Activating mutations in FLT3 receptor
tyrosine kinase are found
in a third of acute myeloid leukemia (AML) patients and are associated
with disease relapse and a poor prognosis. The majority of these mutations
are internal tandem duplications (ITDs) in the juxtamembrane domain
of FLT3, which have been validated as a therapeutic target. The clinical
success of selective inhibitors targeting oncogenic FLT3, however,
has been limited due to the acquisition of drug resistance. Herein
the identification of a dual FLT3/microtubule polymerization inhibitor,
chalcone 4 (2′-allyloxy-4,4′-dimethoxychalcone),
is reported through screening of 15 related chalcones for differential
antiproliferative activity in leukemia cell lines dependent on FLT3-ITD
(MV-4-11) or BCR-ABL (K562) oncogenes and by subsequent screening
for mitotic inducers in the HCT116 cell line. Three natural chalcones
(1–3) were found to be differentially
more potent toward the MV-4-11 (FLT3-ITD) cell line compared to the
K562 (BCR-ABL) cell line. Notably, the new semisynthetic chalcone 4, which is a 2′-O-allyl analogue
of the natural chalcone 3, was found to be more potent
toward the FLT3-ITD+ cell line and inhibited FLT3 signaling in FLT3-dependent
cells. An in vitro kinase assay confirmed that chalcone 4 directly inhibited FLT3. Moreover, chalcone 4 induced
mitotic arrest in these cells and inhibited tubulin polymerization
in both cellular and biochemical assays. Treatment of MV-4-11 cells
with this inhibitor for 24 and 48 h resulted in apoptotic cell death.
Finally, chalcone 4 was able to overcome TKD mutation-mediated
acquired resistance to FLT3 inhibitors in a MOLM-13 cell line expressing
FLT3-ITD with the D835Y mutation. Chalcone 4 is, therefore,
a promising lead for the discovery of dual-target FLT3 inhibitors.