Atkinson Stephen J, Evans Laura, Scott James S
Oncology R&D, AstraZeneca, Cambridge UK.
Expert Opin Ther Pat. 2022 Oct;32(10):1043-1053. doi: 10.1080/13543776.2022.2119127. Epub 2022 Sep 1.
In methylthioadenosine phosphorylase (MTAP)-deficient tumor cells, reduced S-adenosylmethionine (SAM) levels in the context of elevated methylthioadenosine (MTA) has been hypothesized to lead to inhibition of protein arginine methyltransferase 5 (PRMT5) and tumor growth inhibition. Inhibitors of methionine adenosyltransferase 2A (MAT2a) prevent the synthesis of SAM from methionine and have therefore attracted increasing attention as potential chemotherapeutic agents in cancers characterized by MTAP-loss.
This review covers patent applications between January 2018 and December 2021. 18 patent applications from 5 different applicants are evaluated.
Recent advances in the field show a significant interest in the MAT2a therapeutic hypothesis. Agios and Ideaya in particular have capitalized on an allosteric binding mode first published by Pfizer in at least two of the filings during this time period, leading to potent, selective inhibitors. They have advanced MAT2a inhibitors to phase I clinical studies to explore their benefit to patients suffering with MTAP-deficient solid tumors or lymphoma. Whilst the other patent disclosures during this time frame have not led to disclosed candidates, the trials initiated by Agios and Ideaya studies will clearly inform on the potential for such inhibitors as viable therapeutic agents either as single agent or in combination.
在甲硫腺苷磷酸化酶(MTAP)缺陷的肿瘤细胞中,有人提出,在甲硫腺苷(MTA)水平升高的情况下,S-腺苷甲硫氨酸(SAM)水平降低会导致蛋白质精氨酸甲基转移酶5(PRMT5)受到抑制,进而抑制肿瘤生长。甲硫腺苷转移酶2A(MAT2a)抑制剂可阻止从甲硫氨酸合成SAM,因此作为MTAP缺失型癌症的潜在化疗药物受到越来越多的关注。
本综述涵盖2018年1月至2021年12月期间的专利申请。对来自5个不同申请人的18项专利申请进行了评估。
该领域的最新进展表明,人们对MAT2a治疗假说有着浓厚的兴趣。在此期间,Agios和Ideaya尤其利用了辉瑞首次公布的变构结合模式,至少在两份申请文件中采用了这种模式,从而开发出了强效、选择性的抑制剂。他们已将MAT2a抑制剂推进到I期临床研究,以探索其对患有MTAP缺陷实体瘤或淋巴瘤患者的益处。虽然在此期间其他专利披露并未产生已公开的候选药物,但Agios和Ideaya开展的试验将清楚地表明此类抑制剂作为单一药物或联合用药作为可行治疗药物的潜力。