4.5 Article

Development of Gilteritinib-Based Chimeric Small Molecules that Potently Induce Degradation of FLT3-ITD Protein

Journal

ACS MEDICINAL CHEMISTRY LETTERS
Volume 13, Issue 12, Pages 1885-1891

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/acsmedchemlett.2c00402

Keywords

FLT3-ITD; PROTAC; ubiquitin; E3 ligase; proteasome; protein degradation

Funding

  1. Japan Society for the Promotion of Science (KAKENHI) [JP18K06567, JP21K06490, JP18H05502, JP21H02777]
  2. Japan Agency for Medical Research and Development (AMED) [JP19cm0106136, JP21ak0101073, JP21mk0101197, JP20ak0101073, JP22ym0126805]
  3. Princess Takamatsu Cancer Research Fund

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In this study, novel FLT3 degraders were developed by introducing an FDA-approved FLT3 inhibitor, gilteritinib, into targeted protein degradation technology. The most active compound, CRBN(FLT3)-8, potently degraded FLT3-ITD via the ubiquitin-proteasome system and effectively inhibited the proliferation of AML cells.
Internal tandem duplication (ITD) in the gene encoding FMS-like tyrosine kinase 3 (FLT3) (FLT3-ITD) is the most frequently observed mutation in acute myeloid leukemia (AML). Currently approved FLT3 kinase inhibitors have high efficacy, but drug resistance caused by reactivation of FLT3 kinase activity is often clinically observed. In this study, we developed novel FLT3 degraders by introducing gilteritinib, an FDA-approved FLT3 inhibitor, into targeted protein degradation technology. The most active compound, CRBN(FLT3)-8, potently degraded FLT3-ITD via the ubiquitin-proteasome system and inhibited the proliferation of FLT3-ITD mutant AML cells more effectively than gilteritinib. These findings provide a new lead compound for degradation-based drugs targeting FLT3-ITD-positive cancers.

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