Epigenetic mediation through bromodomain and extraterminal (BET)
proteins have progressively translated
protein imbalance into effective
cancer treatment. Perturbation of druggable BET
proteins through
proteolysis-targeting chimeras (
PROTACs) has recently contributed to the discovery of effective
therapeutics. Unfortunately, precise and microenvironment-activatable BET protein degradation content with promising
tumor selectivity and pharmacological suitability remains elusive. Here, we present an
enzyme-derived clicking
PROTACs (ENCTACs) capable of orthogonally cross-linking two disparate small-molecule warhead
ligands that recognize BET bromodomain-containing
protein 4 (BRD4)
protein and
E3 ligase within
tumors only upon
hypoxia-induced activation of
nitroreductase enzyme. This localized formation of heterobifunctional degraders promotes specific down-regulation of BRD4, which subsequently alters expression of epigenetic targets and, therefore, allows precise modulation of hypoxic signaling in live cells, zebrafish, and living mice with solid
tumors. Our activation-feedback system demonstrates compelling superiorities and may enable the
PROTAC technology with more flexible practicality and druggable potency for
precision medicine in the near future.