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Blood, 1 July 2005, Vol. 106, No. 1, pp. 227-234.
Prepublished online as a Blood First Edition Paper on March 3, 2005; DOI 10.1182/blood-2004-12-4771.
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Submitted December 16, 2004
Accepted February 21, 2005
In vitro and in vivo activity of ATP-based kinase inhibitors AP23464 and AP23848 against activation loop mutants of Kit
Amie S Corbin, Shadmehr Demehri, Ian J Griswold, Yihan Wang, Chester A Metcalf III, Raji Sundaramoorthi, William C Shakespeare, Joseph Snodgrass, Scott Wardwell, David Dalgarno, John Iuliucci, Tomi Sawyer, Michael C Heinrich, Brian J Druker, and Michael W Deininger*
Oregon Health and Science University, Cancer Institute, Portland, OR, USA; Howard Hughes Medical Institute, Chevy Chase, MD, USA
Oregon Health and Science University, Cancer Institute, Portland, OR, USA
ARIAD Pharmaceuticals, Cambridge, MA, USA
Oregon Health and Science University, Cancer Institute, Portland, OR, USA; Portland VA Medical Center, Oregon Health and Science University, Portland, OR, USA
* Corresponding author; email: deininge{at}ohsu.edu.
Oncogenic mutations of the Kit receptor tyrosine kinase occur in several types of malignancy. Juxtamembrane domain mutations are common in gastrointestinal stromal tumors, while mutations in the kinase activation loop, most commonly D816V, are seen in systemic mastocytosis and acute myelogenous leukemia. Kit activation loop mutants are insensitive to imatinib and have been largely resistant to targeted inhibition. We determined the sensitivities of both Kit mutant classes to the ATP-based inhibitors AP23464 and AP23848. In cell lines expressing activation loop mutants, low nM concentrations of AP23464 inhibited phosphorylation of Kit and its downstream targets Akt and STAT3. This was associated with cell cycle arrest and apoptosis. Wild type Kit and juxtamembrane mutant-expressing cell lines required considerably higher concentrations for equivalent inhibition, suggesting a therapeutic window in which cells harboring D816V Kit could be eliminated without interfering with normal cellular function. Additionally, AP23464 did not disrupt normal hematopoietic progenitor cell growth at concentrations that inhibited activation loop mutants of Kit. In a murine model, AP23848 inhibited activation loop mutant Kit phosphorylation and tumor growth. Thus, AP23464 and AP23848 potently and selectively target activation loop mutants of Kit in vitro and in vivo and could have therapeutic potential against D816V-expressing malignancies.

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