# PROTAC-based protein degradation: a window of opportunity for melanoma therapy

**Authors:** Giulia Gentile, Simona D’Aguanno, Marta Di Martile, Adele Petricca, Elisabetta Valentini, Stefano Scalera, Donatella Del Bufalo

PMC · DOI: 10.1186/s12929-026-01225-2 · Journal of Biomedical Science · 2026-02-27

## TL;DR

This review explores how PROTACs, molecules that degrade disease-causing proteins, could offer new treatment options for melanoma, a severe type of skin cancer.

## Contribution

The paper provides the first comprehensive review of preclinical PROTAC studies specifically for cutaneous melanoma.

## Key findings

- PROTACs have shown efficacy in targeting previously undruggable proteins in melanoma.
- Over 40 degraders, including PROTACs, are in clinical trials, with many focused on oncology.
- The review highlights the potential of PROTACs to advance personalized cancer therapies.

## Abstract

The key small molecule-based modalities for inducing targeted protein degradation have seen explosive growth over the past decade. They include heterobifunctional degraders such as PROteolysis TArgeting Chimeras (PROTACs): molecules working as protein degraders by inducing proximity between a protein of interest, mostly a disease-causing protein, and an ubiquitin E3 ligase to trigger protein ubiquitination and degradation. The power of PROTACs has been broadly demonstrated, and their success has motivated interest and efforts in expanding the concept to several diseases including cancer, in the hope to tackle previously elusive or inadequately drugged targets and accelerate translation to clinical therapies. Some PROTACs have advanced to clinical development, confirming the efficacy and feasibility of this innovative therapeutic approach. Today, over 40 degraders, including PROTACs, are being developed in clinical trials, many for oncology indications. Although the literature is particularly abundant in reviews on PROTACs, there are currently no studies that collect data on the use of PROTACs in cutaneous melanoma, the most common and aggressive type of skin cancer. Therefore, in this comprehensive review, preclinical findings will be presented and discussed, helping to bring together studies and efforts in the rapidly evolving field of PROTACs, with regard to cutaneous melanoma. Thus, offering an opportunity for scientists and clinicians to deepen their knowledge about this field, and to shape the future of personalized cancer therapy.

## Linked entities

- **Diseases:** melanoma (MONDO:0005105), cutaneous melanoma (MONDO:0005012)

## Full-text entities

- **Genes:** CDKN2A (cyclin dependent kinase inhibitor 2A) [NCBI Gene 1029] {aka ARF, CAI2, CDK4I, CDKN2, CMM2, INK4}, PTEN (phosphatase and tensin homolog) [NCBI Gene 5728] {aka 10q23del, BZS, CWS1, DEC, GLM2, MHAM}, Mdk (midkine) [NCBI Gene 17242] {aka MK, Mek}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, Pdcd1 (programmed cell death 1) [NCBI Gene 18566] {aka Ly101, PD-1, Pdc1}, CCNK (cyclin K) [NCBI Gene 8812] {aka CPR4, IDDHDF}, Pik3r1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 18708] {aka PI3K, p50alpha, p55alpha, p85alpha}, Mif (macrophage migration inhibitory factor (glycosylation-inhibiting factor)) [NCBI Gene 17319] {aka DER6, GIF, Glif}, Cdk6 (cyclin dependent kinase 6) [NCBI Gene 12571] {aka Crk2}, CRBN (cereblon) [NCBI Gene 51185] {aka MRT2, MRT2A}, Tnfsf10 (tumor necrosis factor (ligand) superfamily, member 10) [NCBI Gene 22035] {aka A330042I21Rik, APO-2L, Ly81, TL2, Tnlg6a, Trail}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}, HSP90AA1 (heat shock protein 90 alpha family class A member 1) [NCBI Gene 3320] {aka EL52, HEL-S-65p, HSP86, HSP89A, HSP90A, HSP90N}, BRAF (B-Raf proto-oncogene, serine/threonine kinase) [NCBI Gene 673] {aka B-RAF1, B-raf, BRAF-1, BRAF1, NS7, RAFB1}, GSPT1 (G1 to S phase transition 1) [NCBI Gene 2935] {aka 551G9.2, ETF3A, GST1, eRF3a}, Vhl (von Hippel-Lindau tumor suppressor) [NCBI Gene 22346] {aka Vhlh, pVHL}, RBX1 (ring-box 1) [NCBI Gene 9978] {aka BA554C12.1, RNF75, ROC1}, PBRM1 (polybromo 1) [NCBI Gene 55193] {aka BAF180, PB1, RCC, SMARCH1}, ROR1 (ROR family WNT receptor 1) [NCBI Gene 4919] {aka NTRKR1, dJ537F10.1}, IL18R1 (interleukin 18 receptor 1) [NCBI Gene 8809] {aka CD218a, CDw218a, IL-18R, IL-18R-alpha, IL-18Ralpha, IL-1Rrp}, Cd4 (CD4 antigen) [NCBI Gene 12504] {aka L3T4, Ly-4}, MAP1LC3A (microtubule associated protein 1 light chain 3 alpha) [NCBI Gene 84557] {aka ATG8E, LC3, LC3A, MAP1ALC3, MAP1BLC3}, Trp53-ps (transformation related protein 53, pseudogene) [NCBI Gene 22060], NAPRT (nicotinate phosphoribosyltransferase) [NCBI Gene 93100] {aka NAPRT1, PP3856}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, PTPN11 (protein tyrosine phosphatase non-receptor type 11) [NCBI Gene 5781] {aka BPTP3, CFC, JMML, METCDS, NS1, PTP-1D}, NR4A3 (nuclear receptor subfamily 4 group A member 3) [NCBI Gene 8013] {aka CHN, CSMF, MINOR, NOR1}, Mitf (melanogenesis associated transcription factor) [NCBI Gene 17342] {aka BCC2, Bhlhe32, Gsfbcc2, Vitiligo, Wh, bw}, SMARCA2 (SWI/SNF related BAF chromatin remodeling complex subunit ATPase 2) [NCBI Gene 6595] {aka BAF190, BIS, BRM, NCBRS, SAMRCA2, SNF2}, Bcl2l1 (BCL2-like 1) [NCBI Gene 12048] {aka Bcl(X)L, Bcl-XL, Bcl2l, BclX, bcl-x, bcl2-L-1}, RNF43 (ring finger protein 43) [NCBI Gene 54894] {aka RNF124, SSPCS, URCC}, ZHX2 (zinc fingers and homeoboxes 2) [NCBI Gene 22882] {aka AFR1, RAF}, Brd4 (bromodomain containing 4) [NCBI Gene 57261] {aka Brd5, HUNK1, MCAP, WI-11513}, MUC1 (mucin 1, cell surface associated) [NCBI Gene 4582] {aka ADMCKD, ADMCKD1, ADTKD2, CA 15-3, CD227, Ca15-3}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, SMARCA4 (SWI/SNF related BAF chromatin remodeling complex subunit ATPase 4) [NCBI Gene 6597] {aka BAF190, BAF190A, BRG1, CSS4, MRD16, OTSC12}, Tyr (tyrosinase) [NCBI Gene 22173] {aka Oca1, albino, c, skc35}, Cgas (cyclic GMP-AMP synthase) [NCBI Gene 214763] {aka E330016A19Rik, Mb21d1}, EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, Ptpn2 (protein tyrosine phosphatase, non-receptor type 2) [NCBI Gene 19255] {aka Ptpt, TC-PTP}, Creb1 (cAMP responsive element binding protein 1) [NCBI Gene 12912] {aka 2310001E10Rik, 3526402H21Rik, Creb, Creb-1}, ACTL6A (actin like 6A) [NCBI Gene 86] {aka ACTL6, ARPN-BETA, Arp4, BAF53A, INO80K, SMARCN1}, NRAS (NRAS proto-oncogene, GTPase) [NCBI Gene 4893] {aka ALPS4, CMNS, N-ras, NCMS, NRAS1, NS6}, TYR (tyrosinase) [NCBI Gene 7299] {aka ATN, CMM8, OCA1, OCA1A, OCAIA, SHEP3}, MAP2K7 (mitogen-activated protein kinase kinase 7) [NCBI Gene 5609] {aka JNKK2, MAPKK7, MEK, MEK 7, MKK7, PRKMK7}, M6pr (mannose-6-phosphate receptor, cation dependent) [NCBI Gene 17113] {aka CD-MPR, Mpr46}, MUL1 (mitochondrial E3 ubiquitin protein ligase 1) [NCBI Gene 79594] {aka C1orf166, GIDE, MAPL, MULAN, RNF218}, RBM39 (RNA binding motif protein 39) [NCBI Gene 9584] {aka CAPER, CAPERalpha, FSAP59, HCC1, RNPC2}, CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, Ptpn1 (protein tyrosine phosphatase, non-receptor type 1) [NCBI Gene 19246] {aka PTP-1B, PTP-HA2, PTP1B}, CD47 (CD47 molecule) [NCBI Gene 961] {aka IAP, MER6, OA3}, Cdkn2a (cyclin dependent kinase inhibitor 2A) [NCBI Gene 12578] {aka ARF-INK4a, Arf, INK4a-ARF, Ink4a/Arf, MTS1, Pctr1}, SQSTM1 (sequestosome 1) [NCBI Gene 8878] {aka A170, DMRV, EBIAP, FTDALS3, NADGP, OSIL}, Il2ra (interleukin 2 receptor, alpha chain) [NCBI Gene 16184] {aka CD25, Il2r, Ly-43}, BCL7A (BAF chromatin remodeling complex subunit BCL7A) [NCBI Gene 605] {aka BCL7, SMARCJ1}, MAGEA3 (MAGE family member A3) [NCBI Gene 4102] {aka CT1.3, HIP8, HYPD, MAGE3}, IL2 (interleukin 2) [NCBI Gene 3558] {aka IL-2, TCGF, lymphokine}, Cdk4 (cyclin dependent kinase 4) [NCBI Gene 12567] {aka Crk3}, Tfrc (transferrin receptor) [NCBI Gene 22042] {aka 2610028K12Rik, CD71, E430033M20Rik, Mtvr1, TFR, TFR1}
- **Diseases:** hematological and solid tumors (MESH:D019337), neuroblastoma (MESH:D009447), necrosis (MESH:D009336), oncological disease (MESH:D000072716), basal cell carcinoma (MESH:D002280), DAMP (MESH:D000081030), diffuse large B-cell lymphoma (MESH:D016403), hepatocellular carcinoma (MESH:D006528), ATTEC (MESH:D009436), brain metastases (MESH:D001932), hypoxia (MESH:D000860), squamous cell carcinoma (MESH:D002294), glioblastoma (MESH:D005909), non-small cell lung cancer (MESH:D002289), breast cancer (MESH:D001943), TPD (MESH:D055959), Skin cancer (MESH:D012878), tumors**Fibrolamellar (MESH:C537258), TDP (MESH:D016171), Cutaneous melanoma (MESH:C562393), ovarian cancer (MESH:D010051), PDA (MESH:D004374), NAPRT-deficient (MESH:D007926), cancers (MESH:D009369), POI (MESH:D011488), nevi (MESH:D009506), metastatic (MESH:D000092182), LYTACs (MESH:D016464), cytotoxicity (MESH:D064420), melanoma (MESH:D008545), glioma (MESH:D005910), lung metastasis (MESH:D009362), inflammation (MESH:D007249), leukemia (MESH:D007938), colon cancer (MESH:D015179), pancreatic cancer (MESH:D010190), skin hyperpigmentation (MESH:D017495), skin diseases (MESH:D012871), tumorigenic (MESH:D002471), hematologic toxicity (MESH:D006402), deficient (MESH:D007153)
- **Chemicals:** MnCO3 (MESH:C045327), Copper (MESH:D003300), tryptophan (MESH:D014364), ARV-825 (MESH:C000606252), Glutamic Acid (MESH:D018698), thalidomide (MESH:D013792), Nivolumab (MESH:D000077594), Rigosertib (MESH:C507134), Rhein (MESH:C020491), NAD (MESH:D009243), DT2216 (MESH:C000717534), Ipilimumab (MESH:D000074324), Glycine (MESH:D005998), ABT-263 (MESH:C528561), Alkyne (MESH:D000480), HDM201 (MESH:C000654196), folate (MESH:D005492), AH-001 (MESH:C083680), A1155463 (MESH:C000603579), Nintedanib (MESH:C530716), ZSTK474 (MESH:C510150), NLTC (MESH:C036363), SM (MESH:D012493), Kaempferol (MESH:C006552), ATP (MESH:D000255), water (MESH:D014867), Abemaciclib (MESH:C000590451), DIM-C-pPhOH (MESH:C552530), Ribociclib (MESH:C000589651), Encorafenib (MESH:C000601108), I (MESH:D007455), melanin (MESH:D008543), Atezolizumab (MESH:C000594389), Trametinib (MESH:C560077), PLX-8394 (MESH:C000602642), BMS (MESH:C095300), MRT-92 (MESH:C000599830), Dabrafenib (MESH:C561627), lipid (MESH:D008055), Pembrolizumab (MESH:C582435), Paclitaxel (MESH:D017239), Cobimetinib (MESH:C574276), lenalidomide (MESH:D000077269), PolyEthylene Glycol (MESH:D011092), amino acid (MESH:D000596), Quercetin (MESH:D011794), Azide (MESH:D001386), Irinotecan (MESH:D000077146), Aspartic acid (MESH:D001224), Pseudolaric acid B (MESH:C058391), CP-10 (MESH:C100139), NA (MESH:D009525), RG7112 (MESH:C579783), Rapamycin (MESH:D020123), Celastrol (MESH:C050414), PLX4032 (MESH:D000077484), A-1331852 (MESH:C000603580), pomalidomide (MESH:C467566), Palbociclib (MESH:C500026), Relatlimab (MESH:C000721227)
- **Species:** Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** V600G, G469A, V600D, G466V, K601E, D594N, V600K
- **Cell lines:** CFT8634 — Homo sapiens (Human), Cystic fibrosis, Transformed cell line (CVCL_9640), B16F10 — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_0159)

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12949513/full.md

## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC12949513/full.md

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Source: https://tomesphere.com/paper/PMC12949513