Pharmacyclics LLC, an AbbVie Company, Sunnyvale, California.
Pharmacyclics LLC, an AbbVie Company, Sunnyvale, California
J Pharmacol Exp Ther. 2020 Mar;372(3):331-338. doi: 10.1124/jpet.119.262063. Epub 2019 Dec 23.
Kinases form an attractive class of targets for small molecule inhibitors, but similarity among their adenosine triphosphate binding sites presents difficulties for developing selective drugs. Standard methods of evaluating selectivity of most reversibly bound drugs account for binding affinity but not the two-step process, affinity and inactivation, occurring during covalent inhibition. To illustrate this concept, we assessed the selectivity of Bruton's tyrosine kinase (BTK) over TEC kinases by two novel therapeutics: ibrutinib and acalabrutinib. The two-step process and time-dependent inhibition unique to covalent inhibitors were evaluated with two biochemical assays measuring enzymatic function and inhibition kinetics. The selectivity for BTK over TEC found in these biochemical analyses was 1-1.5 for ibrutinib and 3.0-4.2 for acalabrutinib. To further assess drug selectivity in a more physiologically relevant context, we developed cell-based occupancy assays that quantify the percentage of drug-inactivated kinases. Cellular selectivity of BTK over TEC was determined after MWCL-1 cells, and samples from patients with chronic lymphocytic leukemia (CLL) were treated for durations and concentrations based on human pharmacokinetics of each drug. In MWCL-1 cells, BTK/TEC selectivities measured at 0.5, 1, and 3 hours were 2.53, 1.05, and 1.51 for ibrutinib and 0.97, 1.13, and 2.56 for acalabrutinib, respectively. The equivalent selectivity measured in samples from patients with CLL were 1.31 ± 0.27 and 1.09 ± 0.11 for ibrutinib and acalabrutinib, respectively. Collectively, our data show that when properly accounting for time-dependent factors and relevant cellular context, ibrutinib and acalabrutinib demonstrate similar selectivity for BTK over TEC. SIGNIFICANCE STATEMENT: This study shows relative selectivity of covalent inhibitors toward different kinase targets should be assessed with both affinity and inactivation kinetics to accurately account for time-dependent effects of covalent binding and assessed in a cellular matrix to reproduce the physiologic context of target inhibition. This is illustrated with a case study of ibrutinib and acalabrutinib for which selectivity assessment with appropriate assays, as opposed to measuring binding affinity with KINOME alone, corroborate emerging clinical data demonstrating similar safety profiles between the therapies.
激酶是小分子抑制剂的一个有吸引力的靶标,但其三磷酸腺苷结合位点的相似性给开发选择性药物带来了困难。大多数可还原结合药物的选择性评估标准考虑了结合亲和力,但没有考虑到在共价抑制过程中发生的两步过程,即亲和力和失活。为了说明这一概念,我们使用两种新型治疗药物来评估布鲁顿酪氨酸激酶 (BTK) 相对于 Tec 激酶的选择性:依鲁替尼和阿卡替尼。通过两种测量酶功能和抑制动力学的生化测定来评估共价抑制剂特有的两步过程和时间依赖性抑制。这两种生化分析中发现的 BTK 相对于 Tec 的选择性,依鲁替尼为 1-1.5,阿卡替尼为 3.0-4.2。为了在更具生理相关性的背景下进一步评估药物选择性,我们开发了基于细胞的占有率测定,该测定可量化药物失活激酶的百分比。MWCL-1 细胞处理后,根据每种药物的人体药代动力学,确定了 BTK 相对于 Tec 的细胞选择性,并确定了慢性淋巴细胞白血病 (CLL) 患者样本的处理时间和浓度。在 MWCL-1 细胞中,BTK/TEC 在 0.5、1 和 3 小时的选择性分别为依鲁替尼的 2.53、1.05 和 1.51,阿卡替尼的 0.97、1.13 和 2.56。在来自 CLL 患者的样本中测量的等效选择性分别为依鲁替尼的 1.31±0.27 和阿卡替尼的 1.09±0.11。总的来说,我们的数据表明,当适当地考虑时间依赖性因素和相关的细胞背景时,依鲁替尼和阿卡替尼对 BTK 相对于 Tec 的选择性相似。意义:本研究表明,应对不同激酶靶标的共价抑制剂的相对选择性进行评估,既要考虑亲和力,也要考虑失活动力学,以准确解释共价结合的时间依赖性效应,并在细胞基质中进行评估,以重现靶抑制的生理背景。这通过依鲁替尼和阿卡替尼的案例研究来说明,与仅用 KINOME 测量结合亲和力相比,使用适当的测定方法评估选择性可以证实新兴的临床数据,表明这两种治疗方法具有相似的安全性。
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