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Updated: Jun 24, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
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.
Purpose:
Targeting of KIT and platelet-derived growth factor receptor (PDGFR) tyrosine kinases by imatinib is an effective anticancer strategy. However, mutations of the gatekeeper residue (T670 in KIT and T681 in PDGFRbeta) render the two kinases resistant to imatinib. The aim of this study was to evaluate whether sorafenib (BAY 43-9006), a multitargeted ATP-competitive inhibitor of KIT and PDGFR, was active against imatinib-resistant KIT and PDGFRbeta kinases.
Experimental Design:
We used in vitro kinase assays and immunoblot with phosphospecific antibodies to determine the activity of sorafenib on KIT and PDGFRbeta kinases. We also exploited reporter luciferase assays to measure the effects of sorafenib on KIT and PDGFRbeta downstream signaling events. The activity of sorafenib on interleukin-3-independent proliferation of Ba/F3 cells expressing oncogenic KIT or its imatinib-resistant T670I mutant was also tested.
Results:
Sorafenib efficiently inhibited gatekeeper mutants of KIT and PDGFRbeta (IC(50) for KIT T670I, 60 nmol/L; IC(50) for PDGFRbeta T681I, 110 nmol/L). Instead, it was less active against activation loop mutants of the two receptors (IC(50) for KIT D816V, 3.8 micromol/L; IC(50) for PDGFRbeta D850V, 1.17 micromol/L) that are also imatinib-resistant. Sorafenib blocked receptor autophosphorylation and signaling of KIT and PDGFRbeta gatekeeper mutants in intact cells as well as activation of AP1-responsive and cyclin D1 gene promoters, respectively. Finally, the compound inhibited KIT-dependent proliferation of Ba/F3 cells expressing the oncogenic KIT mutant carrying the T670I mutation.
Conclusions:
Sorafenib might be a promising anticancer agent for patients carrying KIT and PDGFRbeta gatekeeper mutations.
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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