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Updated: May 15, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Characterization of a novel PERK kinase inhibitor with antitumor and antiangiogenic activity
Charity Atkins1, Qi Liu, Elisabeth Minthorn
1GlaxoSmithKline, Oncology R&D, Collegeville, Pennsylvania 19426, USA.
Abstract:
The unfolded protein response (UPR) is a signal transduction pathway that coordinates cellular adaptation to microenvironmental stresses that include hypoxia, nutrient deprivation, and change in redox status. These stress stimuli are common in many tumors and thus targeting components of the UPR signaling is an attractive therapeutic approach. We have identified a first-in-class, small molecule inhibitor of the eukaryotic initiation factor 2-alpha kinase 3 (EIF2AK3) or PERK, one of the three mediators of UPR signaling. GSK2656157 is an ATP-competitive inhibitor of PERK enzyme activity with an IC(50) of 0.9 nmol/L. It is highly selective for PERK with IC(50) values >100 nmol/L against a panel of 300 kinases. GSK2656157 inhibits PERK activity in cells with an IC(50) in the range of 10-30 nmol/L as shown by inhibition of stress-induced PERK autophosphorylation, eIF2α substrate phosphorylation, together with corresponding decreases in ATF4 and CAAT/enhancer binding protein homologous protein (CHOP) in multiple cell lines. Oral administration of GSK2656157 to mice shows a dose- and time-dependent pharmacodynamic response in pancreas as measured by PERK autophosphorylation. Twice daily dosing of GSK2656157 results in dose-dependent inhibition of multiple human tumor xenografts growth in mice. Altered amino acid metabolism, decreased blood vessel density, and vascular perfusion are potential mechanisms for the observed antitumor effect. However, despite its antitumor activity, given the on-target pharmacologic effects of PERK inhibition on pancreatic function, development of any PERK inhibitor in human subjects would need to be cautiously pursued in cancer patients.
Insights
A novel small molecule inhibitor, GSK2656157, targets eukaryotic initiation factor 2-alpha kinase 3 (PERK), a key mediator of the unfolded protein response. This PERK inhibitor demonstrates significant antitumor activity in preclinical models, warranting cautious clinical development.
Area of Science:
- Molecular Biology
- Cellular Stress Response
- Cancer Therapeutics
Background:
- The unfolded protein response (UPR) is crucial for cellular adaptation to stress, with its components being attractive therapeutic targets in oncology.
- Tumor microenvironments frequently exhibit stress conditions like hypoxia and nutrient deprivation, activating the UPR.
Purpose of the Study:
- To identify and characterize a novel small molecule inhibitor of eukaryotic initiation factor 2-alpha kinase 3 (EIF2AK3), also known as PERK.
- To evaluate the in vitro and in vivo efficacy and safety of the PERK inhibitor GSK2656157 as a potential cancer therapeutic.
Main Methods:
- GSK2656157 was assessed for its inhibitory activity against PERK enzyme and a panel of kinases.
- In vitro studies evaluated GSK2656157's effect on PERK signaling pathways (autophosphorylation, eIF2α phosphorylation, ATF4, CHOP) in cancer cell lines.
- In vivo studies involved oral administration to mice bearing human tumor xenografts to assess pharmacodynamics and antitumor efficacy.
Main Results:
- GSK2656157 is a potent and selective ATP-competitive inhibitor of PERK (IC50 = 0.9 nmol/L).
- The compound effectively inhibited PERK signaling in multiple cell lines and demonstrated dose-dependent pharmacodynamic effects in mouse pancreas.
- GSK2656157 significantly inhibited the growth of human tumor xenografts in mice, with potential mechanisms including altered amino acid metabolism and reduced angiogenesis.
Conclusions:
- GSK2656157 represents a first-in-class PERK inhibitor with demonstrated preclinical antitumor activity.
- Further clinical development of PERK inhibitors requires careful consideration of on-target effects on pancreatic function.
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