2019
DOI: 10.1021/acschembio.9b00525
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Cellular Resistance Mechanisms to Targeted Protein Degradation Converge Toward Impairment of the Engaged Ubiquitin Transfer Pathway

Abstract: Proteolysis targeting chimeras are bifunctional small molecules capable of recruiting a target protein of interest to an E3 ubiquitin ligase that facilitates target ubiquitination followed by proteasome-mediated degradation. The first molecules acting on this novel therapeutic paradigm have just entered clinical testing. Here, by using Bromodomain Containing 4 (BRD4) degraders engaging cereblon and Von Hippel-Lindau E3 ligases, we investigated key determinants of resistance to this new mode of action. A loss-o… Show more

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Cited by 94 publications
(100 citation statements)
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“…On the other hand, resistance to VHL-based BET-PROTACs was found to occur by cullin-2 (CUL2) loss of function due to several genomic alterations in the CUL2 locus, including exon 12 skipping or frameshift mutations which gave rise to a premature stop codon [ 78 ]. Similar findings were also observed by Ottis et al [ 79 ]. Using RNAi of components of the ubiquitin-proteasome system in cells made resistant to BET-PROTACs confirmed that down-regulation or loss of those proteins may lead to PROTAC resistance [ 79 ].…”
Section: Exploiting the Use Of Protacs In The Clinical Settingsupporting
confidence: 92%
See 1 more Smart Citation
“…On the other hand, resistance to VHL-based BET-PROTACs was found to occur by cullin-2 (CUL2) loss of function due to several genomic alterations in the CUL2 locus, including exon 12 skipping or frameshift mutations which gave rise to a premature stop codon [ 78 ]. Similar findings were also observed by Ottis et al [ 79 ]. Using RNAi of components of the ubiquitin-proteasome system in cells made resistant to BET-PROTACs confirmed that down-regulation or loss of those proteins may lead to PROTAC resistance [ 79 ].…”
Section: Exploiting the Use Of Protacs In The Clinical Settingsupporting
confidence: 92%
“…Similar findings were also observed by Ottis et al [ 79 ]. Using RNAi of components of the ubiquitin-proteasome system in cells made resistant to BET-PROTACs confirmed that down-regulation or loss of those proteins may lead to PROTAC resistance [ 79 ]. Those authors also identified the COP9 signalosome as implicated in the function of BET-PROTACs.…”
Section: Exploiting the Use Of Protacs In The Clinical Settingsupporting
confidence: 92%
“…Thus, we cannot rule out at this moment that the degradation observed here may be due to one (or more) other cullin-family E3 ligases that are targeted by CDDO-JQ1. Emerging evidence suggests that clinical resistance to PROTACs can occur through rewiring of the cellular E3 ligase machinery 57,58 , thus highlighting the critical need for more and diverse E3 ligase recruiters. Our combined results reported herein strongly implicate E3 ligase involvement and covalent cysteine reactivity in the mechanism of BRD4 degradation by CDDO-JQ1.…”
Section: Resultsmentioning
confidence: 99%
“…However, despite undeniable progress in TPD research, any degradation-based modality involves novel challenges -challenges above and beyond the already nontrivial task of developing any new drug -that must be surmounted. Recent studies [15][16][17] have reported the evolution of drug resistance after repeated exposure of cancer cells to PROTAC-based treatments. Fundamentally, this resistance seems to involve mutations not to the targeted protein itself -as might be expected for an inhibition-driven approach 18 -but rather to various components of the E3 ligase that ubiquitinates the target.…”
Section: Introductionmentioning
confidence: 99%