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Comprehensive structure-activity-relationship of azaindoles as highly potent FLT3 inhibitors
Authors:Sebastian H Grimm  Berend Gagestein  Jordi F Keijzer  Nora Liu  Ruud H Wijdeven  Eelke B Lenselink  Adriaan W Tuin  Adrianus MCH van den Nieuwendijk  Gerard JP van Westen  Constant AA van Boeckel  Herman S Overkleeft  Jacques Neefjes  Mario van der Stelt
Institution:1. Department of Molecular Physiology, Leiden Institute of Chemistry, Leiden University, Leiden, the Netherlands;2. Oncode Institute and Department of Cell and Chemical Biology, Leiden University Medical Center, Leiden, the Netherlands;3. Computational Drug Discovery, Division of Drug Discovery and Safety, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands;4. Department of Bio-Organic Synthesis, Leiden Institute of Chemistry, Leiden University, Leiden, the Netherlands;5. Pivot Park Screening Center, Oss, the Netherlands
Abstract:Acute myeloid leukemia (AML) is characterized by fast progression and low survival rates, in which Fms-like tyrosine kinase 3 (FLT3) receptor mutations have been identified as a driver mutation in cancer progression in a subgroup of AML patients. Clinical trials have shown emergence of drug resistant mutants, emphasizing the ongoing need for new chemical matter to enable the treatment of this disease. Here, we present the discovery and topological structure-activity relationship (SAR) study of analogs of isoquinolinesulfonamide H-89, a well-known PKA inhibitor, as FLT3 inhibitors. Surprisingly, we found that the SAR was not consistent with the observed binding mode of H-89 in PKA. Matched molecular pair analysis resulted in the identification of highly active sub-nanomolar azaindoles as novel FLT3-inhibitors. Structure based modelling using the FLT3 crystal structure suggested an alternative, flipped binding orientation of the new inhibitors.
Keywords:H-89 analogs  Fms-like tyrosine kinase 3 (FLT3)  Acute myeloid leukemia (AML)  Inhibitors
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