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作者信息

Ren Xintong, Diao Xiaotong, Zhuang Jingjing, Wu Dalei

机构信息

State Key Laboratory of Microbial Technology, Shandong University, China.

Marine College, Shandong University, China

出版信息

Mol Pharmacol. 2022 Sep 27;102(6):MOLPHARM-AR-2022-000525. doi: 10.1124/molpharm.122.000525.

Abstract

Hypoxia-inducible factor (HIF)-2α and its obligate heterodimerization partner aryl hydrocarbon receptor nuclear translocator (ARNT), are both members of the basic helix-loop-helix-PER-ARNT-SIM (bHLH-PAS) transcription factor family. Previous studies have identified HIF-2α as a key oncogenic driver in clear cell renal cell carcinoma (ccRCC), rendering it a promising drug target for this type of kidney cancer. Belzutifan is the first HIF-2α inhibitor approved for treating ccRCC and other cancers associated with the von Hippel-Lindau (VHL) disease. However, the detailed inhibitory mechanism of belzutifan at molecular level is still unclear. Here we obtained the crystal structure of HIF-2α-ARNT heterodimer in complex with belzutifan at 2.75 Å resolution. The complex structure shows that belzutifan binds into the PAS-B pocket of HIF-2α, and it destabilizes the dimerization of HIF-2α and ARNT through allosteric effects mainly mediated by the key residue M252 of HIF-2α near the dimer interface. We further explored the inhibitory effects of belzutifan using biochemical and functional assays. The time-resolved fluorescence energy transfer (TR-FRET)-based binding assay showed that belzutifan disrupts the dimerization of HIF-2α and ARNT with a value of 20 nM. The luciferase reporter assay indicated that belzutifan can efficiently inhibit the transcriptional activity of HIF-2α with an IC value of 17 nM. Besides, the real-time PCR assay illustrated that belzutifan can reduce the expression of HIF-2α downstream genes in 786-O kidney cancer cells in a dose-dependent manner. Our work reveals the molecular mechanism by which belzutifan allosterically inhibits HIF-2α and provides valuable information for the subsequent drug development targeting HIF-2α. The bHLH-PAS family of transcription factors are an emerging group of small-molecule drug targets. Belzutifan, originally developed by Peloton Therapeutics, is the first FDA-approved drug directly binding to a bHLH-PAS protein, the hypoxia-inducible factor (HIF)-2α. Based on the protein-drug complex structure, biochemical binding assays, and functional profiling of downstream gene expression, this study reveals the regulatory mechanism of how belzutifan allosterically destabilizes HIF-2α's heterodimerization with its obligate partner protein, thus reducing their transcriptional activity that links to tumor progression.

摘要

缺氧诱导因子(HIF)-2α及其必需的异源二聚化伴侣芳烃受体核转运蛋白(ARNT)均属于碱性螺旋-环-螺旋-PER-ARNT-SIM(bHLH-PAS)转录因子家族。先前的研究已将HIF-2α确定为透明细胞肾细胞癌(ccRCC)中的关键致癌驱动因子,使其成为这类肾癌颇具前景的药物靶点。贝佐蒂凡(belzutifan)是首个被批准用于治疗ccRCC及其他与希佩尔-林道(VHL)病相关癌症的HIF-2α抑制剂。然而,贝佐蒂凡在分子水平的详细抑制机制仍不清楚。在此,我们获得了HIF-2α-ARNT异源二聚体与贝佐蒂凡复合物的晶体结构,分辨率为2.75 Å。复合物结构表明,贝佐蒂凡结合到HIF-2α的PAS-B口袋中,并通过主要由二聚体界面附近HIF-2α的关键残基M252介导的变构效应破坏HIF-2α与ARNT的二聚化。我们进一步通过生化和功能测定探索了贝佐蒂凡的抑制作用。基于时间分辨荧光能量转移(TR-FRET)的结合测定表明,贝佐蒂凡以20 nM的Kd值破坏HIF-2α与ARNT的二聚化。荧光素酶报告基因测定表明,贝佐蒂凡能够以17 nM的IC50值有效抑制HIF-2α的转录活性。此外,实时PCR测定表明,贝佐蒂凡能够以剂量依赖方式降低786-O肾癌细胞中HIF-2α下游基因的表达。我们的工作揭示了贝佐蒂凡变构抑制HIF-2α的分子机制,并为后续靶向HIF-2α的药物开发提供了有价值的信息。bHLH-PAS转录因子家族是一类新兴的小分子药物靶点。贝佐蒂凡最初由Peloton Therapeutics公司研发,是首个获得美国食品药品监督管理局(FDA)批准的直接与bHLH-PAS蛋白——缺氧诱导因子(HIF)-2α结合的药物。基于蛋白质-药物复合物结构、生化结合测定以及下游基因表达的功能分析,本研究揭示了贝佐蒂凡如何变构破坏HIF-2α与其必需伴侣蛋白的异源二聚化,从而降低它们与肿瘤进展相关转录活性的调控机制。

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