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Targeted protein degradation for cancer therapy

Authors: Matthias Hinterndorfer,Valentina A. Spiteri,Alessio Ciulli,Georg E. Winter
Journal: Nature Reviews Cancer
Publisher: Springer Science and Business Media LLC
Publish date: 2025-4-25
ISSN: 1474-175X DOI: 10.1038/s41568-025-00817-8
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Just finished reading this fantastic review; it’s a real tour de force. The field moves so fast, and this piece does a great job of tying everything together.

I do want to poke at one specific point that’s been nagging at me, about the section on IBGs. The authors present this as a clever new category between PROTACs and molecular glues, where a single molecule bridges two domains of a protein to “glue” it to an E3 ligase.

Here’s my concern: I’m not fully convinced this isn’t just a very smartly designed bivalent PROTAC in disguise.

Let me explain. When you have a molecule with two warheads connected by a linker, it’s going to latch onto its target with incredibly high affinity; that’s bivalent binding 101. So, when IBG1 grabs both bromodomains of BRD4, it’s essentially creating a super-stable complex. The part of the molecule that’s supposed to recruit DCAF16 is now just sticking off this stable complex.

The question is: are we really seeing a new “glue” mechanism, or are we just seeing the E3 ligase being recruited to a warhead that’s being presented very efficiently because the degrader is so tightly bound?

To truly call this a “molecular glue,” I’d want to see evidence that the protein itself is being twisted into a new shape that the E3 ligase genuinely recognizes better. Right now, the data seems equally consistent with a simpler story: this is a high-affinity, bivalent PROTAC where one of the “ligands” is a binder for the target itself.

This isn’t just semantics. If I’m a chemist trying to design the next IBG, the “bivalent PROTAC” model gives me a clearer design logic than the more mysterious “glue” model.

It’s a brilliant piece of chemistry either way, but as a field, we need to be careful not to let exciting new nomenclature outpace our mechanistic understanding. I’d love to hear others’ thoughts on this.

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