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Updated: Jul 18, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Phosphorylation of the ATP-binding loop directs oncogenicity of drug-resistant BCR-ABL mutants
Brian J Skaggs1, Mercedes E Gorre, Ann Ryvkin
1Howard Hughes Medical Institute, University of California, Los Angeles, CA 90095, USA.
Abstract:
The success of targeting kinases in cancer with small molecule inhibitors has been tempered by the emergence of drug-resistant kinase domain mutations. In patients with chronic myeloid leukemia treated with ABL inhibitors, BCR-ABL kinase domain mutations are the principal mechanism of relapse. Certain mutations are occasionally detected before treatment, suggesting increased fitness relative to wild-type p210 BCR-ABL. We evaluated the oncogenicity of eight kinase inhibitor-resistant BCR-ABL mutants and found a spectrum of potencies greater or less than p210. Although most fitness alterations correlate with changes in kinase activity, this is not the case with the T315I BCR-ABL mutation that confers clinical resistance to all currently approved ABL kinase inhibitors. Through global phosphoproteome analysis, we identified a unique phosphosubstrate signature associated with each drug-resistant allele, including a shift in phosphorylation of two tyrosines (Tyr253 and Tyr257) in the ATP binding loop (P-loop) of BCR-ABL when Thr315 is Ile or Ala. Mutational analysis of these tyrosines in the context of Thr315 mutations demonstrates that the identity of the gatekeeper residue impacts oncogenicity by altered P-loop phosphorylation. Therefore, mutations that confer clinical resistance to kinase inhibitors can substantially alter kinase function and confer novel biological properties that may impact disease progression.
Insights
Drug-resistant BCR-ABL mutations in chronic myeloid leukemia can alter kinase function and oncogenicity. The T315I mutation uniquely impacts phosphorylation, affecting disease progression despite ABL inhibitor resistance.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Targeting kinases with small molecule inhibitors is crucial in cancer therapy.
- Drug-resistant kinase domain mutations, particularly in BCR-ABL, are a major cause of relapse in chronic myeloid leukemia (CML).
- Some resistance mutations pre-exist treatment, indicating enhanced fitness over wild-type BCR-ABL.
Purpose of the Study:
- To evaluate the oncogenic potential of eight kinase inhibitor-resistant BCR-ABL mutants.
- To investigate the impact of the T315I mutation on BCR-ABL function and phosphoproteome.
- To understand how gatekeeper residue mutations influence oncogenicity through altered phosphorylation.
Main Methods:
- Assessed oncogenicity of eight BCR-ABL mutants.
- Performed global phosphoproteome analysis.
- Conducted mutational analysis of tyrosine residues in the ATP binding loop (P-loop) in the context of Thr315 mutations.
Main Results:
- A spectrum of oncogenic potencies was observed for the evaluated BCR-ABL mutants.
- The T315I mutation confers resistance to all approved ABL kinase inhibitors and exhibits unique phosphosubstrate alterations.
- Specific tyrosine phosphorylation shifts (Tyr253 and Tyr257) in the P-loop were identified for Thr315 gatekeeper mutations (Ile or Ala).
Conclusions:
- Kinase inhibitor resistance mutations can significantly alter BCR-ABL kinase function and confer novel biological properties.
- Gatekeeper residue identity critically impacts oncogenicity via modulation of P-loop phosphorylation.
- These alterations in kinase function and biological properties may influence CML disease progression.
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