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Mechanistic insights into the clinical Y96D mutation with acquired resistance to AMG510 in the KRAS.

作者信息

Zhuang Haiming, Fan Jigang, Li Mingyu, Zhang Hao, Yang Xiuyan, Lin Ligen, Lu Shaoyong, Wang Qing, Liu Yaqin

机构信息

Department of Pathophysiology, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Zhiyuan Innovative Research Center, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Front Oncol. 2022 Aug 10;12:915512. doi: 10.3389/fonc.2022.915512. eCollection 2022.


DOI:10.3389/fonc.2022.915512
PMID:36033504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9399772/
Abstract

Special oncogenic mutations in the RAS proteins lead to the aberrant activation of RAS and its downstream signaling pathways. AMG510, the first approval drug for KRAS, covalently binds to the mutated cysteine 12 of KRAS protein and has shown promising antitumor activity in clinical trials. Recent studies have reported that the clinically acquired Y96D mutation could severely affect the effectiveness of AMG510. However, the underlying mechanism of the drug-resistance remains unclear. To address this, we performed multiple microsecond molecular dynamics simulations on the KRAS-AMG510 and KRAS-AMG510 complexes at the atomic level. The direct interaction between the residue 96 and AMG510 was impaired owing to the Y96D mutation. Moreover, the mutation yielded higher flexibility and more coupled motion of the switch II and α3-helix, which led to the departing motion of the switch II and α3-helix. The resulting departing motion impaired the interaction between the switch II and α3-helix and subsequently induced the opening and loosening of the AMG510 binding pocket, which further disrupted the interaction between the key residues in the pocket and AMG510 and induced an increased solvent exposure of AMG510. These findings reveal the resistance mechanism of AMG510 to KRAS, which will help to offer guidance for the development of KRAS targeted drugs to overcome acquired resistance.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/a0c742ae4069/fonc-12-915512-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/bf64c8061d83/fonc-12-915512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/71b46973b2c2/fonc-12-915512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/720062410277/fonc-12-915512-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/569943e402a4/fonc-12-915512-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/eccf1f9f258a/fonc-12-915512-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/a0c742ae4069/fonc-12-915512-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/bf64c8061d83/fonc-12-915512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/71b46973b2c2/fonc-12-915512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/720062410277/fonc-12-915512-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/569943e402a4/fonc-12-915512-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/eccf1f9f258a/fonc-12-915512-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/9399772/a0c742ae4069/fonc-12-915512-g006.jpg

相似文献

[1]
Mechanistic insights into the clinical Y96D mutation with acquired resistance to AMG510 in the KRAS.

Front Oncol. 2022-8-10

[2]
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[3]
Inside the cracked kernel: establishing the molecular basis of AMG510 and MRTX849 in destabilising KRASG12C mutant switch I and II in cancer treatment.

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[4]
Epithelial-to-Mesenchymal Transition is a Cause of Both Intrinsic and Acquired Resistance to KRAS G12C Inhibitor in KRAS G12C-Mutant Non-Small Cell Lung Cancer.

Clin Cancer Res. 2020-11-15

[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Structural perspectives on recent breakthrough efforts toward direct drugging of RAS and acquired resistance.

Front Oncol. 2024-5-22

[2]
A New Dawn for Targeted Cancer Therapy: Small Molecule Covalent Binding Inhibitor Targeting K-Ras (G12C).

Curr Med Chem. 2025

[3]
Direct GDP-KRAS inhibitors and mechanisms of resistance: the tip of the iceberg.

Ther Adv Med Oncol. 2023-3-16

[4]
Mechanistic insights into the role of calcium in the allosteric regulation of the calmodulin-regulated death-associated protein kinase.

Front Mol Biosci. 2022-12-19

本文引用的文献

[1]
Mechanistic Insights Into Co-Administration of Allosteric and Orthosteric Drugs to Overcome Drug-Resistance in T315I BCR-ABL1.

Front Pharmacol. 2022-3-18

[2]
Pan-KRAS inhibitors suppress proliferation through feedback regulation in pancreatic ductal adenocarcinoma.

Acta Pharmacol Sin. 2022-10

[3]
Targeting a cryptic allosteric site of SIRT6 with small-molecule inhibitors that inhibit the migration of pancreatic cancer cells.

Acta Pharm Sin B. 2022-2

[4]
Anticancer drug resistance: An update and perspective.

Drug Resist Updat. 2021-12

[5]
Sotorasib for previously treated colorectal cancers with KRAS mutation (CodeBreaK100): a prespecified analysis of a single-arm, phase 2 trial.

Lancet Oncol. 2022-1

[6]
Targeting RAS phosphorylation in cancer therapy: Mechanisms and modulators.

Acta Pharm Sin B. 2021-11

[7]
Atomic-scale insights into allosteric inhibition and evolutional rescue mechanism of Cas9 by the anti-CRISPR protein AcrIIA6.

Comput Struct Biotechnol J. 2021-11-16

[8]
Harnessing Reversed Allosteric Communication: A Novel Strategy for Allosteric Drug Discovery.

J Med Chem. 2021-12-23

[9]
Resistance looms for KRAS G12C inhibitors and rational tackling strategies.

Pharmacol Ther. 2022-1

[10]
KRAS mutation: from undruggable to druggable in cancer.

Signal Transduct Target Ther. 2021-11-15

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