Discovery of a Novel Orally Bioavailable FLT3-PROTAC Degrader for Efficient Treatment of Acute Myeloid Leukemia and Overcoming Resistance of FLT3 Inhibitors

Fms-like tyrosine receptor kinase 3 (FLT3) proteolysis-targeting chimeras (PROTACs) represent a promising approach to eliminate the resistance of FLT3 inhibitors. However, due to the poor druggability of PROTACs, the development of orally bioavailable FLT3-PROTACs faces great challenges. Herein, a novel orally bioavailable FLT3-ITD degrader A20 with excellent pharmacokinetic properties was discovered through reasonable design. A20 selectively inhibited the proliferation of FLT3-ITD mutant acute myeloid leukemia (AML) cells and potently induced FLT3-ITD degradation through the ubiquitin-proteasome system. Notably, oral administration of A20 resulted in complete tumor regression on subcutaneous AML xenograft models. Furthermore, on systemic AML xenograft models, A20 could completely eliminate the CD45+CD33+ human leukemic cells in murine and significantly prolonged the survival time of mice. Most importantly, A20 exerted significantly improved antiproliferative activity against drug-resistant AML cells compared to existing FLT3 inhibitors. These findings suggested that A20 could serve as a promising drug candidate for relapsed or refractory AML.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of medicinal chemistry - (2024) vom: 24. Apr.

Sprache:

Englisch

Beteiligte Personen:

Wang, Junwei [VerfasserIn]
Rong, Quanjin [VerfasserIn]
Ye, Lei [VerfasserIn]
Fang, Bingqian [VerfasserIn]
Zhao, Yifan [VerfasserIn]
Sun, Yu [VerfasserIn]
Zhou, Haikun [VerfasserIn]
Wang, Dan [VerfasserIn]
He, Jinting [VerfasserIn]
Cui, Zhenzhen [VerfasserIn]
Zhang, Qijian [VerfasserIn]
Kang, Di [VerfasserIn]
Hu, Lihong [VerfasserIn]

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Journal Article

Anmerkungen:

Date Revised 24.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1021/acs.jmedchem.4c00051

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371445914