Concerted multidisciplinary efforts have led to the development of Cyclin-Dependent Kinase inhibitors (CDKi’s) as small molecule drugs and chemical probes of intracellular CDK function. However, conflicting data has been reported on the inhibitory potency of CDKi’s and a systematic characterization of affinity and selectivity against intracellular CDKs is lacking. We have developed a panel of cell-permeable energy transfer probes to quantify target occupancy for all 21 human CDKs in live cells, and present a comprehensive evaluation of intracellular isozyme potency and selectivity for a collection of 46 clinically-advanced CDKi’s and tool molecules. We observed unexpected intracellular activity profiles for a number of CDKi’s, offering avenues for repurposing of highly potent molecules as probes for previously unreported targets. Overall, we provide a broadly applicable method for evaluating the selectivity of CDK inhibitors in living cells, and present a refined set of tool molecules to study CDK function.
Kinases represent the broadest class of intracellular enzymes in human cells, regulating critical nodes in signal transduction. As dysregulated kinase activity is common in a variety of cancers and immune diseases, small-molecule kinase inhibitors have emerged as one of the most successful modalities for drug development in the 21st century1,2. For example, cyclin-dependent kinases (CDKs) have been validated as oncogenic drivers in solid tumors3. The CDK family comprises 21 phosphotransfer enzymes with diverse cellular functions. CDK1, −2, −4 and −6 play key roles in the regulation of the eukaryotic cell cycle, CDK8–9 and −19 are involved in regulation of gene transcription4,5, while CDK7 has broader roles in both processes6. CDK activity is tightly regulated by intracellular protein-protein interactions, most critically with cyclin proteins. Many of the CDKs require heterodimerization with a cyclin protein to form an active enzyme7. This regulation is dynamic, as CDK/cyclin interactions oscillate depending on the cell cycle, providing a unique layer of complexity to intracellular signaling mediated by this kinase subfamily8. While knowledge of the regulatory role of the cell cycle and transcriptional CDKs has been extensively studied, the majority of the CDK family enzymes have unknown roles in cell physiology (most notably CDK5, −10, −11, 14–18, and −20). Nonetheless, the recent clinical advancement of dual CDK4/6 inhibitors for treatment of HER2 negative breast cancer has amplified broader interest in exploring the therapeutic potential of the established and understudied CDKs with small-molecule inhibitors9,10.
The vast majority of CDK inhibitors have been designed to occupy the nucleotide co-substrate (ATP) binding pocket5,10. As the catalytic pocket across the CDK enzyme family is highly conserved, the development of CDK inhibitors (CDKi’s) with isozyme selectivity is technically challenging. Moreover, the high concentration of intracellular ATP (varying between 1 and 10 mM and surpassing enzyme Km by orders of magnitude) yields an unpredictable microenvironment for achieving competitive inhibition of CDK enzymatic activity11,12,13. While the CDK field is replete with ATP-competitive inhibitors with potent activity against the purified enzymes or kinase domains in cell-free biochemical assays, there remains a lack of well-characterized inhibitors with potent and selective pharmacology against each of the CDKs in live cells. The dearth of robust target engagement assay technologies that allow for an assessment of CDKi potency and selectivity within intact, living cells has represented a key technical limitation. Cellular methods for evaluating CDK isozyme pharmacology are generally limited to substrate phosphorylation analyses (e.g., Western blot from cell extracts), but such approaches suffer from the redundancy of CDK phosphotransfer activity across known substrates. For example, although phosphorylation of retinoblastoma protein (Rb) is a commonly used biomarker of CDK activity, the protein serves as a substrate for cell-cycle regulatory CDKs including CDK1, −2, −4, −5, and −614,15. Beyond the cell-cycle-regulatory CDKs16, other isozymes in the family lack functional annotation and known substrates for intracellular phosphorylation analysis. Thus, evaluating the intracellular pharmacology of individual CDKs represents a major challenge across the family and leaves the understanding of inhibitor selectivity incomplete.
The pharmacological activity of CDKi’s is predicated on their physical engagement with cellular targets. Accordingly, target engagement potency will generally correlate quantitatively with potency of intracellular kinase inhibition11,12,17. Therefore, in the absence of isozyme-specific functional assays, cellular target engagement assays represent an ideal surrogate for evaluating inhibitor selectivity. Ideally, CDKi selectivity should be queried in a unified target engagement format, wherein occupancy is quantifiable in the presence of cyclin partners and other cellular factors that are known drivers in compound pharmacology for this kinase subfamily.
Here, we describe a comprehensive and systematic method to quantify target occupancy of CDKi’s in live cells for the complete CDK family. We use this method to perform an evaluation of intracellular target engagement selectivity for 46 CDKi’s comprising a collection of clinically-advanced compounds and recently published chemical tools. To evaluate CDK potency and selectivity in a physiological setting, we developed a panel of cell-permeable energy transfer probes that allow for quantitative evaluation of CDK fractional occupancy inside intact, living HEK-293 cells by Bioluminescence Resonance Energy Transfer (BRET) with CDK/NanoLuc fusion proteins18. Our results identified small-molecule CDKi’s with strong isozyme selectivity within cells, supporting their use as chemical tools. In contrast, we determined that a number of previously reported “selective” CDKi’s did not maintain their putative CDK selectivity profiles when evaluated in live cells. Surprisingly, a subset of this chemical matter, including a panel of well-studied clinically-advanced CDKi’s, can be repurposed as chemical probes for understudied CDK isozymes. Real-time analysis of target occupancy also revealed that CDK inhibitors may show surprisingly durable inhibition (i.e., long residence time) in live cells, resulting in a remarkable shift in the selectivity profile over time. The methods described herein can be applied to the evaluation of small-molecule inhibitors of all CDK family members. This analysis can thus serve as an adaptable workflow to evaluate CDKi selectivity potential in a variety of cell types and experimental systems to support discovery of new medicines. The resulting comprehensive analysis of CDK inhibitor activity in living cells is intended to provide a template for optimizing drug candidates and selecting chemical probes for experimental pharmacology.
Cell-permeable energy transfer probes for all 21 human CDKs
To date, cell-free enzymatic or kinase binding assays have been used to successfully annotate the potency and selectivity of small-molecule CDKi’s19,20. Although robust and scalable in screening, these cell-free kinase assays do not query engagement in the presence of the cellular milieu (e.g., physiological ATP and the full complement of partners), and have therefore often revealed divergent pharmacology to that observed in cells11,12,21. The disconnect between biochemical and cell-based kinase potency11,12 has led to the development of more advanced techniques that allow for a systematic characterization of target occupancy in cell extracts via chemoproteomics22 and photoaffinity probes23. Such methods represent key technological advancements for the CDK field, but are generally incompatible with intact cell analyses. As kinase pharmacology is often impacted by the composite effect of the intracellular milieu, target occupancy measured in live cells may fundamentally differ from that observed in lysates or in purified systems11,12. For this reason, we elected to develop a comprehensive and unified method to measure the intrinsic CDKi affinity and selectivity across all 21 family members within live cells.
Our groups previously collaborated to develop a collection of broad-spectrum energy transfer probes to query target occupancy for 178 kinases in live, intact cells24. With live cells expressing the selected NanoLuc(Nluc)/kinase fusion protein, this BRET method allows for scalable detection of target engagement using a simple ratiometric analysis of acceptor (red channel) and donor (blue channel) luminescence. In a competitive displacement format, target fractional occupancy results are quantitative when energy transfer probes are introduced at or below Kd-apparent. Under such conditions, target engagement potency correlated quantitatively with potency of intracellular kinase inhibition, thus providing a predictive approach to evaluating kinase inhibitor selectivity in cells. Although the probe set covered 178 kinases, coverage over the CDK family was limited to only four members24. To adapt the method to cover the CDK family comprehensively, we employed a two-fold strategy wherein novel energy transfer probes were developed either from known CDKi’s or by optimization of known broad-spectrum ATP-competitive kinase inhibitors. Each probe was optimized for binding to their target CDKs by installation of a functional group for dye conjugation as well as selection of the linker between the binding moiety and the fluorophore (Supplementary Fig. 1). Each bifunctional energy transfer probe was screened for binding across the entire panel of 21 CDK/Nluc fusion proteins (Supplementary Table 1). Those probes demonstrating the highest specific energy transfer signals for each individual CDK were selected for further characterization in dose-response and competitive displacement experiments to optimize probe conditions for quantitation (Supplementary Figs. 2–5). This approach yielded 5 optimized energy transfer probes with sufficient performance to enable live-cell assays for 21 CDKs in a competitive displacement format (Fig. 1, Supplementary Table 2).
The structure of the five energy transfer probes is depicted in Fig. 1b. Briefly, probe 1 was developed from promiscuous CDK inhibitor AT751925,26, which enabled assays for 11 CDKs including the complete TAIRE subfamily (CDKs14 −18). Robust assays for CDK4 and CDK6 were enabled by probe 2, which was developed from the FDA-approved drug palbociclib27. GW779439 was discovered during review of the published kinase inhibitor set 2 (PKIS2) dataset28, and probe 3 was developed from this scaffold to enable robust assays for CDK8, CDK9, and CDK19. Lastly, optimization of inhibitors based on the CTx-029488524 scaffold yielded probes 4 and 5, which collectively enabled assays for CDK1, CDK2, CDK3, CDK7, and CDK20. For the majority of CDKs, the resulting assays proved suitable in screening environments, with Z′ values > 0.5 (Supplementary Table 2). For CDK12 and CDK13, energy transfer signals were more modest than the remaining family (Supplementary Fig. 2), potentially limiting their use to measurements of compound potency in dose-response experiments (as reported herein).
The enzymatic activity of many CDKs is known to be modulated in cells by the specific cyclin or regulatory partner to which they are complexed8. We therefore implemented an assay design that would allow evaluation of compound pharmacology based on CDK/cyclin interactions. Thus, in addition to evaluating the CDK-Nluc fusions in both N- and C-terminal orientations (examples provided in Supplementary Fig. 6), we also defined the assay systems by co-expression of an excess of specific cyclins and regulatory partners. Cyclin genes were selected based on commonly reported CDK interactions4,5,8. Although not all described CDK/cyclin interactions were evaluated, the design of this assay method will allow for alternate CDK/cyclin interactions to be queried in a simplified workflow. For the majority of the CDKs, co-expression of an excess of a known8 cyclin partner potentiated the energy transfer signal, providing support that the CDK population was shifted toward the selected cyclin pair (Supplementary Figs. 7–9). Furthermore, engagement potency for some compounds shifted dramatically in response to cyclin overexpression. For example, in the case of CDK2, co-expression of cyclin E1 increased the potency of both dinaciclib and RGB-286638 by nearly 2 orders of magnitude compared with co-expression with cyclin A1 (Supplementary Fig. 10). In contrast, NVP-LCQ-195 and SB-1317 showed similar potency regardless of which cyclin was co-expressed (Supplementary Fig. 10). These results suggest that compound pharmacology may be generally impacted by intracellular cyclin interactions, and that such shifts are chemotype-dependent.
To confirm whether plasmid-based overexpression conditions promote formation of intended CDK/cyclin complexes, a NanoLuc binary complementation system (NanoBiT29) was evaluated for CDK2/cyclin E1 (Supplementary Fig. 11). The luminescence generated using the NanoBiT complementation system supports formation of the CDK2-cyclin complex as well as ternary complex formation with energy transfer probe (Supplementary Fig. 12). Moreover, target engagement results with dinaciclib using the NanoBiT system closely match those using the CDK2-NanoLuc/cyclin E1 co-expression. Thus, co-expression of cyclin E1 has a pronounced effect on engagement potency for CDK2 compared with CDK2 expression alone (Supplementary Fig. 12). These results are consistent with the general observation that energy transfer is potentiated upon co-expression of CDK and cyclin, thus supporting formation of the intended CDK/cyclin interaction under these experimental conditions.
CDKi panel and criteria for determining intracellular selectivity
Despite the literature being rife with CDK inhibitors, very few CDKi’s have been profiled for target selectivity in living cells19,20,22. As such, the chemical landscape of CDK inhibition has yet to be systematically defined. To define the CDK selectivity profiles in live cells, we assembled a set of 46 commercially-available CDKi’s that represent broad chemical diversity (Supplementary Data 1). The panel included the 3 FDA-approved CDK inhibitors, 18 drugs in advanced clinical trials, and tool molecules that had been described in the literature. In this panel we included three kinase inhibitors with reported collateral engagement of CDKs in a cell-free or lysate-based format (dabrafenib, BDP5290, and momelotinib)22,30,31,32. These compounds were selected to evaluate CDKs as potential off-target liabilities in a live-cell context. To assemble a comprehensive intracellular profile for all 46 CDKi’s, each compound was initially profiled across all 21 CDK/cyclin complexes in live cells at 10 µM, using 50% occupancy as a cutoff for follow-up potency (IC50) determination. Supplementary Data 2 and 3 summarize the potencies for all molecules conforming to stringent intracellular occupancy (≥50% at 10 μM) and potency (<1 µM) criteria.
Verification of CDKi selectivity for CDKs 4/6, −7, and −9
CDK4 and CDK6 are two closely related family members that control transition from G1 to S phase of the cell cycle, and are established oncogenic drivers in a variety of solid tumors33. Accordingly, drug development programs have yielded three dual CDK4/6 inhibitors (abemaciclib, palbociclib, and ribociclib) that have been FDA-approved for treatment of breast cancer. As validation of our approach, we generated the full CDK profile of these drugs and other known CDK4/6 inhibitors in our live-cell energy transfer system to compare with their reported clinical pharmacology. Eight CDK4/6 inhibitors were evaluated against all 21 CDKs (Fig. 2a and Supplementary Data 2 and 3). All three FDA approved CDKi’s potently engaged CDK4/6 in the live HEK-293 cell assays. Abemaciclib showed a target engagement potency at CDK4/6 that agreed closely with its reported cellular potency in MCF7 cells34. However, abemaciclib also showed collateral engagement of CDK9, and exhibited pan-TAIRE family activity (CDK14 and CDKs16−18), (Fig. 2b)35. Palbociclib and ribociclib were more selective for CDK4/6, with minimal engagement against the remaining family (Fig. 2 and Supplementary Fig. 13). Other CDK4/6 inhibitors showed lower levels of cellular selectivity: AMG-925 and ON123300 potently engaged CDK4/6 (Supplementary Fig. 14), but collaterally engaged a number of other family members including those directly involved in cell cycle regulation. In cells, CDK4/6 were potently engaged by a number of CDKi’s that were previously annotated against other family members. For example, milciclib engaged CDK4/6 with strongest potency within the family, despite being described as a pan-CDKi with modest selectivity for CDK2 in cell-free formats10,20.
For highly selective CDK4/6 inhibitors, target occupancy should be commensurate with intracellular enzymatic inhibition. To evaluate this relationship, target engagement and endogenous substrate phosphorylation (phospho-Rb) analyses were performed in MCF7 cells for the CDK4/6-selective inhibitors. CDK4 and CDK6 target engagement assays were adapted into MCF7 cells using conditions similar to those developed for HEK-293. Potency of endogenous phospho-Rb (S807/811) inhibition was measured using a homogenous luminescent immunoassay36. In MCF7, a strong correlation (R2 = 0.99) between rank-order potencies of CDK6 engagement and reduction of endogenous phospho-Rb was observed for all three of the FDA-approved CDK4/6 inhibitors as well as trilaciclib (a phase 2 clinical CDKi) (Supplementary Fig. 15). Engagement potencies were modestly left-shifted compared with functional inhibition, possibly due to the differences in cell treatment conditions (e.g., the extended duration of compound treatment required for phospho-Rb inhibition). Although such correlations may not always be observed for less selective CDKi’s, these results support the translational capacity for target occupancy analysis when evaluated in a unified pathophysiological setting.
The role of CDK9 is in transcriptional regulation and its dysregulation has been implicated in a variety of human pathologies37. Our results demonstrate that BAY-1251152 and atuveciclib are inhibitors with strong and selective engagement to CDK9 in cells. Both compounds were highly selective for CDK9 over other members of the family. Our analysis also revealed that P276-00, a reported pan-CDKi, engaged CDK9 in live cells with modest selectivity compared with the remaining family (Fig. 2d and Supplementary Fig. 16). Among the CDKi’s in our panel, BAY-1251152 demonstrated the strongest target affinity and selectivity (Fig. 2c) and is recommended as a tool compound for selective modulation of CDK9 function in cellular studies. The results with BAY-1251152 were corroborated using HEK-293 cells edited via CRISPR/ Cas9 to introduce the HiBiT reporter tag38 onto CDK9 at endogenous genomic loci. BAY-1251152 potencies were in close agreement for both ectopic expression of CDK-NanoLuc and endogenously edited CDK/NanoBiT reporters (Supplementary Fig. 17).
CDK7 has been identified as a promising drug target due to its dual function in controlling the cell cycle and transcription, which has led to several inhibitors undergoing evaluation in clinical trials as anticancer therapies39,40,41. Molecules based on the pyrazolopyrimidine scaffold have been reported as potent inhibitors of CDK7. Surprisingly, in our analysis, pyrazolopyrimidine CT700142 showed potent engagement of CDK4 in addition to CDK7 (Fig. 3a, b, Supplementary Data 2 and 3), with modest selectivity over other members of the family. LDC429743, a structurally related CDK7 inhibitor, engaged CDK7 with strongest potency within the family, but was less selective than originally reported and showed collateral engagement to CDK1−6, and exhibited pan-TAIRE-family activity (CDK15–18), (Supplementary Fig. 18). In our cellular analysis, the pyrazolopyrimidine BS-181 engaged CDK7 with modest potency (470 nM) with negligible occupancy at other family members at concentrations under 1 µM (Fig. 3a, b). BS-181 should therefore be considered among the best-in-class selective CDK7 probes in our panel.
CDK7 contains a reactive cysteine (C312) located outside the nucleotide pocket that can be targeted with covalent inhibitors. Gray and coworkers exploited this mechanism to develop THZ1, a potent covalent inhibitor of CDK7 with efficacy in multiple cell models6,44. We evaluated THZ1 at our standard 2 h incubation time (Fig. 3a and Supplementary Fig. 18), as well as an extended 6 h duration in live cells (Supplementary Fig. 19). Only modest selectivity of THZ1 was observed for CDK7 after 2 h of incubation with cells (Fig. 3a). An extended 6 h incubation enhanced the engagement potency to CDK7 (Supplementary Fig. 19), matching closely with antiproliferative potency of THZ1 in Jurkat cells6,44. Thus, our findings corroborate time-dependent engagement of CDK7 by THZ16 and support its potential utility as a CDK7 tool compound after extended incubation times.
CDK1 and CDK2 inhibitors are poorly selective
As critical modulators of cell cycle progression, CDK1 and CDK2 have been targets for development of cancer drugs3. We evaluated the intracellular selectivity of a number of molecules reported as selective CDK2 or dual CDK1/2 inhibitors. A number of CDKi’s demonstrated intracellular affinity values for CDK1 and CDK2 below 100 nM, and a subset of these compounds had intracellular affinities approaching single-digit nM (AZD5597, dinaciclib, BS-194, CDKI-73, and RGB286638). Remarkably, all of the highest affinity CDK1/2 inhibitors collaterally engage other CDK family members. Comprehensive intracellular profiling of these potent CDK1/2 compounds revealed strong collateral engagement to other CDK’s, most notably the TAIRE subfamily (CDK14–18), (Supplementary Data 2 and 3). For example, CDKI-73 and RGB286638 (Supplementary Fig. 20) engaged the closely related CDK16 and CDK17 with strong intracellular affinity. Our data demonstrate that broad assessment of CDKi pharmacology in live cells is warranted, especially for compounds that advance to clinical development.
While high-affinity CDKi’s for CDK1/2 yielded strong engagement to other family members, some weaker affinity inhibitors also showed modest selectivity for CDK2 in cells. For example, NU6102 was selective for CDK2 over CDK4, with a relatively weak engagement of the remaining CDK family (Fig. 3c). Thus, although CDK1/2 are two of the most highly studied family members, none of the inhibitors tested were both potent and selective for these isozymes in cells.
Repurposing CDK1/2 inhibitors for CDK8/19 in cells
In our comprehensive live-cell analysis, a number of the inhibitors in this study produced surprisingly strong engagement patterns to collateral CDKs. For example, pan-TAIRE family (CDK14–18) activity was observed for several CDK1/2 inhibitors (Supplementary Data 2 and 3). We therefore evaluated the possibility that a subset of CDKi’s may engage understudied CDKs with stronger intracellular affinity than their originally targeted family member, and if such molecules could be repurposed as probes for the lesser-studied family member.
The paralog kinases CDK8/19 were engaged by a number of CDKi’s with nanomolar intracellular affinity. CDK8/19 are closely related but relatively understudied members of the CDK family that have been identified as components of the mediator complex involved in global regulation of transcription in eukaryotic cells45 and are potential oncogenes in a subset of solid tumors46. Recently, two chemical probes have been described for CDK8/1947,48. CCT251545 (and a related analog) potently inhibited downstream CDK8/19 activity biomarkers with single-digit nanomolar potency47,48. Our live-cell occupancy results at CDK8 and CDK19 (≤10 nM Kd-apparent for both CDK8 and CDK19) agreed closely with the these reported cellular potencies (Fig. 4, Supplementary Fig. 21, and Supplementary Data 2 and 3).
We also uncovered a number of compounds with unexpected selectivity for CDK8/19 (Fig. 4). The CDK2 inhibitor K0386149,50 engaged CDK8/19 in cells, with pronounced selectivity over other family members, including CDK2 (Fig. 4c, d). K03861 is a type II inhibitor that stabilizes the inactive DFG-out conformation of CDK249,50. Comparable results were observed with the related chemotype AST-487 (albeit with more modest potency for CDK8/19). CDK8/19 has been reported to adopt a similar inactive conformation to accommodate type II inhibitors similar to that of CDK251. However, intracellular engagement of type II inhibitors to CDK8/19 has not been reported previously. Our results identify K03861 and AST-487 as selective chemical probes for CDK8/19 within the family, and indicate that type II inhibition should be evaluated further as a potential strategy for mediator kinases.
Chemotypes structurally unrelated to K03861 showed similar patterns of selectivity to CDK8/19, offering additional opportunities for repurposing. Previously annotated as a CDK1/2 inhibitor20, BMS-265246 engaged CDK8/19 potently (<2 nM Kd-apparent) and with >10-fold selectivity index over CDK1/2 (Fig. 4b, d). Similarly, CDK8/19 were among the most potent intracellular targets of flavopiridol (previously a clinical asset and described as a pan-CDKi), (Supplementary Data 2 and 3). Our results demonstrate that CDK8 and CDK19 are collateral targets of a number of mischaracterized CDKi’s in cells, and opportunities may exist for repurposing one or more of them as chemical probes of mediator kinase activity. Moreover, these results support that the composite effect of the intracellular milieu has a strong influence on CDKi pharmacology and that cellular profiling should accompany cell-free studies for determination of isozyme selectivity.
Residence time as a CDK selectivity determinant
For evaluation of CDKi selectivity, steady-state analysis is standard practice. However, these equilibrium-based measurements may fail to accurately predict occupancy in vivo, where drug concentrations are highly dynamic52,53. In a dynamic open system, it is possible to achieve target selectivity via durable binding interactions that may not be evident under steady-state conditions54. The residence time (1/koff) of the target-ligand interaction is often a more accurate predictor of drug efficacy and pharmacodynamic effect52. It has been reported that some CDKi’s display protracted residence time in purified biochemical assays55. We therefore explored the possibility that CDKi’s may yield durable engagement, and kinetic selectivity under simulated open system conditions in living cells.
Among all 46 CDKi’s evaluated here, RGB286638 is among the most potent and broad coverage over the CDK family in live cells under steady-state conditions (Supplementary Data 2 and 3). However, residence times for this and many of the other CDKi’s in our panel have not been reported in cell-free or cellular contexts. Based on its broad coverage, RGB286638 served as an ideal candidate to evaluate a potential disconnect between target potency and residence time in cells. To query residence time as a potential selectivity determinant, CDK2, CDK6, and CDK7 were used based on their nearly identical intracellular affinity values with RGB286638 (12−16 nM). Residence time was determined via pre-equilibration with each target/CDKi combination at a near saturating concentration (~20-fold above Kd-apparent as determined above under equilibrium conditions). This condition was selected to ensure adequate target occupancy prior to compound washout. Residence time was then evaluated by a rapid compound washout procedure, followed by addition of energy transfer probe 1. Under these conditions, the rate of the energy transfer signal increase serves as a direct proxy for the loss of the target-CDKi interaction18,56,57.
In contrast to steady-state analysis of RGB286638 (which yielded similar CDKi potencies for CDK2, CDK6, and CDK7, Supplementary Data 2 and 3), real-time analysis revealed robust durability to only CDK6 (Fig. 5b and Supplementary Fig. 22). After 2 h of occupancy analysis following compound washout, CDK6 remained >50% occupied by RGB286638, while CDK2 and CDK7 were fully dissociated. Apparent residence times for CDK2 and CDK7 were 41 min and 8 min, respectively, while the CDK6 dissociation rate with RGB286638 was too slow to quantify under these experimental conditions. This pattern was surprising, given the similar affinities observed for all three CDKs under steady-state conditions in cells (Fig. 5a). We therefore evaluated the apparent rate of equilibration of RGB286638 to corroborate the protracted residence time at CDK6. Although this equilibration rate may be impacted by the composite effect of compound permeability and interference from endogenous factors such as ATP, the analysis allows for a qualitative comparison of relative equilibration kinetics. Compared with CDK7, the rate of CDK6 engagement was relatively slow, thus supporting reduced apparent association and dissociation kinetics (Supplementary Fig. 23). These results support a mechanism of kinetic selectivity for CDK6 over CDK2 and CDK7 in living cells. However, it is possible that the durable occupancy and slow engagement of RGB286638 with CDK6 may be impacted by intracellular compound partitioning and/or rebinding, and therefore only observed in cell culture systems58,59. To rule out the potential impacts of cellular physiology on engagement kinetics and residence time, a cell-free biophysical evaluation is warranted to quantify the intrinsic rates of engagement to CDK6 and the remaining family members. These preliminary intracellular results encourage broader assessment of CDKi residence time as a selectivity determinant.
We have developed a panel of cell-permeable energy transfer probes to enable a quantitative evaluation of target occupancy against all 21 human CDKs in live, intact cells. We report a summary of intracellular target engagement potencies for 46 advanced CDKi’s including many with clinical activity (Supplementary Data 2 and 3). For CDKi’s targeting CDKs 4/6, −7, and −8/19, our target occupancy analysis agreed closely with potency at known biomarkers of intracellular CDK activity6,34,44,47,48. Moreover, rank-order potencies of engagement and reduction of substrate phosphorylation in MCF7 cells were in agreement for highly selective CDK4/6 inhibitors. Corroborating earlier studies on histone deacetylases (HDACs) and kinases12,18, these observations support that potency of target engagement can accurately correlate with potency of target inhibition when each are assessed in a common pathophysiological setting. Furthermore, results with endogenously edited cells matched closely with ectopic expression of CDK/cyclin complexes, further supporting that this target engagement method serves as a suitable proxy for interrogating CDKi selectivity in the absence of cellular assays that measure intrinsic CDK enzyme activity. As the majority of the CDK family have limited functional annotation (and generally lack specific substrates or biomarkers for intracellular activity), the ability to quantify target occupancy for all 21 CDKs in a unified format will be broadly enabling.
Our analysis cumulatively uncovered potent and selective inhibitors that have utility as selective tool molecules to modulate individual CDKs or paralog isozymes in live cells (Table 1). For CDK4/6 and CDK9, a subset of CDKi’s exhibited nanomolar affinity and robust indexes of selectivity. For CDK2, CDK3, and CDK7, only modestly selective inhibitors with reduced intracellular potency were observed. Although a portion of our intracellular analysis corroborated CDK profiles from cell-free biochemical systems, for many compounds we observed a striking pattern of intracellular selectivity that diverged from the cell-free analyses. For example, numerous inhibitors of CDK4/6 and CDK7 were more promiscuous in cells than previously reported (engaging a number of collateral CDKs and exhibiting pan-TAIRE activity). Conversely, a number of pan-CDKi’s had surprisingly narrow spectrum of activity in cells and were even marginally isozyme selective (e.g., milciclib for CDK4/6 and P276-00 for CDK9). The reduced spectrum of intracellular activity was not unique to the molecules only annotated as CDK family inhibitors. For example, in live cells, dabrafenib (a BRAF inhibitor) and BDP5290 (a ROCK kinase inhibitor) only weakly engaged CDKs at concentrations up to 10μM, despite reported collateral engagement to CDKs in cell-free and lysate-based kinase profiling experiments22,30,31. In this context, live-cell CDK profiling may become valuable for de-risking late-stage kinase inhibitors in a clinical setting.
Strikingly, a number of CDKi’s had off-target profiles that warrant reclassification for understudied family members. For example, we identified BMS-265246 (previously a clinical asset) as a potent and selective inhibitor of mediator kinases CDK8/19 that is currently annotated as a CDK1/2 inhibitor20. Furthermore, potent intracellular engagement of a reported type II CDK2 inhibitor, K03861, was observed with CDK8/19. Further evaluation is therefore warranted to determine if K03861 engages CDK8/19 via a type II mechanism, and if type II inhibitors could be a productive strategy for inhibition of mediator kinase activity. Other pan-CDKi’s, notably flavopiridol, surprisingly engaged CDK8/19 with strong potency compared with other family members. Thus, these intracellular occupancy measurements support avenues for repurposing numerous mischaracterized CDKi’s as selective probes in live cells. Moreover, additional studies are warranted to evaluate the engagement of CDK8/19 as a mechanism of efficacy or adverse events for previous clinical assets such as BMS-265246 and flavopiridol.
Despite profiling a wide array of chemotypes, we were unable to identify selective tool molecules for some CDKs. For CDK12 and CDK13, few potent inhibitors were observed. Although 10 μM THZ531 occupied both CDK12 and CDK13, potent engagement (<1 μM) was only observed for CDK12. It is possible that extended incubation times may be required to determine the engagement potential of such covalent inhibitors. Although many compounds exhibited potent TAIRE family activity (CDK14–18), collateral engagement was observed for these compounds across other CDK family members. For CDK20 no molecule showed >50% engagement at 10 µM, except for CTx-0294885, the parent compound from which probes 4 and 5 was developed (Supplementary Fig. 3). Although our analysis failed to uncover selective modulators of these CDKs, the energy transfer-based probes developed in this work can be used to identify and optimize potential tool molecules for these understudied but important family members. Encouragingly, during the preparation of this manuscript a number of inhibitors were reported for understudied CDKs including the TAIRE subfamily60 as well as CDK1161. As our compound panel represents only a fraction of known CDKi’s, the results presented here suggest that comprehensive assessments of CDK target engagement are warranted as a standard practice for all novel tool compounds and promising clinical leads that are beyond the scope of this study. If such comprehensive analyses could be generated, live-cell CDK profiling results would serve as a complementary resource to existing databases based on cell extracts22,23 or biochemically-defined assay systems20.
We further extended the intracellular analysis of CDKi selectivity to a simulated open system, for evaluation of target residence time. Our results support that even the most potent and non-selective CDKi’s such as RGB286638 may durably engage only a subset of CDKs despite similar potencies in cells. These results support a potential disconnect between thermodynamic and kinetic selectivity in live cells for certain CDKi’s, as well as a method to optimize kinetic selectivity within the CDK family. Accordingly, real-time analysis of intracellular residence time may be critical to predicting CDKi selectivity in an in vivo setting where drug concentrations are highly dynamic and cannot be represented only at steady-state.
Based on the divergent CDK profiles observed in cells vs cell-free systems, an evaluation of CDKi selectivity in live cells may be warranted against the broader kinome as demonstrated previously for multi-kinase inhibitors12. As CDKi selectivity patterns may be influenced by cellular context, this workflow is designed to be readily adapted to evaluate target engagement in alternate cell models. This approach is therefore intended to serve as a template for querying intracellular selectivity for CDKi’s as drug leads and chemical probes for experimental pharmacology.
Cell transfections and BRET measurements
HEK-293 cells (ATCC) were cultured in DMEM (Gibco) + 10% FBS (Seradigm), with incubation in a humidified, 37 °C/5% CO2 incubator. N- or C-terminal NanoLuc/CDK fusions were encoded in pFN31K or pFC32K expression vectors (Promega), including flexible Gly-Ser-Ser-Gly linkers between NLuc and each full-length kinase. Cyclin or other regulatory protein expression vectors were encoded in pFN5K vectors (Promega). Optimal orientations for each construct are described in Supplementary Table 2. For cellular BRET target engagement experiments, HEK-293 were transfected with NLuc/target fusion constructs using FuGENE HD (Promega) according to the manufacturer’s protocol. Briefly, NLuc/target fusion constructs were diluted into either regulator expression vector or Transfection Carrier DNA (Promega) at a mass ratio of 1:9 (mass/mass), after which FuGENE HD was added at a ratio of 1:3 (µg DNA: µL FuGENE HD). 1 part (vol) of FuGENE HD complexes thus formed were combined with 20 parts (vol) of HEK-293 cells suspended at a density of 2 × 105 per mL, followed by incubation in a humidified, 37 °C/5% CO2 incubator for 20 hr. BRET assays were performed in white, tissue-culture treated 96-well plates (Corning #3917) at a density of 2 × 104 cells per well. All chemical inhibitors were prepared as concentrated stock solutions in DMSO (Sigma-Aldrich) and diluted in Opti-MEM to prepare working stocks. Cells were equilibrated for 2 h with energy transfer probe and test compound prior to BRET measurements. Energy transfer probes were prepared at a working concentration of 20× in dilution buffer (12.5 mM HEPES, 31.25% PEG-400, pH 7.5). To measure BRET, NanoBRET NanoGlo Substrate and Extracellular NanoLuc Inhibitor (Promega) were added according to the manufacturer’s recommended protocol, and filtered luminescence was measured on a GloMax Discover luminometer equipped with 450 nm BP filter (donor) and 600 nm LP filter (acceptor), using 0.5 s integration time. BRET values are calculated by dividing the acceptor luminescence by the donor luminescence. Milli-BRET (mBRET) units (mBU) are calculated by multiplying the raw BRET values by 1,000.
Determination of energy transfer probe affinity
For energy transfer probe dose-response experiments, energy transfer probes were added to cells as an 11-point dilution series starting at a maximum final concentration of 1 µM. To determine apparent tracer affinity, mBRET values were plotted as a function of energy probe concentration, and probe affinity values (EC50) were determined using the sigmoidal dose-response (variable slope) equation available in GraphPad Prism, Eq. (1);
where X = energy transfer probe concentration and Y = mBRET.
Determination of test compound occupancy and potency
To determine test compound occupancy, the energy transfer probes were added to the cells at concentrations optimized for each target, as described in Supplementary Table 2, along with a single dose or dilution series of the test compound (vide infra). BRET values were converted to occupancy (%) according to Eq. (2) below
where X = mBRET in the presence of the test compound and the energy transfer probe, Y = mBRET in the presence of only energy transfer probe, and Z = mBRET in the absence of energy transfer probe and test compound. To determine potency, occupancy (%) values were then plotted as a function of test compound concentration, and the data were fitted to Eq. (1) to determine the IC50 value.
Test compound formulation and testing strategy
Test compounds were sourced from common chemical vendors (Supplementary Data 1). All test compounds were formulated at 10 mM in DMSO, after which they were diluted in OptiMEM to prepare a 10X working solution for testing in the BRET assay. Compounds were initially screened for activity at a dose of 10 µM in two independent experiments. Compounds displaying >50% occupancy for the mean of the two independent experiments were further characterized in dose-response experiments to determine the potency. The potency (IC50) was determined using an 11-point dilution series (maximum dose of 10 µM) in two independent experiments. Compounds that reproducibly displayed potency values ≤ 1 µM were considered hits and were reported. Potency for compounds that did not reproducibly demonstrate values ≤ 1 µM were not reported.
Evaluation of intracellular residence time
Residence time was qualitatively assessed via a cellular washout approach, where delayed energy probe association is used as an indirect measurement for the durability of target/compound engagement. Cells were transfected as described above and pre-equilibrated with a dose of test compound 20-fold above the apparent potency value (IC50, vide supra) as indicated in the figure legends. After 2 h of incubation at 37 °C, the medium was aspirated from the cells and replaced with fresh OptiMEM containing NanoBRET NanoGlo Substrate and Extracellular NanoLuc Inhibitor. Energy transfer probe 1 was added at 1 μM and the BRET was measured kinetically at 3-min intervals. Occupancy values were plotted as a function of time. Apparent residence times for RGB286638 to CDKs (residence time, tau) were calculated using Supplementary Eq. (2). Apparent residence time for CDK6 was too long to measure under these assay conditions.
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Ferguson, F. M. & Gray, N. S. Kinase inhibitors: the road ahead. Nat. Rev. Drug Discov. 17, 353–377 (2018).
Wu, P., Nielsen, T. E. & Clausen, M. H. Small-molecule kinase inhibitors: an analysis of FDA-approved drugs. Drug Discov. Today 21, 5–10 (2016).
Asghar, U., Witkiewicz, A. K., Turner, N. C. & Knudsen, E. S. The history and future of targeting cyclin-dependent kinases in cancer therapy. Nat. Rev. Drug Discov. 14, 130–146 (2015).
Malumbres, M. et al. Cyclin-dependent kinases: a family portrait. Nat. Cell Biol. 11, 1275–1276 (2009).
Sanchez-Martinez, C., Gelbert, L. M., Lallena, M. J. & de Dios, A. Cyclin dependent kinase (CDK) inhibitors as anticancer drugs. Bioorg. Med Chem. Lett. 25, 3420–3435 (2015).
Kwiatkowski, N. et al. Targeting transcription regulation in cancer with a covalent CDK7 inhibitor. Nature 511, 616–620 (2014).
Malumbres, M. & Barbacid, M. Cell cycle, CDKs and cancer: a changing paradigm. Nat. Rev. Cancer 9, 153–166 (2009).
Whittaker, S. R., Mallinger, A., Workman, P. & Clarke, P. A. Inhibitors of cyclin-dependent kinases as cancer therapeutics. Pharm. Ther. 173, 83–105 (2017).
Yang, C. et al. Acquired CDK6 amplification promotes breast cancer resistance to CDK4/6 inhibitors and loss of ER signaling and dependence. Oncogene 36, 2255–2264 (2017).
Sanchez-Martinez, C., Lallena, M. J., Sanfeliciano, S. G. & de Dios, A. Cyclin dependent kinase (CDK) inhibitors as anticancer drugs: Recent advances (2015–2019). Bioorg. Med Chem. Lett. 29, 126637 (2019).
Knight, Z. A. & Shokat, K. M. Features of selective kinase inhibitors. Chem. Biol. 12, 621–637 (2005).
Vasta, J. D. et al. Quantitative, wide-spectrum kinase profiling in live cells for assessing the effect of cellular ATP on target engagement. Cell Chem. Biol. 25, 206–214 e211 (2018).
Robers, M. B. et al. Quantifying target occupancy of small molecules within living cells. Annu. Rev. Biochem. 80, (2020).
Weinberg, R. A. The retinoblastoma protein and cell cycle control. Cell 81, 323–330 (1995).
Futatsugi, A. et al. Cyclin-dependent kinase 5 regulates E2F transcription factor through phosphorylation of Rb protein in neurons. Cell Cycle 11, 1603–1610 (2012).
Malumbres, M. Cyclin-dependent kinases. Genome Biol. 15, 122 (2014).
Copeland, R. A. & Boriack-Sjodin, P. A. The elements of translational chemical biology. Cell Chem. Biol. 25, 128–134 (2018).
Robers, M. B. et al. Target engagement and drug residence time can be observed in living cells with BRET. Nat. Commun. 6, 10091 (2015).
Davis, M. I. et al. Comprehensive analysis of kinase inhibitor selectivity. Nat. Biotechnol. 29, 1046–1051 (2011).
Jorda, R. et al. How selective are pharmacological inhibitors of cell-cycle-regulating cyclin-dependent kinases? J. Med Chem. 61, 9105–9120 (2018).
Zhao, Q. et al. Broad-spectrum kinase profiling in live cells with lysine-targeted sulfonyl fluoride probes. J. Am. Chem. Soc. 139, 680–685 (2017).
Klaeger, S. et al. The target landscape of clinical kinase drugs. Science 358, aan4368 (2017).
Grant, E. K. et al. A photoaffinity displacement assay and probes to study the cyclin-dependent kinase family. Angew. Chem. Int Ed. Engl. 58, 17322–17327 (2019).
Vasta, J. D. et al. Quantitative, wide-spectrum kinase profiling in live cells for assessing the effect of cellular ATP on target engagement. Cell Chem. Biol. 25, 206–214 (2018).
Squires, M. S. et al. Biological characterization of AT7519, a small-molecule inhibitor of cyclin-dependent kinases, in human tumor cell lines. Mol. Cancer Ther. 8, 324–332 (2009).
Wyatt, P. G. et al. Identification of N-(4-piperidinyl)−4-(2,6-dichloridbenzoylamino)-1H-pyrazole-3-carboxamide (AT7519), a novel cyclin dependent kinase inhibitor using fragment-based X-ray crystallography and structure base drug design. J. Med. Chem. 51, 4866–4899 (2008).
Fry, D. W. et al. Specific inhibition of cyclin-dependent kinase 4/6 by PD 0332991 and associated antitumor activity in human tumor xenografts. Mol. Cancer Ther. 3, 1427–1438 (2004).
Drewry, D. H. et al. Progress towards a public chemogenomic set for protein kinases and a call for contributions. PLoS One 12, e0181585 (2017).
Dixon, A. S. et al. NanoLuc complementation reporter optimized for accurate measurement of protein interactions in cells. ACS Chem. Biol. 11, 400–408 (2016).
Unbekandt, M. et al. A novel small-molecule MRCK inhibitor blocks cancer cell invasion. Cell Commun. Signal 12, 54 (2014).
Rheault, T. R. et al. Discovery of dabrafenib: a selective inhibitor of raf kinases with antitumor activity against B-Raf-driven tumors. ACS Med Chem. Lett. 4, 358–362 (2013).
Pardanani, A. et al. CYT387, a selective JAK1/JAK2 inhibitor: in vitro assessment of kinase selectivity and preclinical studies using cell lines and primary cells from polycythemia vera patients. Leukemia 23, 1441–1445 (2009).
O’Leary, B., Finn, R. S. & Turner, N. C. Treating cancer with selective CDK4/6 inhibitors. Nat. Rev. Clin. Oncol. 13, 417–430 (2016).
Torres-Guzman, R. et al. Preclinical characterization of abemaciclib in hormone receptor positive breast cancer. Oncotarget 8, 69493–69507 (2017).
Hafner, M. et al. Multiomics profiling establishes the polypharmacology of FDA-approved cdk4/6 inhibitors and the potential for differential clinical activity. Cell Chem. Biol. 26, 1067–1080.e1068 (2019).
Hwang, B. B., Engel, L., Goueli, S. A. & Zegzouti, H. A homogeneous bioluminescent immunoassay to probe cellular signaling pathway regulation. Commun. Biol. 3, 8 (2020).
Vladimir, K., Sonja, B. & Robert, F. Perspective of Cyclin-dependent kinase 9 (CDK9) as a drug target. Curr. Pharm. Des. 18, 2883–2890 (2012).
Schwinn, M. K. et al. CRISPR-mediated tagging of endogenous proteins with a luminescent peptide. ACS Chem. Biol. 13, 467–474 (2018).
Hu, S. et al. Discovery and characterization of SY-1365, a selective, covalent inhibitor of CDK7. Cancer Res. 79, 3479–3491 (2019).
Ali, S. et al. The development of a selective cyclin-dependent kinase inhibitor that shows antitumor activity. Cancer Res. 69, 6208–6215 (2009).
Hutterer, C. et al. A novel CDK7 inhibitor of the pyrazolotriazine class exerts broad-spectrum antiviral activity at nanomolar concentrations. Antimicrob. Agents Chemother. 59, 2062–2071 (2015).
Patel, H. et al. ICEC0942, an orally bioavailable selective inhibitor of CDK7 for cancer treatment. Mol. Cancer Ther. 17, 1156–1166 (2018).
Hutterer, C. et al. A Novel CDK7 inhibitor of the pyrazolotriazine class exerts broad-spectrum antiviral activity at nanomolar concentrations. Antimicrobial Agents Chemother. 59, 2062 (2015).
Cayrol, F. et al. THZ1 targeting CDK7 suppresses STAT transcriptional activity and sensitizes T-cell lymphomas to BCL2 inhibitors. Nat. Commun. 8, 14290 (2017).
Xi, M. et al. CDK8 as a therapeutic target for cancers and recent developments in discovery of CDK8 inhibitors. Eur. J. Med. Chem. 164, 77–91 (2019).
Firestein, R. et al. CDK8 is a colorectal cancer oncogene that regulates β-catenin activity. Nature 455, 547–551 (2008).
Dale, T. et al. A selective chemical probe for exploring the role of CDK8 and CDK19 in human disease. Nat. Chem. Biol. 11, 973–980 (2015).
Mallinger, A. et al. Discovery of potent, selective, and orally bioavailable small-molecule modulators of the mediator complex-associated kinases CDK8 and CDK19. J. Med Chem. 59, 1078–1101 (2016).
Tadesse, S., Caldon, E. C., Tilley, W. & Wang, S. Cyclin-dependent kinase 2 inhibitors in cancer therapy: an update. J. Med Chem. 62, 4233–4251 (2019).
Alexander, L. T. et al. Type II inhibitors targeting CDK2. ACS Chem. Biol. 10, 2116–2125 (2015).
Bergeron, P. et al. Design and development of a series of potent and selective type II inhibitors of CDK8. ACS Med Chem. Lett. 7, 595–600 (2016).
Copeland, R. A., Pompliano, D. L. & Meek, T. D. Drug-target residence time and its implications for lead optimization. Nat. Rev. Drug Discov. 5, 730–739 (2006).
Walkup, G. K. et al. Translating slow-binding inhibition kinetics into cellular and in vivo effects. Nat. Chem. Biol. 11, 416–423 (2015).
Georgi, V. et al. Binding kinetics survey of the drugged kinome. J. Am. Chem. Soc. 140, 15774–15782 (2018).
Ayaz, P. et al. Conformational adaption may explain the slow dissociation kinetics of roniciclib (BAY 1000394), a type I CDK Inhibitor with kinetic selectivity for CDK2 and CDK9. ACS Chem. Biol. 11, 1710–1719 (2016).
Stoddart, L. A. et al. Application of BRET to monitor ligand binding to GPCRs. Nat. Methods 12, 661–663 (2015).
Robers, M. B. et al. Quantitative, real-time measurements of intracellular target engagement using energy transfer. Methods Mol. Biol. 1888, 45–71 (2019).
Vauquelin, G. Effects of target binding kinetics on in vivo drug efficacy: koff, kon and rebinding. Br. J. Pharm. 173, 2319–2334 (2016).
Vauquelin, G. Rebinding: or why drugs may act longer in vivo than expected from their in vitro target residence time. Expert Opin. Drug Disco. 5, 927–941 (2010).
Ferguson, F. M. et al. Discovery of covalent CDK14 inhibitors with pan-TAIRE family specificity. Cell Chem. Biol. 26, 804–817 e812 (2019).
Lin, A. et al. Off-target toxicity is a common mechanism of action of cancer drugs undergoing clinical trials. Sci Transl Med. 11, aaw8412 (2019).
The authors thank Frank Fan and Kristin Huwiler for their ongoing tremendous support and constructive input on this technology effort. We thank Domenic Ogno for his efforts in data generation and Elisabeth Rothweiler for technical assistance with compound characterization. We also thank Jay Strum (G1 Therapeutics) for providing Trilaciclib and Lerociclib and for encouragement and scientific critique. Funded by SGC, a registered charity (number 1097737) that receives funds from AbbVie, Bayer Pharma AG, Boehringer Ingelheim, Canada Foundation for Innovation, Eshelman Institute for Innovation, Genome Canada, Innovative Medicines Initiative (EU/EFPIA) [ULTRA-DD 115766], Janssen, Merck KGaA Darmstadt Germany, MSD, Novartis Pharma AG, Ontario Ministry of Economic Development and Innovation, Pfizer, São Paulo Research Foundation-FAPESP [2013/50724-5, 2014/50897-0, 2016/17469-0], Takeda, and Wellcome [106169/ZZ14/Z]. NC Biotech Center Institutional Support Grant (2018-IDG-1030) and the NIH Illuminating the druggable genome (5U24DK116204-03) also enabled this work. Funding support was also provided from G1 Therapeutics to the SGC-UNC.
J.D.V., C.R.C., J.W., C.A.Z, M.R.I., M.K.S., B.H., H.Z., M.C., P.L.M., and M.B.R. are employed by Promega. Promega commercializes some of the methods described herein. No authors received direct financial benefit from these commercial activities. The remaining authors declare no competing interests.
Peer review information Nature Communications thanks Ernst Schonbrunn, and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. Peer reviewer reports are available.
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Wells, C.I., Vasta, J.D., Corona, C.R. et al. Quantifying CDK inhibitor selectivity in live cells. Nat Commun 11, 2743 (2020). https://doi.org/10.1038/s41467-020-16559-0
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