Substitution mutations in the BRAF serine/threonine kinase are found in a variety of human cancers. Such mutations occur in ∼70% of human malignant melanomas, and a single hyperactivating V600E mutation is found in the activation segment of the kinase domain and accounts for more than 90% of these mutations. Given this correlation, the molecular mechanism for BRAF regulation as well as oncogenic activation has attracted considerable interest, and activated forms of BRAF, such as BRAF V600E , have become attractive targets for small molecule inhibition. Here we report on the identification and subsequent optimization of a potent BRAF inhibitor, CS292, based on an organometallic kinase inhibitor scaffold. A cocrystal structure of CS292 in complex with the BRAF kinase domain reveals that CS292 binds to the ATP binding pocket of the kinase and is an ATP competitive inhibitor. The structure of the kinase-inhibitor complex also demonstrates that CS292 binds to BRAF in an active conformation and suggests a mechanism for regulation of BRAF by phosphorylation and BRAF V600E oncogene-induced activation. The structure of CS292 bound to the active form of the BRAF kinase also provides a novel scaffold for the design of BRAF V600E oncogene selective BRAF inhibitors for therapeutic application.RAF 1 kinases were originally identified as cellular homologues of v-raf oncogenes acquired by retroviruses and contain three members: CRAF (RAF-1 or c-RAF-1), BRAF, and ARAF (1-3). RAF family kinases are central players in the highly conserved mitogen-activated protein kinase (MAPK) signaling pathway (RAS-RAF-MEK-ERK) which relays signals from the extracellular space through receptor tyrosine kinases (RTKs) to the nucleus to promote the expression of genes involved in cell proliferation and survival. RAF kinases function by specifically phosphorylating MEK1/2 within the kinase activation loop leading to the subsequent activation of MEK1/2, which in turn activates ERK1/2. Activated ERK1/2 translocates into the nucleus and activates transcription factors to promote cellular outcomes, including survival, growth, proliferation, and differentiation (4). RAF family kinases are † This work was supported by Grant CA 114046 from the National Institutes of Health.* To whom correspondence should be addressed. Telephone: (215) 898-5006. Fax: (215) 898-0381. marmor@wistar.org. ‖ Current address: Department of Chemistry, Philipps-Universität Marburg, Marburg, Germany 1 Abbreviations: CI, chemical ionization; c-KIT, proto-oncogene receptor tyrosine kinase; DCC, dicyclohexylcarbodiimide; DCM, dichloromethane; ERK, extracellular signal-regulated kinase; ES, electrospray; FDA, Food and Drug Administration; GSK3β, glycogen synthase kinase 3 β isoform; HRP, horseradish peroxidase; MAPK, mitogen-activated protein kinase; MEK, dual-specificity mitogenactivated protein kinase kinase; PDB, Protein Data Bank; PDGFR, platelet-derived growth factor receptor; PI3K, phosphatidylinositol 3-kinase; RAF, RAF proto-oncogene serine/threonine-protein kinase (sub...