Design, synthesis, and biological evaluation of novel HDAC3 PROTACs for combined therapy with Venetoclax in acute myeloid leukemia

  • Bioorg Chem. 2026 Mar:170:109520. doi: 10.1016/j.bioorg.2026.109520.
Yuxin Chen  1 Enqiang Liu  1 Xingchun Ding  1 Chong Qin  2 Yuqi Jiang  3 Xiaoyang Li  4
Affiliations
  • 1. Key Laboratory of Marine Drugs, Chinese Ministry of Education, School of Medicine and Pharmacy, Ocean University of China, 5 Yushan Road, Qingdao 266003, China.
  • 2. Key Laboratory of Marine Drugs, Chinese Ministry of Education, School of Medicine and Pharmacy, Ocean University of China, 5 Yushan Road, Qingdao 266003, China.; Marine Biomedical Research Institute of Qingdao, Qingdao, Shandong 266071, China.. Electronic address: [email protected].
  • 3. Key Laboratory of Marine Drugs, Chinese Ministry of Education, School of Medicine and Pharmacy, Ocean University of China, 5 Yushan Road, Qingdao 266003, China.; Marine Biomedical Research Institute of Qingdao, Qingdao, Shandong 266071, China.. Electronic address: [email protected].
  • 4. Key Laboratory of Marine Drugs, Chinese Ministry of Education, School of Medicine and Pharmacy, Ocean University of China, 5 Yushan Road, Qingdao 266003, China.; Marine Biomedical Research Institute of Qingdao, Qingdao, Shandong 266071, China.. Electronic address: [email protected].
Abstract

Acute myeloid leukemia (AML) is a heterogeneous hematopoietic neoplasm driven in part by aberrant epigenetic mechanisms such as histone deacetylation, with HDAC3 playing an important role in its pathogenesis. In this study, we designed a series of novel HDAC3 PROTACs based on our previously designed HDAC3 Inhibitor as the POI ligand. Among these, representative compound B22 potently degraded HDAC3, with a DC50 of 30.73 nM and a Dmax of 82%. B22 synergized with the clinically approved AML agent Venetoclax, demonstrating potent anti-proliferative effects and significantly promoting Apoptosis in MV4-11 cells. Mechanistically, the combination of B22 and Venetoclax synergistically induces DNA damage and downregulates the anti-apoptotic proteins Mcl-1 and Bcl-xL. In conclusion, this study provided insights into novel HDAC3-directed PROTACs development and proposed their therapeutic potential against AML.

Keywords
Acute myeloid leukemia; Combined therapy; HDAC3 PROTAC; Venetoclax.
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