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Updated: Jun 8, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Allosteric inhibition of BCR-ABL
A Quamrul Hassan1, Sreenath V Sharma, Markus Warmuth
1Novartis Institute for Biomedical Research, Cambridge, Massachusetts, USA. quamrul.hassan@novartis.com
Abstract:
Impaired regulation of kinase activity can lead to a variety of diseases, including cancer. Inhibition of kinase activity has, therefore, been considered an attractive anti-cancer therapeutic strategy. The success of targeted therapy with kinase inhibitors has been well documented with BCR-ABL, where imatinib specifically inhibits kinase activity with impressive pharmacological responses in chronic myelogenous leukemia (CML). However, the success of kinase inhibitors as cancer therapeutics is being challenged clinically by the emergence of acquired resistance. Most kinase inhibitors available today are ATP-competitive. There have been efforts to develop kinase inhibitors with new modes of action. In this review, we highlight the development of 'allosteric kinase inhibitors' that inhibit kinase activity by binding to a site remote from the active site of the kinase. We focus on recent efforts directed towards BCR-ABL, for which, significant progress has been made to develop allosteric inhibitors with promising therapeutic activity, especially in the context of overcoming clinically acquired resistance mutations to the first generation of ATP-competitive kinase inhibitors.
Insights
Allosteric kinase inhibitors offer a new therapeutic strategy for cancer by targeting a different site than traditional drugs. These inhibitors show promise in overcoming resistance to existing treatments, particularly for BCR-ABL-related diseases like chronic myelogenous leukemia (CML).
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Impaired kinase regulation is linked to various diseases, including cancer, making kinase inhibition a key therapeutic strategy.
- First-generation kinase inhibitors, like imatinib for BCR-ABL in chronic myelogenous leukemia (CML), have shown success but face challenges due to acquired resistance.
- Current ATP-competitive kinase inhibitors are limited by the emergence of resistance mutations.
Purpose of the Study:
- To review the development of allosteric kinase inhibitors as a novel therapeutic approach.
- To highlight progress in developing allosteric inhibitors targeting BCR-ABL.
- To discuss the potential of allosteric inhibitors in overcoming acquired resistance to ATP-competitive drugs.
Main Methods:
- Review of recent scientific literature on allosteric kinase inhibitors.
- Focus on inhibitors targeting the BCR-ABL kinase.
- Analysis of strategies to overcome resistance mutations.
Main Results:
- Allosteric kinase inhibitors bind to a site remote from the kinase active site, offering a distinct mechanism of action.
- Significant progress has been made in developing allosteric inhibitors for BCR-ABL.
- These novel inhibitors demonstrate promising therapeutic activity against resistant mutations.
Conclusions:
- Allosteric kinase inhibitors represent a promising new class of anti-cancer therapeutics.
- Targeting BCR-ABL with allosteric inhibitors is a viable strategy to combat acquired resistance in CML.
- Further development of allosteric inhibitors holds potential for improved cancer treatment outcomes.
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