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Targeting the ubiquitin–proteasome system and drug therapy in colorectal cancer 
Ruixin Su , Yingying Shao2,3 , Qian Wang , Donghui Liu1 , Yitong Wang1 , Dexin Kong1,* , Yuling Qiu1,*
1Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin 300070, China
2School of Medicine, Nankai University, Tianjin 300071, China
3National Key Laboratory of Chinese Medicine Modernization, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
*Correspondence to:Yuling Qiu , Email:qiuyuling@tmu.edu.cn Dexin Kong , Email:kongdexin@tmu.edu.cn
J Mol Cell Biol, Volume 17, Issue 6, June 2025, mjaf027,  https://doi.org/10.1093/jmcb/mjaf027
Keyword:  colorectal cancer (CRC), ubiquitin–proteasome system (UPS), drug therapy, proteolysis-targeting chimera (PROTAC), molecular glue

Colorectal cancer (CRC) is the third most prevalent malignancy worldwide and the second leading cause of cancer-associated deaths, posing a significant threat to human health. Given the limited therapeutic options and poor prognosis associated with CRC, there is an urgent need to develop new targeted therapeutic strategies to enhance clinical outcomes. The ubiquitin–proteasome system (UPS), a central regulator for cellular protein homeostasis, plays a pivotal role in the initiation and progression of CRC. The UPS modulates several essential signaling pathways and is involved in regulating tumor immunity and resistance to chemotherapy. Thus, the UPS contributes significantly to the complex biological processes underlying CRC pathogenesis. In recent years, small-molecule compounds targeting the UPS have exhibited considerable therapeutic potential in CRC treatment. These drugs intervene in crucial steps in the UPS, such as the activity of E1, E2, and E3 enzymes, or directly target the proteasome, thereby regulating the degradation of oncogenic proteins and effectively impeding tumor progression. Moreover, emerging therapeutic strategies such as proteolysis-targeting chimera (PROTAC) and molecular glue technologies selectively degrade specific oncogenic proteins, thereby offering new avenues and promising opportunities for CRC treatment.