Figures (9)  Tables (2)
    • Figure 1. 

      Schematic descriptions of TAC technology, from molecular components, therapeutic applications, to delivery strategies.

    • Figure 2. 

      The action mechanisms of different TAC molecules, including PROTAC, LYTAC, AUTOTAC, RiboTAC, and DEPTAC, for targeting degradation of intracellular protein, membrane and extracellular protein, protein aggregate, RNA, and dephosphorylation.

    • Figure 3. 

      Properties of the POI ligand, degradation-inducing ligand, and linker within TAC molecules.

    • Figure 4. 

      Schematic illustration of PROTAC[77] and LYTAC[6] applications in brain tumor therapy. Reprinted with permission from Ref.[77]. Copyright 2025 Springer Nature. Reprinted with permission from Ref.[6]. Copyright 2025 Springer Nature.

    • Figure 5. 

      By inducing the degradation of POIs, TAC serves as an effective approach for treating NDs. These POIs include membrane proteins, cytoplasmic aggregates, and damaged organelles.

    • Figure 6. 

      Nano-delivery carriers offer a solution to the questions of TAC therapy. These carriers use self-assembly methods to improve molecular properties, employ biomimetic materials to mimic physiological processes, and improve therapeutic efficacy through engineered design.

    • Figure 7. 

      Characterization of TAC-based self-assembling nanoplatforms and their performance. (a) Design strategy of endoTAC and its mechanistic role in AD therapy. (b) Intracellular distribution of nanoparticles in brain vascular endothelial cells. (c) Flow cytometric analysis of FITC-Aβ uptake in bEnd.3 cells following 24-h co-incubation with SV@NP. (d) Flow cytometry was used to analyze FITC-Aβ uptake in RAGE-overexpressing bEnd.3 cells after 24 h of co-culture with endoTAC. Reprinted with permission from Ref.[5]. Copyright 2024 Wiley.

    • Figure 8. 

      Design and experimental confirmation of TAC delivery via liposomes and polymer carriers. (a) Design of the liposome-based delivery platform and its mechanism of action in AD treatment. (b) Representative fluorescence images of coronal brain sections from C57 mice, showing Cy5-labeled PROTAC (red) and nuclear staining (blue). (c) Quantitative flow cytometric analysis of fluorescence intensity in TAU-EGFP-overexpressing N2a cells following PROTAC treatment at specified time points. (d) Western blot analysis was performed to assess the extent of tau protein degradation. Reprinted with permission from Ref.[119]. Copyright 2024 Wiley. (e) Design of the polymer delivery carrier and its mechanism of action. (f) Representative in vivo bioluminescence imaging of tumor-bearing mice after treatment. (g) Cytotoxicity of cRGD-P/ARV, cRGD-P/DOX, and cRGD-P/ARV-DOX in GL261 cells after 24-h incubation was assessed using the MTT assay at concentrations ranging from 0 to 0.0625 μg·mL−1. (h) Flow cytometric analysis of apoptosis in GL261 cells using Annexin V/PI double staining. Reprinted with permission from Ref.[120]. Copyright 2022 Elsevier.

    • Figure 9. 

      Characterization of TAC-based biomimetic carrier delivery platforms and their experimental confirmation. (a) In vivo and ex vivo fluorescence imaging of mice following tail vein injection of PBS, sc-FRONTACFUS, and FRONTACFUS. (b) Fluorescence imaging of brain tissue sections from mice administered Cy5-labeled dFUS-PS9C or Cy5-labeled FRONTACFUS via tail vein. (c) Immunoblot analysis of FUS level in hippocampal and cortical tissues from mice administered escalating doses of FRONTACFUS via tail vein injection. (d) Quantitative comparison of Western blot data analyzing differences in FUS degradation in hippocampal and cortical tissues following tail vein injection of NF control vs 10 mg·kg−1 FRONTACFUS. Reprinted with permission from Ref.[92]. Copyright 2025 Springer Nature. (e) Mechanism of action of the TAC biomimetic cell membrane delivery platform. (f) In vitro evaluation of the BBB penetration capacity of Cy5 LNP and M@Cy5 LNP using the Transwell assay. (g) In vivo distribution of free Cy5, Cy5 LNP, and M@Cy5 LNP measured at specified time points following tail vein injection in mice with orthotopic U251MG glioma. (h) Quantitative analysis of tumor bioluminescence signals in each treatment group. (i) Kaplan–Meier survival analysis for mice in each treatment group. Reprinted with permission from Ref.[129]. Copyright 2025 Wiley.

    • Types of TAC Characteristics Key challenges in the application of CNS diseases Future design strategies
      PROTAC Inducing the efficient degradation of intracellular soluble POI Proteasome pore size is only 13 Å, restricting entry of protein aggregates[46];
      Neuronal proteasome impairment in AD affects UPS pathway activity[47];
      Neurons express lower VHL and related E3 ligases than peripheral tissues, increasing susceptibility to off-target toxicity
      Intervening on protein monomers or oligomers in the early stages of the disease;
      Incorporate additional proteasome repair elements during design to restore proteasome activity;
      Development of PROTACs targeting E3 ligases specifically expressed in neurons, such as TRIM28
      LYTAC Inducing lysosomal degradation of membrane-bound and extracellular POIs via the endocytic system Structures frequently contain antibodies or glycopeptides, readily causing strong immune responses[45];
      Impaired lysosomal acidification in AD severely impairs protein degradation efficiency[48];
      Lysosomal transport receptors such as CI-M6PR are widely expressed in various tissues, posing a risk of nonspecific uptake[49]
      Replace antibodies or peptide ligands with small chemical molecules to mitigate immune responses;
      Co-delivery with drugs used to treat lysosomal acidification disorders;
      Identification of endocytic receptors overexpressed in CNS lesion sites via single-cell sequencing and subsequent design of targeting ligands
      AUTOTAC Driving the autophagic degradation of cytoplasmic protein aggregates It may affect the cellular autophagy pathway, leading to excessive autophagy and damaging healthy neurons[45];
      p62 levels are upregulated or depleted under pathological conditions in ND[50]
      Administer the drug in pulses to prevent excessive autophagy;
      Design of an autophagy ligand that is independent of p62 levels
      DEPTAC Using a phosphatase to promote the dephosphorylation of the overphosphorylated POI PP2A expression is downregulated in the affected brain regions[51];
      It can only remove the phosphorylated groups from the toxic protein, but cannot eliminate the protein backbone
      Designing ligands to recruit phosphatases specifically enriched in neurons;
      Combining dephosphorylation and protein degradation functions to develop DEPTAC-degradation chimeras
      RiboTAC Eliminate POI at the source by using ribonuclease L to catalyze mRNA cleavage Widespread expression of RNA-binding proteins carries a high risk of off-target degradation By employing a bispecific antisense oligonucleotide approach, target specificity is further enhanced
      Abbreviation: CI-M6PR, cation-independent mannose-6-phosphate receptor.

      Table 1. 

      The characteristics and limitations of different TACs, as well as the challenges encountered when applying them to CNS disorders.

    • Degradation-induced targetsTACClinical phases (date)POI targetsIndications
      CRBNDezandrodeg[53,54]III (2025, 3)ARProstate cancer
      ARV-766[55]II (2025, 10)ARProstate cancer
      KT-474[56,57]II (2023, 11)IRAK4Atopic dermatitis, hidradenitis suppurativa
      BMS-986458[58]II (2023, 10)BCL6Relapsed/refractory non-Hodgkin lymphoma, BCL
      Zelebrudomide[59]I (2021, 4)BTK
      IKZF1
      IKZF3
      BCL, MZL, WM, LPL/IC, FL, CLL, DLBCL, SMZL, MCL, SLL, central nervous system tumor
      ZaloblidegI (2024, 9)BCL6NHL, AITL, BCL, DLBCL
      CFT8919[60]I (2025, 2)EGFRNSCLC
      UBE3VepdegestrantIII (2023, 3)ESR1Breast cancer, MBC, HR+/HER2- breast cancer
      ARD-266I (2025, 9)ARCRPC
      ARV-102I (2024, 2)LRRK2PSP, Parkinson's disease, neurodegenerative disease
      TQB3019[61]I (2025, 1)BTKAdvanced malignant cancer
      VHLPRT3789[52,62]II (2025, 3)SMARCA2Advanced and metastatic solid tumor, esophageal cancer, NSCLC
      ASP4396[63]I (2024, 4)KRAS G12DSolid tumor
      ASP3082[64]I (2025, 4)KRAS G12DSolid tumor
      SQSTM1ATC-202I (2025, 4)TTRFamilial amyloid polyneuropathy
      ATC-104I (2024, 4)TDP-43Amyotrophic lateral sclerosis
      Others (undisclosed)Catadegbrutinib[52,65,66]III (2025, 5)BTKB cell malignancy, NHL, MCL, Chronic spontaneous urticaria, relapsed cancer, refractory cancer, CLL, SLL, MZL, FL
      GT-20029II (2024, 3)ARAlopecia, acne vulgaris
      PT0253I (2024, 12)KRAS G12DSolid tumor
      AXT-1003[67]I (2024, 6)EZH2Relapsed/refractory non-Hodgkin lymphoma, NHL, advanced solid tumor
      Abbreviations: ESR1, estrogen receptor 1; MBC, metastatic breast cancer; HR+/HER2- breast cancer, hormone receptor positive/human epidermal growth factor receptor 2 negative breast cancer; AR, androgen receptor; BTK, Bruton tyrosine kinase; NHL, non-Hodgkin lymphoma; MCL, mantle cell lymphoma; CLL, chronic lymphocytic leukemia; SLL, small lymphocytic lymphoma; MZL, marginal zone lymphoma; FL, follicular lymphoma; IRAK4, interleukin 1 receptor associated kinase 4; SMARCA2, SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily A, member 2; NSCLC, non-small cell lung cancer; BCL6, B-cell lymphoma 6 protein; BCL, B-cell lymphoma; CRPC, castration-resistant prostate cancer; IKZF1, IKAROS family zinc finger 1; IKZF3, IKAROS family zinc finger 3; WM, Waldenström macroglobulinemia; LPL/IC, lymphoplasmacytic lymphoma/immunocytoma; DLBCL, diffuse large B-cell lymphoma; SMZL, splenic marginal zone lymphoma; LRRK2, leucine-rich repeat kinase 2; PSP, progressive supranuclear palsy; AITL, angioimmunoblastic T-cell lymphoma; EGFR, epidermal growth factor receptor; EZH2, enhancer of zeste homolog 2; TTR, transthyretin; SQSTM1, sequestosome 1; TDP-43, TAR DNA-binding protein 43.

      Table 2. 

      TAC therapies in clinical disease treatment, with degradation-induced targets, candidate molecules, clinical phases, POI targets, and indications.