作者
Richard A Van Etten, Wayne W Chan, Virginia M Zaleskas, Peter Evangelista, Katherine Lazarides, Cong Peng, Shaoguang Li, Scott C Wise, Peter Petillo, Daniel L Flynn
发表日期
2007/11/16
期刊
Blood
卷号
110
期号
11
页码范围
463
出版商
Content Repository Only!
简介
Therapy with ATP-competitive ABL kinase inhibitors, including imatinib (Gleevec), dasatinib (Sprycel), and nilotinib (Tasigna), has revolutionized the treatment of chronic myeloid leukemia (CML), but a substantial proportion of patients develop resistance to these agents. A major mechanism of acquired resistance is mutations in the ABL kinase domain that render BCR-ABL insensitive to the drug; in particular, mutation of the ABL kinase “gatekeeper” Thr315 residue to Ile (T315I) confers pan-resistance to all ATP-competitive ABL inhibitors. To address this need, we developed and characterized a novel chemical class of compounds that bind to five structural pockets involved in the endogenous “switch” mechanism used by the ABL kinase to conformationally control its activity state. Using a structure-based drug design approach, diversity in these “switch pockets” between kinases can be exploited to develop inhibitors …
引用总数
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