1] KINOMEscan Division of DiscoveRx Corporation, San Diego, California, USA. [2].
1] Nuffield Department of Clinical Medicine, University of Oxford, Structural Genomics Consortium, Oxford, UK. [2] Nuffield Department of Clinical Medicine, University of Oxford, Target Discovery Institute (TDI), Oxford, UK. [3].
Nat Chem Biol. 2014 Apr;10(4):305-12. doi: 10.1038/nchembio.1471. Epub 2014 Mar 2.
Concomitant inhibition of multiple cancer-driving kinases is an established strategy to improve the durability of clinical responses to targeted therapies. The difficulty of discovering kinase inhibitors with an appropriate multitarget profile has, however, necessitated the application of combination therapies, which can pose major clinical development challenges. Epigenetic reader domains of the bromodomain family have recently emerged as new targets for cancer therapy. Here we report that several clinical kinase inhibitors also inhibit bromodomains with therapeutically relevant potencies and are best classified as dual kinase-bromodomain inhibitors. Nanomolar activity on BRD4 by BI-2536 and TG-101348, which are clinical PLK1 and JAK2-FLT3 kinase inhibitors, respectively, is particularly noteworthy as these combinations of activities on independent oncogenic pathways exemplify a new strategy for rational single-agent polypharmacological targeting. Furthermore, structure-activity relationships and co-crystal structures identify design features that enable a general platform for the rational design of dual kinase-bromodomain inhibitors.
同时抑制多个驱动癌症的激酶是提高靶向治疗临床反应持久性的既定策略。然而,发现具有适当多靶标特征的激酶抑制剂的难度使得联合治疗成为必要,这可能会带来重大的临床开发挑战。溴结构域家族的表观遗传读域最近已成为癌症治疗的新靶点。在这里,我们报告称,几种临床激酶抑制剂也以具有治疗相关效力的方式抑制溴结构域,并且最好被归类为双重激酶-溴结构域抑制剂。分别为临床 PLK1 和 JAK2-FLT3 激酶抑制剂的 BI-2536 和 TG-101348 对 BRD4 的纳摩尔活性特别值得注意,因为这些独立致癌途径活性的组合体现了理性单药多药理学靶向的新策略。此外,结构-活性关系和共晶结构确定了设计特征,为合理设计双重激酶-溴结构域抑制剂提供了一个通用平台。