Lung cancer remains one of the most prevalent and lethal malignancies, with
poor drug response and high mortality rates. Proteolysis-targeting chimeras (PROTACs)
are emerging as a novel therapeutic strategy, leveraging E3 ligases to degrade oncogenic
proteins selectively via the ubiquitin-proteasome pathway. These degraders offer higher
selectivity and bioavailability compared to traditional inhibitors. This review explores
how PROTACs eliminate oncogenic proteins in lung cancer and examines the role of E3
ligases in this process. Commonly utilized ligases include Cereblon (CRBN) and Von
Hippel-Lindau (VHL), while newer ones, such as MDM2 and Kelch-like ECH-associated
protein 1 (KEAP1), are being investigated for therapeutic potential. We discuss key
factors in PROTAC design, including ligand selection, linker optimization, and pharmacokinetic
properties, which influence tumor specificity and efficacy while minimizing off-
target effects. Additionally, we highlight targetable oncogenic drivers in lung cancer,
such as KRAS, EGFR, and ALK fusion proteins, and evaluate preclinical and clinical
studies that demonstrate PROTACs' potential for overcoming drug resistance. The challenges
associated with clinical translation, tumor microenvironment interactions, and E3
ligase selection are also discussed. Finally, we present future perspectives, including expanding
the range of E3 ligases, developing multitargeting strategies, and integrating
next-generation molecular glue degraders. By offering a comparative analysis of E3 ligase-
specific PROTACs, this review underscores the potential of PROTAC technology to
advance precision oncology in lung cancer.