4.7 Review

Drug design targeting active posttranslational modification protein isoforms

Journal

MEDICINAL RESEARCH REVIEWS
Volume 41, Issue 3, Pages 1701-1750

Publisher

WILEY
DOI: 10.1002/med.21774

Keywords

allosteric inhibitor; covalent inhibitor; posttranslational modifications; precision medicine; PROTAC protein degradation; protein‐ protein interactions; PTM protein isoforms; rational drug design

Funding

  1. National Natural Science Foundation of China [81821005, 21877095, 81625022, 91853205]
  2. Science and Technology Commission of Shanghai Municipality [18431907100, 19XD1404700]
  3. National Science and Technology Major Project [2018ZX09711002]
  4. Top Talents Program for One Case Discussion of Shandong Province
  5. K. C. Wong Education Foundation
  6. Key Research Project of Shandong Province [2017GSF18177]
  7. Key Laboratory of Systems Biomedicine (Ministry of Education)
  8. Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University [KLSB2019KF-02]
  9. Taishan Scholar Foundation of Shandong Province
  10. National Science & Technology Major Project Key New Drug Creation and Manufacturing Program [2018ZX09711002-008]

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Modern drug design aims to discover lead compounds with attractive chemical profiles for further exploration of the intersection of chemical space and biological space, leveraging posttranslational modification (PTM) protein isoforms target space to inspire drug design. This approach seeks to extend the intersections of chemical and biological space by precisely targeting PTM protein isoforms or complexes highly relevant to biological functions, potentially increasing the tractability of compounds.
Modern drug design aims to discover novel lead compounds with attractable chemical profiles to enable further exploration of the intersection of chemical space and biological space. Identification of small molecules with good ligand efficiency, high activity, and selectivity is crucial toward developing effective and safe drugs. However, the intersection is one of the most challenging tasks in the pharmaceutical industry, as chemical space is almost infinity and continuous, whereas the biological space is very limited and discrete. This bottleneck potentially limits the discovery of molecules with desirable properties for lead optimization. Herein, we present a new direction leveraging posttranslational modification (PTM) protein isoforms target space to inspire drug design termed as Post-translational Modification Inspired Drug Design (PTMI-DD). PTMI-DD aims to extend the intersections of chemical space and biological space. We further rationalized and highlighted the importance of PTM protein isoforms and their roles in various diseases and biological functions. We then laid out a few directions to elaborate the PTMI-DD in drug design including discovering covalent binding inhibitors mimicking PTMs, targeting PTM protein isoforms with distinctive binding sites from that of wild-type counterpart, targeting protein-protein interactions involving PTMs, and hijacking protein degeneration by ubiquitination for PTM protein isoforms. These directions will lead to a significant expansion of the biological space and/or increase the tractability of compounds, primarily due to precisely targeting PTM protein isoforms or complexes which are highly relevant to biological functions. Importantly, this new avenue will further enrich the personalized treatment opportunity through precision medicine targeting PTM isoforms.

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