Abstract
Concomitant inhibition of multiple cancer-driving kinases is an established strategy to improve the durability of clinical responses to targeted therapies. The difficulty of discovering kinase inhibitors with an appropriate multitarget profile has, however, necessitated the application of combination therapies, which can pose major clinical development challenges. Epigenetic reader domains of the bromodomain family have recently emerged as new targets for cancer therapy. Here we report that several clinical kinase inhibitors also inhibit bromodomains with therapeutically relevant potencies and are best classified as dual kinase-bromodomain inhibitors. Nanomolar activity on BRD4 by BI-2536 and TG-101348, which are clinical PLK1 and JAK2-FLT3 kinase inhibitors, respectively, is particularly noteworthy as these combinations of activities on independent oncogenic pathways exemplify a new strategy for rational single-agent polypharmacological targeting. Furthermore, structure-activity relationships and co-crystal structures identify design features that enable a general platform for the rational design of dual kinase-bromodomain inhibitors.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
Change history
04 April 2014
In the version of this paper originally published, funding from the Wellcome Trust to P.F. and S.P. was not acknowledged. The acknowledgments have been corrected in the HTML and PDF versions of the article.
References
Hanahan, D. & Weinberg, R.A. Hallmarks of cancer: the next generation. Cell 144, 646–674 (2011).
Haber, D.A., Gray, N.S. & Baselga, J. The evolving war on cancer. Cell 145, 19–24 (2011).
Trusolino, L. & Bertotti, A. Compensatory pathways in oncogenic kinase signaling and resistance to targeted therapies: six degrees of separation. Cancer Discov. 2, 876–880 (2012).
Davis, M.I. et al. Comprehensive analysis of kinase inhibitor selectivity. Nat. Biotechnol. 29, 1046–1051 (2011).
Flaherty, K.T. et al. Combined BRAF and MEK inhibition in melanoma with BRAF V600 mutations. N. Engl. J. Med. 367, 1694–1703 (2012).
Corcoran, R.B. et al. EGFR-mediated re-activation of MAPK signaling contributes to insensitivity of BRAF mutant colorectal cancers to RAF inhibition with vemurafenib. Cancer Discov. 2, 227–235 (2012).
Filippakopoulos, P. et al. Selective inhibition of BET bromodomains. Nature 468, 1067–1073 (2010).
Muller, S., Filippakopoulos, P. & Knapp, S. Bromodomains as therapeutic targets. Expert Rev. Mol. Med. 13, e29 (2011).
Nicodeme, E. et al. Suppression of inflammation by a synthetic histone mimic. Nature 468, 1119–1123 (2010).
Dawson, M.A. et al. Inhibition of BET recruitment to chromatin as an effective treatment for MLL-fusion leukaemia. Nature 478, 529–533 (2011).
Picaud, S. et al. PFI-1, a highly selective protein interaction inhibitor, targeting BET bromodomains. Cancer Res. 73, 3336–3346 (2013).
Delmore, J.E. et al. BET bromodomain inhibition as a therapeutic strategy to target c-Myc. Cell 146, 904–917 (2011).
Zuber, J. et al. RNAi screen identifies Brd4 as a therapeutic target in acute myeloid leukaemia. Nature 478, 524–528 (2011).
Lockwood, W.W., Zejnullahu, K., Bradner, J.E. & Varmus, H. Sensitivity of human lung adenocarcinoma cell lines to targeted inhibition of BET epigenetic signaling proteins. Proc. Natl. Acad. Sci. USA 109, 19408–19413 (2012).
Cheng, Z. et al. Inhibition of BET bromodomain targets genetically diverse glioblastoma. Clin. Cancer Res. 19, 1748–1759 (2013).
Mertz, J.A. et al. Targeting MYC dependence in cancer by inhibiting BET bromodomains. Proc. Natl. Acad. Sci. USA 108, 16669–16674 (2011).
Smith, C.C. et al. Validation of ITD mutations in FLT3 as a therapeutic target in human acute myeloid leukaemia. Nature 485, 260–263 (2012).
Li, J. et al. INCB16562, a JAK1/2 selective inhibitor, is efficacious against multiple myeloma cells and reverses the protective effects of cytokine and stromal cell support. Neoplasia 12, 28–38 (2010).
Kyttaris, V.C. Kinase inhibitors: a new class of antirheumatic drugs. Drug. Des. Devel. Ther. 6, 245–250 (2012).
Sapkota, G.P. et al. BI-D1870 is a specific inhibitor of the p90 RSK (ribosomal S6 kinase) isoforms in vitro and in vivo. Biochem. J. 401, 29–38 (2007).
Hewitt, L. et al. Sustained Mps1 activity is required in mitosis to recruit O-Mad2 to the Mad1–C-Mad2 core complex. J. Cell Biol. 190, 25–34 (2010).
Tong, Y. et al. Isoxazolo[3,4-b]quinoline-3,4(1H,9H)-diones as unique, potent and selective inhibitors for Pim-1 and Pim-2 kinases: chemistry, biological activities, and molecular modeling. Bioorg. Med. Chem. Lett. 18, 5206–5208 (2008).
Han, S. et al. Structural characterization of proline-rich tyrosine kinase 2 (PYK2) reveals a unique (DFG-out) conformation and enables inhibitor design. J. Biol. Chem. 284, 13193–13201 (2009).
Weigelt, B., Warne, P.H., Lambros, M.B., Reis-Filho, J.S. & Downward, J. PI3K pathway dependencies in endometrioid endometrial cancer cell lines. Clin. Cancer Res. 19, 3533–3544 (2013).
Cai, Z.W. et al. Discovery of brivanib alaninate ((S)-((R)-1-(4-(4-fluoro-2-methyl-1H-indol-5-yloxy)-5-methylpyrrolo[2,1-f][1,2,4] triazin-6-yloxy)propan-2-yl)2-aminopropanoate), a novel prodrug of dual vascular endothelial growth factor receptor-2 and fibroblast growth factor receptor-1 kinase inhibitor (BMS-540215). J. Med. Chem. 51, 1976–1980 (2008).
Pardanani, A. et al. Safety and efficacy of TG101348, a selective JAK2 inhibitor, in myelofibrosis. J. Clin. Oncol. 29, 789–796 (2011).
Steegmaier, M. et al. BI 2536, a potent and selective inhibitor of polo-like kinase 1, inhibits tumor growth in vivo. Curr. Biol. 17, 316–322 (2007).
Cuenda, A. et al. SB 203580 is a specific inhibitor of a MAP kinase homologue which is stimulated by cellular stresses and interleukin-1. FEBS Lett. 364, 229–233 (1995).
Fedorov, O., Niesen, F.H. & Knapp, S. Kinase inhibitor selectivity profiling using differential scanning fluorimetry. Methods Mol. Biol. 795, 109–118 (2012).
Filippakopoulos, P. et al. Histone recognition and large-scale structural analysis of the human bromodomain family. Cell 149, 214–231 (2012).
Ramakrishnan, V. et al. TG101209, a novel JAK2 inhibitor, has significant in vitro activity in multiple myeloma and displays preferential cytotoxicity for CD45+ myeloma cells. Am. J. Hematol. 85, 675–686 (2010).
Kothe, M. et al. Selectivity-determining residues in Plk1. Chem. Biol. Drug Des. 70, 540–546 (2007).
Rudolph, D. et al. BI 6727, a Polo-like kinase inhibitor with improved pharmacokinetic profile and broad antitumor activity. Clin. Cancer Res. 15, 3094–3102 (2009).
Philpott, M. et al. Bromodomain-peptide displacement assays for interactome mapping and inhibitor discovery. Mol. Biosyst. 7, 2899–2908 (2011).
Picaud, S. et al. RVX-208, an inhibitor of BET transcriptional regulators with selectivity for the second bromodomain. Proc. Natl. Acad. Sci. USA 110, 19754–19759 (2013).
Simard, J.R. et al. Development of a fluorescent-tagged kinase assay system for the detection and characterization of allosteric kinase inhibitors. J. Am. Chem. Soc. 131, 13286–13296 (2009).
Siu, M. et al. 2-Amino-[1,2,4]triazolo[1,5-a]pyridines as JAK2 inhibitors. Bioorg. Med. Chem. Lett. 23, 5014–5021 (2013).
Fedorov, O. et al. Specific CLK inhibitors from a novel chemotype for regulation of alternative splicing. Chem. Biol. 18, 67–76 (2011).
Smith, C.C. et al. Activity of ponatinib against clinically-relevant AC220-resistant kinase domain mutants of FLT3-ITD. Blood 121, 3165–3171 (2013).
Rodriguez, M. & Bhalla, K.N. 55th American Society of Hematology Annual Meeting, abstr. 3821 (2014).
Berg, E.L. et al. Chemical target and pathway toxicity mechanisms defined in primary human cell systems. J. Pharmacol. Toxicol. Methods 61, 3–15 (2010).
Bergamini, G. et al. A selective inhibitor reveals PI3Kγ dependence of TH17 cell differentiation. Nat. Chem. Biol. 8, 576–582 (2012).
Xu, D. et al. RN486, a selective Bruton's tyrosine kinase inhibitor, abrogates immune hypersensitivity responses and arthritis in rodents. J. Pharmacol. Exp. Ther. 341, 90–103 (2012).
Ott, C.J. et al. BET bromodomain inhibition targets both c-Myc and IL7R in high-risk acute lymphoblastic leukemia. Blood 120, 2843–2852 (2012).
Lee, J.C. et al. A protein kinase involved in the regulation of inflammatory cytokine biosynthesis. Nature 372, 739–746 (1994).
del Barco Barrantes, I. & Nebreda, A.R. Roles of p38 MAPKs in invasion and metastasis. Biochem. Soc. Trans. 40, 79–84 (2012).
Cuenda, A. & Alessi, D.R. Use of kinase inhibitors to dissect signaling pathways. Methods Mol. Biol. 99, 161–175 (2000).
Martin, M.P., Olesen, S.H., Georg, G.I. & Schonbrunn, E. Cyclin-dependent kinase inhibitor dinaciclib interacts with the acetyl-lysine recognition site of bromodomains. ACS Chem. Biol. 8, 2360–2365 (2013).
Vidler, L.R. et al. Discovery of novel small-molecule Inhibitors of BRD4 using structure-based virtual screening. J. Med. Chem. 56, 8073–8088 (2013).
Dittmann, A. et al. The commonly used PI3-kinase probe LY294002 is an inhibitor of BET bromodomains. ACS Chem. Biol. 10.1021/cb400789e (2014).
Wiseman, T., Williston, S., Brandts, J.F. & Lin, L.N. Rapid measurement of binding constants and heats of binding using a new titration calorimeter. Anal. Biochem. 179, 131–137 (1989).
Kabsch, W. Evaluation of single-crystal X-ray diffraction data from a position-sensitive detector. J. Appl. Crystallogr. 21, 916–924 (1988).
Kabsch, W. Automatic indexing of rotation diffraction patterns. J. Appl. Crystallogr. 21, 67–71 (1988).
SCALA—Scale Together Multiple Observations of Reflections v. 3.3.0 (MRC Laboratory of Molecular Biology, Cambridge, 2007).
McCoy, A.J., Grosse-Kunstleve, R.W., Storoni, L.C. & Read, R.J. Likelihood-enhanced fast translation functions. Acta Crystallogr. D Biol. Crystallogr. 61, 458–464 (2005).
Perrakis, A., Morris, R. & Lamzin, V.S. Automated protein model building combined with iterative structure refinement. Nat. Struct. Biol. 6, 458–463 (1999).
Emsley, P. & Cowtan, K. Coot: model-building tools for molecular graphics. Acta Crystallogr. D Biol. Crystallogr. 60, 2126–2132 (2004).
Murshudov, G.N., Vagin, A.A. & Dodson, E.J. Refinement of macromolecular structures by the maximum-likelihood method. Acta Crystallogr. D Biol. Crystallogr. 53, 240–255 (1997).
Painter, J. & Merritt, E.A. Optimal description of a protein structure in terms of multiple groups undergoing TLS motion. Acta Crystallogr. D Biol. Crystallogr. 62, 439–450 (2006).
Kedersha, N., Tisdale, S., Hickman, T. & Anderson, P. Real-time and quantitative imaging of mammalian stress granules and processing bodies. Methods Enzymol. 448, 521–552 (2008).
Gunawardane, R.N. et al. Transient exposure to quizartinib mediates sustained inhibition of FLT3 signaling while specifically inducing apoptosis in FLT3-activated leukemia cells. Mol. Cancer Ther. 12, 438–447 (2013).
Acknowledgements
S.M., S.P., P.F., C.W., O.F., S.M. and S.K. are grateful for support by the Structural Genomics Consortium, a registered charity (number 1097737) that receives funds from AbbVie, Boehringer Ingelheim, the Canada Foundation for Innovation, the Canadian Institutes for Health Research, Genome Canada, GlaxoSmithKline, Janssen, Lilly Canada, the Novartis Research Foundation, the Ontario Ministry of Economic Development and Innovation, Pfizer, Takeda and the Wellcome Trust (092809/Z/10/Z). P.F. and S.P. are supported by a Wellcome Trust Career-Development Fellowship (095751/Z/11/Z). This work was supported in part by a grant from the National Cancer Institute (1R01 CA166616-01) to N.P.S. and by a US National Institutes of Health National Cancer Institute grant (T32CA108462-07) to E.A.L. N.P.S. is a Leukemia and Lymphoma scholar in Clinical Research. We thank P. Gallant, T. Wehrman, E.L. Berg and P. Khanna for critically reading the manuscript and for valuable discussions, the KINOMEscan team for measuring inhibitor Kd values, the BioSeek team for performing BioMAP screens and A. Rooks, R. Nepomuceno and B. Belli for performing MV4-11 proliferation assays.
Author information
Authors and Affiliations
Contributions
P.C., J.P.H., G.P., O.F., S. Martin and L.M.W. developed in vitro binding assays, executed experiments and interpreted data. S.P. purified protein and prepared co-crystals. P.F. solved and interpreted co-crystal structures and prepared figures. P.C., C.W. and E.A.L. designed, executed and interpreted cell-based assay experiments. A.O. designed and interpreted all BioMAP studies and prepared figures. D.K.T., S.K., N.P.S., A.O. and S. Müller directed the studies and interpreted data. D.K.T. and S.K. wrote the paper with assistance from co-authors.
Corresponding authors
Ethics declarations
Competing interests
D.K.T., P.C., A.O.M., J.P.H., L.M.W. and G.P. are employees of DiscoveRx Corporation.
Supplementary information
Supplementary Text and Figures
Supplementary Results, Supplementary Figures 1–10 and Supplementary Tables 1–4. (PDF 2519 kb)
Supplementary Data Set 1
Inhibitor library and BRD4(1) screening results (XLSX 49 kb)
Rights and permissions
About this article
Cite this article
Ciceri, P., Müller, S., O'Mahony, A. et al. Dual kinase-bromodomain inhibitors for rationally designed polypharmacology. Nat Chem Biol 10, 305–312 (2014). https://doi.org/10.1038/nchembio.1471
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/nchembio.1471
This article is cited by
-
The emerging role of mass spectrometry-based proteomics in drug discovery
Nature Reviews Drug Discovery (2022)
-
Discovery of a dual WDR5 and Ikaros PROTAC degrader as an anti-cancer therapeutic
Oncogene (2022)
-
Novel Therapies in Myelofibrosis: Beyond JAK Inhibitors
Current Hematologic Malignancy Reports (2022)
-
Role of JAK inhibitors in myeloproliferative neoplasms: current point of view and perspectives
International Journal of Hematology (2022)
-
Fedratinib, a newly approved treatment for patients with myeloproliferative neoplasm-associated myelofibrosis
Leukemia (2021)