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March 10, 2026MedComm – Oncology0 citationsOpen Access

Molecular Glue Degraders Redefining Targeted Therapies From Discovery to Therapeutic Applications

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JWJiaye WenJYJingtian YuWWWuqiang Wen

Key Points

  • The aim is to unify understanding of molecular glue degraders' mechanisms and their diverse applications in therapeutic settings.
  • Synthesize MGD mechanisms including allosteric activation and interface stabilization.
  • Organize applications within oncology, immune dysregulation, and neurodegenerative diseases.
  • Summarize critical enabling technologies for glue discovery like chemoproteomics and AI-driven modeling.
  • MGDs effectively target previously undruggable proteins through enhanced E3 ligase interactions.
  • Applications span multiple disease areas, indicating broad therapeutic potential.
  • Identified challenges include enhancing selectivity and achieving precise control over degradation.

Abstract

ABSTRACT Molecular glue degraders (MGDs) represent an emerging therapy that exploits ubiquitin–proteasome pathways to eliminate otherwise intractable proteins. By stabilizing E3 ligases–target protein interactions, they enable event‐driven degradation, advancing targeting of undruggable proteins. Although progress in mechanisms and applications, a coherent framework across disciplines is still lacking. Here, we provide a unified synthesis of MGD mechanisms, including allosteric activation, interface stabilization, and neo‐substrate engagement, and delineate the functional diversity of representative ligases such as CRBN, VHL, DCAF15 and RNF126. We further organize emerging applications across oncology, immune dysregulation, metabolic imbalance, and neurodegenerative proteinpathies, highlighting how MGDs modulate disease‐relevant pathways. Critical enabling technologies, including chemoproteomics, cryo‐electron microscopy (EM), high‐throughput screening, and artificial intelligence–driven generative modeling are summarized as key engines accelerating glue discovery and ligase expansion. Together, this review provides a conceptual and technological blueprint for the rational development of next‐generation MGDs and aims to unlock transformative therapies for a vast array of diseases rooted in previously undruggable proteins. Furthermore, it offers forward‐looking perspectives on overcoming seminal challenges‐including enhancing target selectivity, broadening the repertoire of exploitable E3 ligases, and achieving precise spatiotemporal control over degradation.

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Cite This Study

Wen et al. (2026) studied this question.

synapsesocial.com/papers/69af952b70916d39fea4c6a4https://doi.org/10.1002/mog2.70058
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