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This invention introduces novel PROTAC (proteolysis targeting chimera) molecules designed to induce degradation of the PAX3::FOXO1 fusion oncoprotein in rhabdomyosarcoma cells. The compounds consist of a PAX3::FOXO1 binding moiety, an E3 ubiquitin ligase binding moiety, and a bivalent linker. This targeted approach offers a potential breakthrough in treating fusion-positive rhabdomyosarcoma, addressing a significant unmet need in pediatric cancer therapy.
BACKGROUND
Fusion-positive rhabdomyosarcoma (FP-RMS) is an aggressive childhood cancer characterized by the PAX3::FOXO1 fusion protein, which drives tumor growth and progression. This subtype accounts for about 80% of alveolar rhabdomyosarcoma cases and is associated with poor prognosis. Current treatments, including chemotherapy, radiation, and surgery, lack specificity for the PAX3::FOXO1 oncoprotein, resulting in limited efficacy and significant side effects. The development of targeted therapies that can specifically degrade PAX3::FOXO1 represents a promising strategy to improve treatment efficacy and patient survival in FP-RMS. Previous attempts to inhibit PAX3::FOXO1 have shown promise, but direct degradation of the protein using PROTAC technology offers a novel and potentially more effective approach.
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