Structure-based optimization of tyrosine kinase inhibitor CLM3. Design, synthesis, functional evaluation, and

Stefania Sartini1, Vito Coviello, Agostino Bruno

  • 1Dipartimento di Farmacia, Università di Pisa , Via Bonanno 6, 56126 Pisa, Italy.

Insights

New pyrazolo[3,4-d]pyrimidine derivatives show potent inhibition of VEGFR2 and RET kinases. These compounds demonstrate improved antiproliferative effects against medullary thyroid cancer, including activity against the challenging RET(V804L) mutation.

Area of Science:

  • Medicinal Chemistry
  • Oncology
  • Molecular Biology

Background:

  • Thyroid carcinoma development is linked to receptor tyrosine kinases (RTKs), specifically VEGFR2 and RET.
  • Inhibition of these RTKs is a key therapeutic strategy for thyroid cancers.
  • Existing inhibitors often struggle with specific mutations, such as RET(V804L).

Purpose of the Study:

  • To synthesize and functionally evaluate novel 4-substituted pyrazolo[3,4-d]pyrimidine derivatives.
  • To optimize previously developed inhibitors for enhanced activity against VEGFR2 and RET.
  • To identify compounds effective against drug-resistant mutations like RET(V804L).

Main Methods:

  • Structure-based optimization of the CLM3 inhibitor scaffold.
  • Synthesis of three series of pyrazolo[3,4-d]pyrimidine derivatives (8a-g, 9a-g, 10a-g).
  • In vitro evaluation of inhibitory profiles against VEGFR2 and RET kinases.
  • Assessment of antiproliferative efficacy against the TT medullary thyroid cancer cell line.

Main Results:

  • Novel derivatives demonstrated improved inhibitory activity against both VEGFR2 and RET targets compared to the lead compound.
  • Compounds exhibited enhanced antiproliferative effects on the TT medullary thyroid cancer cell line.
  • Compounds 8b, 9c, and 10c successfully inhibited the kinase activity of the mutant RET(V804L).

Conclusions:

  • The novel pyrazolo[3,4-d]pyrimidine derivatives represent promising therapeutic agents for thyroid carcinomas.
  • These compounds offer improved efficacy and a broader inhibitory profile, including against resistant RET mutations.
  • Further development of these inhibitors could lead to more effective treatments for medullary thyroid cancer.