanistically innovative therapeutic approaches. Emerging evidence indicates that epigenetic regulation is fundamental to host–pathogen interactions, influencing transcriptional programmes associated with virulence, immune evasion, stress adaptation, and phenotypic plasticity. In organisms such as bacteria, parasites, and intracellular pathogens, including Mycobacterium tuberculosis and Plasmodium falciparum, chromatin-associated regulators and DNA-modifying enzymes have been identified as dosage-sensitive determinants of infection outcomes. Traditional strategies focus primarily on occupancy-driven enzymatic inhibition. In contrast, targeted protein degradation (TPD) introduces an event-driven pharmacological paradigm in which transient ligand engagement triggers sustained depletion of regulatory proteins. Platforms such as proteolysis-targeting chimeras (PROTACs) and BacPROTACs exemplify the ability to exploit host and pathogen proteolytic systems, thereby expanding the druggable proteome beyond conventional small-molecule targets. This review examines the relationship between epigenetic regulation and pathogen survival, highlights recent advances in degradation technologies, and discusses conceptual and translational challenges in implementing TPD in antimicrobial and antiparasitic drug discovery. Full article
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41 pages, 7886 KB  
Review
Targeted Protein Degradation in Cancer: PROTACs, New Targets, and Clinical Mechanisms
by Bushra Faryal, Zain Ul Abideen, Muhammad Irfan, Haseeb Ahmed, Fazliddin Jalilov, Lola Abduraximova and Ghulam Abbas Ashraf
Biomolecules 2026, 16(2), 325; https://doi.org/10.3390/biom16020325 - 19 Feb 2026
Cited by 13 | Viewed by 4153
Abstract
The onset of proteolysis targeting chimeras (PROTACs) has reshaped the entire context of targeted cancer therapy by offering a novel approach for the selective degradation of disease-causing proteins, overcoming the limitations of traditional occupancy-driven inhibition. This heterobifunctional technology recruits endogenous E3 ubiquitin ligases [...] Read more.
The onset of proteolysis targeting chimeras (PROTACs) has reshaped the entire context of targeted cancer therapy by offering a novel approach for the selective degradation of disease-causing proteins, overcoming the limitations of traditional occupancy-driven inhibition. This heterobifunctional technology recruits endogenous E3 ubiquitin ligases to mark proteins of interest (POI) for proteosomal degradation via the ubiquitin-proteasome system (UPS). Unlike conventional inhibitors, PROTACs function catalytically and can target previously “undruggable proteins”, such as transcription factors, scaffold proteins, and non-enzymatic regulators, offering potential to overcome acquired resistance and achieve potent efficacy at sub-stoichiometric doses. The review explores the latest innovations in PROTAC design, including E3 ligase selection, linker chemistry, and ligand optimization, while highlighting promising preclinical and clinical candidates against oncogenic drivers, anti-apoptotic factors (BCL-xL), and nuclear hormone receptors. Furthermore, we critically examine key translational challenges, such as pharmacokinetics, off-target effects, and resistance mechanisms, and discuss viable solutions, including dual E3 ligase engagement, novel modalities like AUTACs/ATTECs, LYTACs, and AI-driven design. As the field rapidly evolves from foundational to clinical application, PROTACs are redefining therapeutic possibilities, offering a robust, flexible, and scalable framework for the future of precision oncology. Full article
(This article belongs to the Section Molecular Medicine)
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12 pages, 448 KB  
Perspective
Beyond Amyloid: Targeting Co-Aggregating Proteins and Targeted Degradation Strategies in Alzheimer’s Disease
by Martina Monaco, Alessandra Pinto and Massimo Grilli
Biomedicines 2026, 14(1), 216; https://doi.org/10.3390/biomedicines14010216 - 19 Jan 2026
Cited by 2 | Viewed by 1243
Abstract
Alzheimer’s disease (AD) involves a constellation of molecular processes that extend well beyond amyloid-β (Aβ) accumulation. Recent anti-amyloid antibodies provide limited clinical benefits, highlighting the need for additional strategies due to their modest efficacy and safety concerns. Increasing proteomic evidence reveals that proteins [...] Read more.
Alzheimer’s disease (AD) involves a constellation of molecular processes that extend well beyond amyloid-β (Aβ) accumulation. Recent anti-amyloid antibodies provide limited clinical benefits, highlighting the need for additional strategies due to their modest efficacy and safety concerns. Increasing proteomic evidence reveals that proteins such as midkine (MDK), pleiotrophin (PTN) and clusterin (CLU) accumulate within amyloid plaques and may shape disease progression, although their precise contributions—protective, pathogenic, or both—remain unknown. In this Perspective, we examine how emerging targeted protein degradation (TPD) technologies, including Proteolysis-Targeting Chimeras (PROTACs), Lysosome-Targeting Chimeras (LYTACs) and molecular glues (MGs), could provide a means to selectively eliminate these co-aggregating proteins. We also discuss advances in degrader design, artificial intelligence (AI)-assisted screening, and strategies aimed at enhancing Central Nervous System (CNS) delivery. We finally outline how integrating TPD modalities with antibody-based and multi-target therapeutic approaches may promote more effective, systems-level interventions for AD. Full article
(This article belongs to the Section Neurobiology and Clinical Neuroscience)
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18 pages, 2691 KB  
Article
DNA Tweezers with Replaceable Clamps for the Targeted Degradation of Cell Membrane Proteins
by Yang Sun, Yichen Huang, Daiquan Chen, Shangjiu Hu, Tao Pan, Yuanding Liu, Ruowen Wang and Weihong Tan
Pharmaceutics 2025, 17(6), 785; https://doi.org/10.3390/pharmaceutics17060785 - 17 Jun 2025
Viewed by 1447
Abstract
Background: Cell membrane proteins play crucial roles in signal transduction and nutrient transport. Many membrane proteins are reportedly overexpressed in cancer cells, which is closely related to cancer progression. The targeted degradation of these membrane proteins has been demonstrated to be a [...] Read more.
Background: Cell membrane proteins play crucial roles in signal transduction and nutrient transport. Many membrane proteins are reportedly overexpressed in cancer cells, which is closely related to cancer progression. The targeted degradation of these membrane proteins has been demonstrated to be a promising strategy for tumor treatment. Several strategies using aptamers to mediate membrane protein lysis, such as lysosomal-mediated lysis and proteasome-mediated lysis, have been reported, but their efficiency is limited by the binding affinity of the aptamer to a single target. Methods: We constructed DNA tweezers with replaceable clamps, which can lyse different proteins upon clamp replacement. Moreover, the clamp improved the degradation efficiency of the target proteins by enhancing the specificity and improving the binding affinity. Results: Lysis was verified in different tumor cell lines and the antitumor activity was confirmed in zebrafish. Conclusions: Overall, these DNA tweezers improve the efficiency of the targeted delivery of functional nucleic acids, provide an efficient and versatile strategy for the degradation of disease-causing proteins, and expand the approach to antitumor therapy. Full article
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15 pages, 3355 KB  
Article
IGF2 Peptide-Based LYTACs for Targeted Degradation of Extracellular and Transmembrane Proteins
by Michał Mikitiuk, Jan Barczyński, Przemysław Bielski, Marcelino Arciniega, Urszula Tyrcha, Aleksandra Hec, Andrea D. Lipińska, Michał Rychłowski, Tad A. Holak and Tomasz Sitar
Molecules 2023, 28(22), 7519; https://doi.org/10.3390/molecules28227519 - 10 Nov 2023
Cited by 21 | Viewed by 9151
Abstract
Lysosome-targeting chimeras (LYTACs) have recently been developed to facilitate the lysosomal degradation of specific extracellular and transmembrane molecular targets. However, the LYTAC particles described to date are based on glycopeptide conjugates, which are difficult to prepare and produce on a large scale. Here, [...] Read more.
Lysosome-targeting chimeras (LYTACs) have recently been developed to facilitate the lysosomal degradation of specific extracellular and transmembrane molecular targets. However, the LYTAC particles described to date are based on glycopeptide conjugates, which are difficult to prepare and produce on a large scale. Here, we report on the development of pure protein LYTACs based on the non-glycosylated IGF2 peptides, which can be readily produced in virtually any facility capable of monoclonal antibody production. These chimeras utilize the IGF2R/CI-M6PR pathway for lysosomal shuttling and, in our illustrative example, target programmed death ligand 1 (PD-L1), eliciting physiological effects analogous to immune checkpoint blockade. Results from in vitro assays significantly exceed the effects of anti-PD-L1 antibodies alone. Full article
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18 pages, 2650 KB  
Review
TACkling Cancer by Targeting Selective Protein Degradation
by María del Mar Noblejas-López, David Tébar-García, Raquel López-Rosa, Ana Alcaraz-Sanabria, Pablo Cristóbal-Cueto, Alejandro Pinedo-Serrano, Lorenzo Rivas-García and Eva M. Galán-Moya
Pharmaceutics 2023, 15(10), 2442; https://doi.org/10.3390/pharmaceutics15102442 - 10 Oct 2023
Cited by 26 | Viewed by 6871
Abstract
Targeted protein degradation has emerged as an alternative therapy against cancer, offering several advantages over traditional inhibitors. The new degrader drugs provide different therapeutic strategies: they could cross the phospholipid bilayer membrane by the addition of specific moieties to extracellular proteins. On the [...] Read more.
Targeted protein degradation has emerged as an alternative therapy against cancer, offering several advantages over traditional inhibitors. The new degrader drugs provide different therapeutic strategies: they could cross the phospholipid bilayer membrane by the addition of specific moieties to extracellular proteins. On the other hand, they could efficiently improve the degradation process by the generation of a ternary complex structure of an E3 ligase. Herein, we review the current trends in the use of TAC-based technologies (TACnologies), such as PROteolysis TArgeting Chimeras (PROTAC), PHOtochemically TArgeting Chimeras (PHOTAC), CLIck-formed Proteolysis TArgeting Chimeras (CLIPTAC), AUtophagy TArgeting Chimeras (AUTAC), AuTophagosome TEthering Compounds (ATTEC), LYsosome-TArgeting Chimeras (LYTAC), and DeUBiquitinase TArgeting Chimeras (DUBTAC), in experimental development and their progress towards clinical applications. Full article
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21 pages, 913 KB  
Review
Site-Specific Antibody Conjugation with Payloads beyond Cytotoxins
by Qun Zhou
Molecules 2023, 28(3), 917; https://doi.org/10.3390/molecules28030917 - 17 Jan 2023
Cited by 44 | Viewed by 17094
Abstract
As antibody–drug conjugates have become a very important modality for cancer therapy, many site-specific conjugation approaches have been developed for generating homogenous molecules. The selective antibody coupling is achieved through antibody engineering by introducing specific amino acid or unnatural amino acid residues, peptides, [...] Read more.
As antibody–drug conjugates have become a very important modality for cancer therapy, many site-specific conjugation approaches have been developed for generating homogenous molecules. The selective antibody coupling is achieved through antibody engineering by introducing specific amino acid or unnatural amino acid residues, peptides, and glycans. In addition to the use of synthetic cytotoxins, these novel methods have been applied for the conjugation of other payloads, including non-cytotoxic compounds, proteins/peptides, glycans, lipids, and nucleic acids. The non-cytotoxic compounds include polyethylene glycol, antibiotics, protein degraders (PROTAC and LYTAC), immunomodulating agents, enzyme inhibitors and protein ligands. Different small proteins or peptides have been selectively conjugated through unnatural amino acid using click chemistry, engineered C-terminal formylglycine for oxime or click chemistry, or specific ligation or transpeptidation with or without enzymes. Although the antibody protamine peptide fusions have been extensively used for siRNA coupling during early studies, direct conjugations through engineered cysteine or lysine residues have been demonstrated later. These site-specific antibody conjugates containing these payloads other than cytotoxic compounds can be used in proof-of-concept studies and in developing new therapeutics for unmet medical needs. Full article
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15 pages, 1679 KB  
Review
Recent Advances of Degradation Technologies Based on PROTAC Mechanism
by Mingchao Xiao, Jiaojiao Zhao, Qiang Wang, Jia Liu and Leina Ma
Biomolecules 2022, 12(9), 1257; https://doi.org/10.3390/biom12091257 - 7 Sep 2022
Cited by 59 | Viewed by 12071
Abstract
PROTAC (proteolysis-targeting chimeras), which selectively degrades target proteins, has become the most popular technology for drug development in recent years. Here, we introduce the history of PROTAC, and summarize the recent advances in novel types of degradation technologies based on the PROTAC mechanism, [...] Read more.
PROTAC (proteolysis-targeting chimeras), which selectively degrades target proteins, has become the most popular technology for drug development in recent years. Here, we introduce the history of PROTAC, and summarize the recent advances in novel types of degradation technologies based on the PROTAC mechanism, including TF-PROTAC, Light-controllable PROTAC, PhosphoTAC, LYTAC, AUTAC, ATTEC, CMA, RNA-PROTAC and RIBOTACs. In addition, the clinical progress, current challenges and future prospects of degradation technologies based on PROTAC mechanism are discussed. Full article
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24 pages, 1350 KB  
Review
Targeting Protein Degradation Pathways in Tumors: Focusing on their Role in Hematological Malignancies
by Anna Wolska-Washer and Piotr Smolewski
Cancers 2022, 14(15), 3778; https://doi.org/10.3390/cancers14153778 - 3 Aug 2022
Cited by 20 | Viewed by 6947
Abstract
Cells must maintain their proteome homeostasis by balancing protein synthesis and degradation. This is facilitated by evolutionarily-conserved processes, including the unfolded protein response and the proteasome-based system of protein clearance, autophagy, and chaperone-mediated autophagy. In some hematological malignancies, including acute myeloid leukemia, misfolding [...] Read more.
Cells must maintain their proteome homeostasis by balancing protein synthesis and degradation. This is facilitated by evolutionarily-conserved processes, including the unfolded protein response and the proteasome-based system of protein clearance, autophagy, and chaperone-mediated autophagy. In some hematological malignancies, including acute myeloid leukemia, misfolding or aggregation of the wild-type p53 tumor-suppressor renders cells unable to undergo apoptosis, even with an intact p53 DNA sequence. Moreover, blocking the proteasome pathway triggers lymphoma cell apoptosis. Extensive studies have led to the development of proteasome inhibitors, which have advanced into drugs (such as bortezomib) used in the treatment of certain hematological tumors, including multiple myeloma. New therapeutic options have been studied making use of the so-called proteolysis-targeting chimeras (PROTACs), that bind desired proteins with a linker that connects them to an E3 ubiquitin ligase, resulting in proteasomal-targeted degradation. This review examines the mechanisms of protein degradation in the cells of the hematopoietic system, explains the role of dysfunctional protein degradation in the pathogenesis of hematological malignancies, and discusses the current and future advances of therapies targeting these pathways, based on an extensive search of the articles and conference proceedings from 2005 to April 2022. Full article
(This article belongs to the Special Issue Targeting Mechanisms of Protein Degradation for Cancer Therapy)
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