Evidence map›Paper›PMID 41876537›Full record

ArticleNature communications2026

A dihydrouracil CRBN ligand mitigates IMiD associated safety liabilities in heterobifunctional targeted protein degrader.

Monica C Rodrigo-Brenni, Jasper C Komen, Ghaith M Hamza, Natacha Bohin, Tomas Adomavicius, Angelo Andres, Stefan Blaho, Ulf Börjesson, Gavin W Collie, Gian Marco De Donatis and 30 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors.

Monica C Rodrigo-BrenniSafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Jasper C KomenSafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Ghaith M HamzaAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.
Natacha BohinSafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0001-8571-9898
Tomas AdomaviciusProtein, structure and biophysics, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Angelo AndresAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.
Stefan BlahoProtein, structure and biophysics, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.
Ulf BörjessonHit Discovery, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.
Gavin W CollieProtein, structure and biophysics, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-0406-922X
Gian Marco De DonatisAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Frederik EiseleAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-9995-5816
Ning GaoAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1605-4137
Andrea GohlkeProtein, structure and biophysics, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Christoph GrebnerHit Discovery, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-5301-1078
Frida GustafssonSafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Andreas HockAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Cecilia KankkonenAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.
Praveen KumarData Sciences & Quantitative Biology, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7818-671X
Emilyanne LeonardIntegrated Bioanalysis, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-1866-4193
Xin LiPharmaron Beijing Co., Ltd, 100176, Beijing, People's Republic of China.
Ruth MacdonaldAnimal Science & Technologies, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Katja Madeyski-BengtsonCentre for Genomics Research, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Eric MieleAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.
Philip NevinAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.
Jeroen OvermanAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Fiona PachlAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.
Claudio PatheAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Matthew W D PerryMedicinal Chemistry, Research and Early Development, Respiratory & Immunology, BioPharmaceuicals R&D, AstraZeneca, Gothenburg, Sweden.
Christopher PhillipsProtein, structure and biophysics, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0001-6569-9025
Andy PikeDMPK, Oncology R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0001-6078-7501
Ian PurvisAnimal Science & Technologies, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Timothy RasmussonAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.
Sophie ReganSafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Linda ReillySafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
Jonathan RoseAnimal Science & Technologies, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK.
R Ian StorerHit Discovery, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.
Jingwen WangPharmaron Beijing Co., Ltd, 100176, Beijing, People's Republic of China.
Xiang ZhaiAssays, Profiling & Cell Sciences, Discovery Sciences, R&D, AstraZeneca, Boston, MA, USA.
Iacovos N MichaelidesHit Discovery, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK. iacovos.michaelides@astrazeneca.com.
Kevin MoreauSafety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK. kevin.moreau@astrazeneca.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunomodulatory imide drugs (IMiDs) like lenalidomide and pomalidomide are effective in treating multiple myeloma (MM) but pose hematotoxicity risks by degrading neosubstrates Ikaros (IKZF1) and Aiolos (IKZF3). When these IMiD scaffolds are integrated into proteolysis targeting chimeras (PROTACs), they can inadvertently lead to the degradation of these neosubstrates alongside the intended protein of interest (POI), raising safety concerns. This study profiles existing PROTACs and reveals instances of undesired degradation of IMiD-associated neosubstrates. We have developed in vitro hematopoietic assays to scrutinize the IMiD effects and describe the mechanistic insights on cell differentiation rewiring towards megakaryocytes together with an activation of the interferon response that is phenocopied by an Ikaros knock-out model. Moreover, we have identified a CRBN ligand that mitigates these safety liabilities and can be effectively incorporated into PROTACs. This advancement provides a promising path toward safer preclinical development of PROTACs, especially as the field expands into chronic disease treatments beyond oncology.

Indexed as

Adaptor Proteins, Signal TransducingUbiquitin-Protein LigasesAnimalsCell DifferentiationHumansIkaros Transcription FactorLenalidomideLigandsMultiple MyelomaProteolysisProteolysis Targeting ChimeraThalidomideAdaptor Proteins, Signal TransducingCRBN protein, humanIkaros Transcription FactorIKZF1 protein, humanLenalidomideLigandspomalidomideProteolysis Targeting ChimeraThalidomideUbiquitin-Protein Ligases

Identifiers

PMID41876537
PMCPMC13187128

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.