2023
DOI: 10.1016/bs.mie.2023.03.013
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Structural elements that enable specificity for mutant EGFR kinase domains with next-generation small-molecule inhibitors

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Cited by 3 publications
(3 citation statements)
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“…Patients acquire resistance to osimertinib through several routes, most notably when the EGFR kinase domain mutates the cysteine to a serine (C797S), which is incompatible with the molecule's covalent bond forming Michael acceptor group. 26,27 While efforts are currently underway to address C797S and other modes of osimertinib-induced drug resistance, 28,29 drug development has continued to optimize third-generation compounds, such as the recently emerged YH25448 (lazertinib) 30,31 to improve various pharmacological properties (e.g., dose-limiting toxicity). Given the continued activity around optimizing irreversible EGFR TKIs it is important to properly understand the structural differences in established covalent EGFR TKIs and the assays used to accurately judge their potency and selectivity for EGFR variants including WT and the activating mutations responsible for drug resistance.…”
Section: Egfr Inhibitorsmentioning
confidence: 99%
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“…Patients acquire resistance to osimertinib through several routes, most notably when the EGFR kinase domain mutates the cysteine to a serine (C797S), which is incompatible with the molecule's covalent bond forming Michael acceptor group. 26,27 While efforts are currently underway to address C797S and other modes of osimertinib-induced drug resistance, 28,29 drug development has continued to optimize third-generation compounds, such as the recently emerged YH25448 (lazertinib) 30,31 to improve various pharmacological properties (e.g., dose-limiting toxicity). Given the continued activity around optimizing irreversible EGFR TKIs it is important to properly understand the structural differences in established covalent EGFR TKIs and the assays used to accurately judge their potency and selectivity for EGFR variants including WT and the activating mutations responsible for drug resistance.…”
Section: Egfr Inhibitorsmentioning
confidence: 99%
“…Molecules of this type are not mutant selective, and exhibit high WT potency, but share structural elements with C797S mutantselective inhibitors. 28 The molecules featured in Scheme 1 and Figure 1 are well-studied and are examples of the diverse binding modes for covalent EGFR TKIs, which are informative for understanding the methods utilized to determine and interpret their potency and mutant-selectivity. 21,28…”
Section: Egfr Inhibitorsmentioning
confidence: 99%
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