An allosteric inhibitor against the therapy-resistant mutant forms of EGFR in non-small cell lung cancer
An allosteric inhibitor against the therapy-resistant mutant forms of EGFR in non-small cell lung cancer
Epidermal growth factor receptor (EGFR) therapy using small-molecule tyrosine kinase inhibitors (TKIs) is initially efficacious in patients with EGFR-mutant lung cancer, although drug resistance eventually develops. Allosteric EGFR inhibitors, which bind to a different EGFR site than existing ATP-competitive EGFR TKIs, have been developed as a strategy to overcome therapy-resistant EGFR mutations. Here we identify and characterize JBJ-09-063, a mutant-selective allosteric EGFR inhibitor that is effective across EGFR TKI-sensitive and resistant models, including those with EGFR T790M and C797S mutations. We further uncover that EGFR homo- or heterodimerization with other ERBB family members, as well as the EGFR L747S mutation, confers resistance to JBJ-09-063, but not to ATP-competitive EGFR TKIs. Overall, our studies highlight the potential clinical utility of JBJ-09-063 as a single agent or in combination with EGFR TKIs to define more effective strategies to treat EGFR-mutant lung cancer.
- State University of New York at Potsdam United States
- University of Turku Finland
- Harvard Medical School United States
- TURUN YLIOPISTO Finland
- Stanford University United States
ErbB Receptors, Adenosine Triphosphate, Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Mutation, Humans, ta3111, ta3122, Protein Kinase Inhibitors
ErbB Receptors, Adenosine Triphosphate, Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Mutation, Humans, ta3111, ta3122, Protein Kinase Inhibitors
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