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Updated: Mar 1, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Target Residence Time-Guided Optimization on TTK Kinase Results in Inhibitors with Potent Anti-Proliferative Activity
Joost C M Uitdehaag1, Jos de Man1, Nicole Willemsen-Seegers1
1Netherlands Translational Research Center B.V., Kloosterstraat 9, 5349AB Oss, The Netherlands.
Abstract:
The protein kinase threonine tyrosine kinase (TTK; also known as Mps1) is a critical component of the spindle assembly checkpoint and a promising drug target for the treatment of aggressive cancers, such as triple negative breast cancer. While the first TTK inhibitors have entered clinical trials, little is known about how the inhibition of TTK with small-molecule compounds affects cellular activity. We studied the selective TTK inhibitor NTRC 0066-0, which was developed in our own laboratory, together with 11 TTK inhibitors developed by other companies, including Mps-BAY2b, BAY 1161909, BAY 1217389 (Bayer), TC-Mps1-12 (Shionogi), and MPI-0479605 (Myrexis). Parallel testing shows that the cellular activity of these TTK inhibitors correlates with their binding affinity to TTK and, more strongly, with target residence time. TTK inhibitors are therefore an example where target residence time determines activity in in vitro cellular assays. X-ray structures and thermal stability experiments reveal that the most potent compounds induce a shift of the glycine-rich loop as a result of binding to the catalytic lysine at position 553. This "lysine trap" disrupts the catalytic machinery. Based on these insights, we developed TTK inhibitors, based on a (5,6-dihydro)pyrimido[4,5-e]indolizine scaffold, with longer target residence times, which further exploit an allosteric pocket surrounding Lys553. Their binding mode is new for kinase inhibitors and can be classified as hybrid Type I/Type III. These inhibitors have very potent anti-proliferative activity that rivals classic cytotoxic therapy. Our findings will open up new avenues for more applications for TTK inhibitors in cancer treatment.
Insights
Target residence time is key for TTK inhibitor efficacy in cancer cells. New inhibitors targeting the lysine at position 553 show potent anti-proliferative activity, offering new cancer treatment avenues.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Threonine tyrosine kinase (TTK), also known as Mps1, is crucial for the spindle assembly checkpoint.
- TTK is a promising drug target for aggressive cancers like triple-negative breast cancer.
- Understanding how TTK inhibitors affect cellular activity is vital as they enter clinical trials.
Purpose of the Study:
- To investigate the relationship between TTK inhibitor properties and cellular activity.
- To elucidate the mechanism of action for potent TTK inhibitors.
- To develop novel TTK inhibitors with enhanced efficacy.
Main Methods:
- Comparative analysis of 12 TTK inhibitors, including a novel laboratory-developed compound (NTRC 0066-0).
- In vitro cellular assays measuring binding affinity and target residence time.
- X-ray crystallography and thermal stability experiments to determine binding modes.
- Development and testing of novel TTK inhibitors based on a (5,6-dihydro)pyrimido[4,5-e]indolizine scaffold.
Main Results:
- Cellular activity of TTK inhibitors strongly correlates with target residence time.
- Potent inhibitors bind to TTK, causing a glycine-rich loop shift and forming a 'lysine trap' at Lys553.
- Novel inhibitors with extended target residence times exhibit potent anti-proliferative activity.
- A new hybrid Type I/Type III binding mode was identified for the developed inhibitors.
Conclusions:
- Target residence time is a critical determinant of TTK inhibitor efficacy in cellular assays.
- The 'lysine trap' mechanism provides a novel strategy for kinase inhibition.
- Developed TTK inhibitors demonstrate significant anti-proliferative potential, comparable to cytotoxic therapies.
- These findings open new possibilities for TTK inhibitor applications in cancer treatment.
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