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Updated: Jan 23, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Axitinib overcomes multiple imatinib resistant cKIT mutations including the gatekeeper mutation T670I in
Feiyang Liu1, Fengming Zou1, Cheng Chen2
1High Magnetic Field Laboratory, Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, Anhui, P. R. China Precision Medicine Research Laboratory of Anhui Province, Hefei, Anhui, P. R. China.
Background:
cKIT kinase overexpression and gain-of-function mutations are the critical pathogenesis of gastrointestinal stromal tumors (GISTs). Although the multiple kinase inhibitors such as imatinib, sunitinib, and regorafenib have been approved for GISTs, the acquisition of polyclonal secondary resistance mutations in KIT is still a limitation for GIST treatment. Here we explored the KIT inhibitory activity of axitinib in preclinical models and describe initial characterization of its activity in GIST patient-derived primary cells.
Methods:
The activities of axitinib against mutant KIT were evaluated using protein-based assay and a panel of engineered and GIST-derived cell lines. The binding modes of axitinib-KIT/KIT mutants were analyzed. Four primary cells derived from GIST patients were also used to assess the drug response of axitinib.
Results:
Axitinib exhibited potent activities against a variety of cKIT associated primary and secondary mutations. It displayed better activity against cKIT wild-type, cKIT V559D/A/G, and L576P primary gain-of-function mutations than imatinib, sunitinib, and regorafenib. In addition, it could inhibit imatinib resistant cKIT T670I and V654A mutants in vitro and in vivo GIST preclinical models.
Conclusion:
Our results provide the basis for extending the application of axitinib to GISTs patients who are unresponsive or intolerant to the current therapies.
Insights
Axitinib shows potent activity against various KIT mutations in gastrointestinal stromal tumors (GISTs), including those resistant to current therapies. This suggests axitinib as a potential new treatment option for GIST patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Gastrointestinal stromal tumors (GISTs) are driven by KIT kinase mutations.
- Approved therapies like imatinib face limitations due to acquired resistance mutations in KIT.
- Novel therapeutic strategies are needed to overcome treatment resistance in GIST.
Purpose of the Study:
- To investigate the KIT inhibitory activity of axitinib in preclinical GIST models.
- To evaluate axitinib's efficacy against primary and secondary KIT mutations.
- To assess axitinib's potential as a treatment for GIST patients resistant to existing therapies.
Main Methods:
- Assessed axitinib activity against wild-type and mutant KIT using protein-based assays.
- Utilized engineered and GIST-derived cell lines to evaluate drug response.
- Analyzed axitinib binding modes to KIT and its mutants.
- Tested axitinib in GIST patient-derived primary cells and preclinical models.
Main Results:
- Axitinib demonstrated potent inhibition of various primary and secondary KIT mutations.
- Axitinib showed superior activity against certain KIT mutations compared to imatinib, sunitinib, and regorafenib.
- Axitinib effectively inhibited imatinib-resistant KIT mutants (T670I, V654A) in vitro and in vivo.
Conclusions:
- Axitinib exhibits significant anti-tumor activity in preclinical GIST models.
- Results support the potential use of axitinib for GIST patients unresponsive or intolerant to current treatments.
- Axitinib represents a promising therapeutic candidate for overcoming resistance in GIST.
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