Molecular Dynamics Analysis of Binding of Kinase Inhibitors to WT EGFR and the T790M Mutant

Jiyong Park1, Joseph J McDonald2, Russell C Petter2

  • 1Department of Chemistry and Biochemistry, University of California , Los Angeles, California 90095, United States.

Insights

The T790M gatekeeper mutation in EGFR affects drug binding, conferring resistance to inhibitors like gefitinib by altering protein states. This mutation impacts ATP binding and inhibitor selectivity, explaining resistance mechanisms in cancer therapy.

Area of Science:

  • Molecular Biology
  • Biochemistry
  • Computational Chemistry

Background:

  • Epidermal growth factor receptor (EGFR) inhibitors are crucial in cancer therapy, targeting signaling pathways driving tumor growth.
  • Acquired resistance to EGFR inhibitors often arises from mutations in the EGFR protein, particularly the T790M
  • gatekeeper
  • mutation.
  • Understanding these resistance mechanisms at a molecular level is vital for developing more effective treatments.

Purpose of the Study:

  • To investigate the molecular interactions between EGFR inhibitors and the gatekeeper T790M mutation.
  • To elucidate the thermodynamic and conformational changes associated with inhibitor binding to wild-type (WT) and mutant EGFR.
  • To explain the differential binding affinities and selectivity of EGFR inhibitors in the presence of the T790M mutation.

Main Methods:

  • Molecular dynamics (MD) simulations using NAMD v2.9.
  • Thermodynamic integration (TI) calculations with Amber14.
  • Metadynamics simulations to determine conformational equilibria between inactive and active EGFR states.

Main Results:

  • The T790M mutation increases the binding energy of gefitinib to EGFR by 3 kcal/mol compared to WT EGFR.
  • ATP binding energy to the T790M mutant is similar to WT EGFR, contributing to resistance.
  • The T790M mutation shifts the conformational equilibrium towards the active state, lowering its free energy by 5 kcal/mol relative to the inactive state.
  • AEE788 binding to the active state of EGFR incurs a 2 kcal/mol energy penalty due to conformational changes in the αC-helix, making it unfavorable for the T790M mutant.

Conclusions:

  • The T790M gatekeeper mutation plays a significant role in determining the selectivity of EGFR inhibitors.
  • Differential binding of ATP and conformational changes induced by inhibitors explain the observed resistance and selectivity patterns.
  • These findings provide insights into the molecular basis of acquired resistance to EGFR inhibitors and can guide the design of new therapeutic strategies.