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Biochemical reactions are occurring constantly in cells, converting starting substances to different products, usually with the help of enzymes that speed the reactions. Without enzymes, it would take far too long for most reactions to occur to be useful to the cell!
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Related Experiment Video

Updated: Dec 31, 2025

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Activation by substoichiometric inhibition.

Melisa Merdanovic1, Steven G Burston2, Anna Laura Schmitz1

  • 1Center of Medical Biotechnology, Faculty of Biology, University Duisburg-Essen, 45117 Essen, Germany.

Proceedings of the National Academy of Sciences of the United States of America
|January 8, 2020
PubMed
Summary

Drug inhibitors can paradoxically activate target proteins like BRAF V600E, especially at low doses. This "activation by inhibition" phenomenon, explained by allostery and cooperativity, has significant implications for drug development strategies.

Keywords:
HTRA1HtrA proteasesallosterycooperativityinhibitor

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Area of Science:

  • Biochemistry
  • Molecular Biology
  • Pharmacology

Background:

  • Paradoxical activation of the mitogen-activated protein kinase pathway by BRAF V600E inhibitors has been reported.
  • This phenomenon occurs when inhibitors target mutated BRAF (V600E) but not wild-type (wt-BRAF).

Purpose of the Study:

  • To conceptually analyze the general phenomenon of "activation by inhibition" using biochemical principles.
  • To explain the paradoxical activation observed with BRAF V600E inhibitors.

Main Methods:

  • Utilized bacterial and human HtrA proteases as model systems.
  • Performed a conceptual analysis based on allostery and cooperativity principles.

Main Results:

  • Substoichiometric inhibitor occupancy leads to partial inhibition but is overridden by activation of unliganded sites.
  • Cooperative enzymes can be activated rather than inhibited when inhibitor levels are not saturating.

Conclusions:

  • "Activation by inhibition" is explained by allosteric and cooperative binding mechanisms.
  • Non-saturating drug concentrations can lead to unintended activation of target enzymes, impacting drug efficacy.
  • Findings have critical implications for optimizing drug development and administration strategies.