Development and crystal structures of a potent second-generation dual degrader of BCL-2 and BCL-xL
- Nat Commun. 2024 Mar 29;15(1):2743. doi: 10.1038/s41467-024-46922-4.
- 1. Department of Biochemistry & Structural Biology and Greehey Children's Cancer Research Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA.
- 2. Department of Medicinal Chemistry, College of Pharmacy, University of Florida, Gainesville, FL, 32610, USA.
- 3. Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA.
- 4. Department of Medicinal Chemistry, College of Pharmacy, University of Florida, Gainesville, FL, 32610, USA. [email protected].
- 5. Department of Biochemistry & Structural Biology and Greehey Children's Cancer Research Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA. [email protected].
- 6. Department of Biochemistry & Structural Biology and Greehey Children's Cancer Research Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA. [email protected].
- # Contributed equally.
Overexpression of Bcl-xL and Bcl-2 play key roles in tumorigenesis and Cancer Drug Resistance. Advances in PROTAC technology facilitated recent development of the first Bcl-xL/Bcl-2 dual degrader, 753b, a VHL-based degrader with improved potency and reduced toxicity compared to previous small molecule inhibitors. Here, we determine crystal structures of VHL/753b/Bcl-xL and VHL/753b/Bcl-2 ternary complexes. The two ternary complexes exhibit markedly different architectures that are accompanied by distinct networks of interactions at the VHL/753b-linker/target interfaces. The importance of these interfacial contacts is validated via functional analysis and informed subsequent rational and structure-guided design focused on the 753b linker and Bcl-2/Bcl-xL warhead. This results in the design of a degrader, WH244, with enhanced potency to degrade Bcl-xL/Bcl-2 in cells. Using biophysical assays followed by in cell activities, we are able to explain the enhanced target degradation of Bcl-xL/Bcl-2 in cells. Most PROTACs are empirically designed and lack structural studies, making it challenging to understand their modes of action and specificity. Our work presents a streamlined approach that combines rational design and structure-based insights backed with cell-based studies to develop effective PROTAC-based Cancer therapeutics.