2016
DOI: 10.1002/anie.201605011
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Insight into the Inhibition of Drug‐Resistant Mutants of the Receptor Tyrosine Kinase EGFR

Abstract: Targeting acquired drug resistance represents the major challenge in the treatment of EGFR-driven non-small-cell lung cancer (NSCLC). Herein, we describe the structure-based design, synthesis, and biological evaluation of a novel class of covalent EGFR inhibitors that exhibit excellent inhibition of EGFR-mutant drug-resistant cells. Protein X-ray crystallography combined with detailed kinetic studies led to a deeper understanding of the mode of inhibition of EGFR-T790M and provided insight into the key princip… Show more

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Cited by 56 publications
(62 citation statements)
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“…We designed CRIs based on the crystal structures of covalent pyrazolo[3,2- d ]pyrimidines (PDB: 5j9y), which showed excellent inhibition of drug-resistant EGFR T790M both in biochemical and cellular assays ( Figure 1 ). 46 We chose to focus on bulky aromatic ring systems as substituents at the 3-position to extend the inhibitor into the lipophilic pocket adjacent to the gatekeeper residue (Met790) and to achieve mutant selectivity by favorable interactions. To render the inhibitor covalent-reversible, we modified the attached Michael acceptor by inserting an electron-withdrawing group.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…We designed CRIs based on the crystal structures of covalent pyrazolo[3,2- d ]pyrimidines (PDB: 5j9y), which showed excellent inhibition of drug-resistant EGFR T790M both in biochemical and cellular assays ( Figure 1 ). 46 We chose to focus on bulky aromatic ring systems as substituents at the 3-position to extend the inhibitor into the lipophilic pocket adjacent to the gatekeeper residue (Met790) and to achieve mutant selectivity by favorable interactions. To render the inhibitor covalent-reversible, we modified the attached Michael acceptor by inserting an electron-withdrawing group.…”
Section: Resultsmentioning
confidence: 99%
“…We could show that these inhibitors showed excellent inhibitory effects against drug-resistant EGFR L858R/T790M cell lines, as well as demonstrating a highly promising selectivity toward the drug-resistant variants and a favorable kinetic profile. 46 We combined these findings with lessons learned from Basu et al, wherein we developed CRIs based upon the third-generation EGFR L858R/T790M inhibitor, WZ 4002. 38 Herein, we were able to show that a small library of CRIs inhibited the drug-resistant variants of EGFR better than their reversible analogs.…”
Section: Introductionmentioning
confidence: 99%
“…In the clinical setting, a subset of NSCLC patients respond well to small-molecule inhibitors of the EGF receptor, such as Erlotinib (Tarceva, Roche) 32 . Unfortunately, therapy resistance is a frequent occurrence despite initial treatment success, leading to disease relapse 33 , 34 . Given the ability of 8 to induce apoptosis in HCC-827 cells, we asked whether it could also induce apoptosis in HCC-827-derived Erlotinib-resistant cells.…”
Section: Resultsmentioning
confidence: 99%
“…Recently, the Bruton tyrosine kinase (BTK) inhibitor 4‐amino pyrazolopyrimidine scaffold has been developed as a new class of covalent mutant‐selective EGFR T790M inhibitors (Figure ) . The compounds exhibited high activity against EGFR L858R and EGFR L858R/T790M with good selectivity over EGFR WT .…”
Section: Fourth‐generation Inhibitors Overcoming Egfrc797smentioning
confidence: 99%