Sorafenib inhibits imatinib-resistant KIT and platelet-derived growth factor receptor beta gatekeeper mutants

Teresa Guida1, Suresh Anaganti, Livia Provitera

  • 1Istituto di Endocrinologia ed Oncologia Sperimentale del CNR, Dipartimento di Biologia e Patologia Cellulare e Molecolare, Università di Napoli Federico II, Naples, Italy.

Abstract

Insights

Sorafenib effectively inhibits gatekeeper mutations in KIT and PDGFRbeta, which cause resistance to imatinib therapy. This multitargeted inhibitor shows promise for treating cancers with these specific kinase mutations.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Imatinib is an effective anticancer drug targeting KIT and PDGFR tyrosine kinases.
  • Gatekeeper mutations (T670 in KIT, T681 in PDGFRbeta) confer resistance to imatinib.
  • Developing new inhibitors for resistant kinase mutants is crucial for cancer therapy.

Purpose of the Study:

  • To evaluate the activity of sorafenib against imatinib-resistant KIT and PDGFRbeta kinases with gatekeeper mutations.
  • To assess sorafenib's efficacy in blocking downstream signaling and cellular proliferation driven by these resistant mutants.

Main Methods:

  • In vitro kinase assays and immunoblots to assess sorafenib's activity on KIT and PDGFRbeta.
  • Reporter luciferase assays to measure downstream signaling.
  • Cell proliferation assays using Ba/F3 cells expressing KIT mutants.

Main Results:

  • Sorafenib potently inhibited KIT T670I (60 nmol/L) and PDGFRbeta T681I (110 nmol/L) gatekeeper mutants.
  • Sorafenib showed less activity against activation loop mutants (KIT D816V, PDGFRbeta D850V).
  • Sorafenib blocked signaling and proliferation in cells with gatekeeper mutations.

Conclusions:

  • Sorafenib demonstrates significant activity against imatinib-resistant KIT and PDGFRbeta gatekeeper mutants.
  • Sorafenib may be a valuable therapeutic option for patients with these specific kinase mutations.
  • Further investigation into sorafenib for gatekeeper mutant-driven cancers is warranted.

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