摘要
雌激素受体(ER)是类固醇激素受体,它属于一个大型核受体家族。内分泌疾病与雌激素受体信号失调密切相关。传统疗法继续依赖小分子抑制剂,包括芳香化酶抑制剂(AIs)和选择性雌激素受体调节剂(SERM),所有这些都会对内分泌治疗产生获得性抵抗。蛋白水解靶向嵌合体(PROTACs)具有前所未有的解决获得性内分泌抵抗的潜力。ARV-471是Arvinas开发的一种靶向ER的PROTAC,在2019年时被美国FDA认定为一种研究新药,并启动了一项针对局部晚期或转移性ER阳性/HER2阴性乳腺癌患者的I期试验。在这篇综述中,我们将重点介绍从内分泌疾病治疗的出版物和专利中开发ER靶向PROTAC的进展。
关键词: 蛋白质水解靶向嵌合体,雌激素受体(ERs),核受体,DNA结合功能域,α雌激素受体多肽,β雌激素受体多肽
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