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Updated: May 12, 2026

Identification of Novel CK2 Kinase Substrates Using a Versatile Biochemical Approach
Published on: February 21, 2019
Pharmacokinetic characterization of CK2 inhibitor CX-4945
You Hwa Son1, Jin Sook Song, Seong Hwan Kim
1Laboratory of Translational Therapeutics, Korea Research Institute of Chemical Technology, P.O. Box 107, Yuseong-gu, Daejeon, 305-600, Republic of Korea.
Abstract:
Over-expression of protein kinase CK2 is highly linked to the survival of cancer cells and the poor prognosis of patients with cancers. CX-4945, a potent and selective orally bioavailable ATP-competitive inhibitor of CK2, inhibits the oncogenic cellular events such as proliferation and angiogenesis, and the increase of tumor growth in mouse xenograft model. In this study, the pharmacokinetic information about CX-4945 was provided; at 10 μM, CX-4945 with high stability in human and rat liver microsome exhibited low percentage of inhibition (<10 %) in CYP450 isoforms (1A2, 2C19, 3A4), but considerable inhibition (~70 %) in CYP450 2C9 and 2D6. In hERG potassium channel inhibition assay, CX-4945 exhibited relatively low inhibition rate. Additionally, CX-4945 showed high MDCK cell permeability (>10 × 10(-6) cm/s) and above 98 % of plasma protein binding in the rat. After intravenous administration, Vss (1.39 l/kg) and extremely low CL (0.08 l/kg/h) were observed. Moreover, orally administrated CX-4945 showed high bioavailability (>70 %) and these data might be related to the MDCK cell permeability results.
Insights
CX-4945, a protein kinase CK2 inhibitor, shows promising pharmacokinetic properties for cancer treatment. It demonstrates high oral bioavailability and stability, suggesting potential as an effective anti-cancer drug.
Area of Science:
- Pharmacology
- Oncology
- Drug Development
Background:
- Protein kinase CK2 (CK2) overexpression is linked to cancer cell survival and poor patient prognosis.
- CX-4945 is an orally bioavailable, ATP-competitive inhibitor of CK2, known to impede cancer cell proliferation and angiogenesis.
Purpose of the Study:
- To characterize the pharmacokinetic profile of CX-4945.
- To evaluate the drug's metabolic stability, CYP450 interactions, hERG channel inhibition, cell permeability, and bioavailability.
Main Methods:
- Assessed CX-4945 stability in human and rat liver microsomes.
- Determined inhibition percentages across major CYP450 isoforms (1A2, 2C19, 3A4, 2C9, 2D6).
- Evaluated hERG potassium channel inhibition, MDCK cell permeability, plasma protein binding, and bioavailability after intravenous and oral administration in rats.
Main Results:
- CX-4945 exhibited high stability and low inhibition (<10%) of CYP1A2, 2C19, and 3A4, but considerable inhibition (~70%) of CYP2C9 and 2D6.
- Low hERG channel inhibition rate, high MDCK cell permeability (>10 × 10⁻⁶ cm/s), and >98% plasma protein binding were observed.
- Intravenous administration showed a Vss of 1.39 L/kg and low CL of 0.08 L/kg/h. Oral administration resulted in high bioavailability (>70%).
Conclusions:
- CX-4945 possesses favorable pharmacokinetic properties, including high oral bioavailability and good stability.
- The drug's pharmacokinetic profile, potentially linked to its high cell permeability, supports its potential as an orally administered anti-cancer therapeutic targeting CK2.
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