The challenge of overcoming drug-resistant mutations in Anaplastic Lymphoma Kinase (ALK), a critical driver of non-small cell lung cancer (NSCLC), remains a pressing clinical concern. This study introduces a novel approach by using polyhedral alkanes as linkers in PROTAC (Proteolysis Targeting Chimera) technology to address resistance mechanisms. Unlike conventional chain-like or planar linkers, five novel ALK-targeting PROTACs (BL-1-BL-5) featuring structurally unique polyhedral alkanes (cubane, homocubane, adamantane, D3-trihomocubane and norbornene) were designed and synthesized through innovative HAPOD trail and organic synthesis methodologies. Comprehensive in vitro evaluations revealed remarkable antiproliferative activity across all derivatives, with BL-5 (norbornene as linker) demonstrating exceptional potency (IC₅₀ = 36.21 nM) against H3122 cells, surpassing both reference SIAIS164018 (BB-1, IC₅₀ = 78.93 nM) and Brigatinib (IC₅₀ = 44.83 nM). Western blot assay confirmed that BL-5 effectively degraded ALK at 100 nM concentration while effectively inhibiting ALK phosphorylation. Notably, BL-5 exhibited superior efficacy against Ba/F3 cells with the ALK G1202R resistance mutation (IC50 = 118.86 nM) compared to BB-1 (IC₅₀ = 126.41 nM). MD simulations provided critical insights, revealing that the BL-1, BL-4 and BL-5 significantly enhanced the ternary complex stability compared to traditional linkers. These findings establish the polyhedral alkanes as novel linkers in PROTAC design, with BL-5 emerging as a particularly promising candidate for targeting ALK.
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