1. Structural and dynamic determinants for highly selective RET kinase inhibition reveal cryptic druggability.
- Author
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Shehata, Moustafa A., Contreras, Julia, Martín-Hurtado, Ana, Froux, Aurane, Mohamed, Hossam Taha, El-Sherif, Ahmed A., and Plaza-Menacho, Iván
- Subjects
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KINASES , *MOLECULAR dynamics , *STRUCTURAL dynamics , *DRUG design - Abstract
First-generation RET inhibitors were multi-tyrosine kinase inhibitors (TKIs) derived from secondary pharmacology targeting the adenine-binding pocket that resulted in poor clinical outputs. Recently developed second-generation RET inhibitors (primary pharmacology derived) exploit in addition further vulnerabilities within the active site e.g. the post-lysine pocket (PKP). We define the structural and dynamical determinants conferring high selectivity to these inhibitors agaisnt RET by targeting the PKP, making them clinically successful. [Display omitted] • The druggability landscape of the RET active site is determined by the structural dynamics of the P-loop and the αC helix. • RET selectivity is achieved by the occupancy of a small cryptic pocket adjacent to catalytic lysine defined by K758, L760, E768 and L772: the post-lysine pocket. • Efficient occupancy of the post-lysine pocket is restricted to a synchronous P-loop open and αC-in configuration, a distinctive feature of RET crystal structures. • LOXO-292 and BLU-667 target the post-lysine pocket and exploit extensive ATP mimicry. • Engineered mutants targeting the post-lysine pocket impact on inhibitor binding and sensitivity, as well as RET tyrosine kinase activity. The structural and dynamic determinants that confer highly selective RET kinase inhibition are poorly understood. To explore the druggability landscape of the RET active site in order to uncover structural and dynamic vulnerabilities that can be therapeutically exploited. We apply an integrated structural, computational and biochemical approach in order to explore the druggability landscape of the RET active site. We demonstrate that the that the druggability landscape of the RET active site is determined by the conformational setting of the ATP-binding (P-) loop and its coordination with the αC helix. Open and intermediate P-loop structures display additional druggable vulnerabilities within the active site that were not exploited by first generation RET inhibitors. We identify a cryptic pocket adjacent to the catalytic lysine formed by K758, L760, E768 and L772, that we name the post-lysine pocket, with higher druggability potential than the adenine-binding site and with important implications in the regulation of the phospho-tyrosine kinase activity. Crystal structure and simulation data show that the binding mode of highly-selective RET kinase inhibitors LOXO-292 and BLU-667 is controlled by a synchronous open P-loop and αC-in configuration that allows accessibility to the post-lysine pocket. Molecular dynamics simulations show that these inhibitors efficiently occupy the post-lysine pocket with high stability through the simulation time-scale (300 ns), with both inhibitors forming hydrophobic contacts further stabilized by pi-cation interactions with the catalytic K758. Engineered mutants targeting the post-lysine pocket impact on inhibitor binding and sensitivity, as well as RET tyrosine kinase activity. The identification of the post-lysine pocket as a new druggable vulnerability in the RET kinase and its exploitation by second generation RET inhibitors have important implications for future drug design and the development of personalized therapies for patients with RET-driven cancers. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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