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Details

Autor(en) / Beteiligte
Titel
Conformational Control Inhibition of the BCR-ABL1 Tyrosine Kinase, Including the Gatekeeper T315I Mutant, by the Switch-Control Inhibitor DCC-2036
Ist Teil von
  • Cancer cell, 2011-04, Vol.19 (4), p.556-568
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
2011
Quelle
MEDLINE
Beschreibungen/Notizen
  • Acquired resistance to ABL1 tyrosine kinase inhibitors (TKIs) through ABL1 kinase domain mutations, particularly the gatekeeper mutant T315I, is a significant problem for patients with chronic myeloid leukemia (CML). Using structure-based drug design, we developed compounds that bind to residues (Arg386/Glu282) ABL1 uses to switch between inactive and active conformations. The lead “switch-control” inhibitor, DCC-2036, potently inhibits both unphosphorylated and phosphorylated ABL1 by inducing a type II inactive conformation, and retains efficacy against the majority of clinically relevant CML-resistance mutants, including T315I. DCC-2036 inhibits BCR-ABL1 T315I-expressing cell lines, prolongs survival in mouse models of T315I mutant CML and B-lymphoblastic leukemia, and inhibits primary patient leukemia cells expressing T315I in vitro and in vivo, supporting its clinical development in TKI-resistant Ph + leukemia. ► Switch-control inhibitors exploit mechanisms of kinase conformational shifts ► Switch-control inhibitor DCC-2036 potently inhibits BCR-ABL1 gatekeeper mutant T315I ► DCC-2036 has efficacy in a mouse model of T315I-induced CML and against cells of patients with CML ► DCC-2036 may be an option for therapy of patients with CML for whom conventional TKIs fail

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