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Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
A drug discovery platform to identify compounds that inhibit EGFR triple mutants
Punit Saraon1, Jamie Snider1, Yannis Kalaidzidis2
1Donnelly Centre, University of Toronto, Toronto, Ontario, Canada.
Abstract:
Receptor tyrosine kinases (RTKs) are transmembrane receptors of great clinical interest due to their role in disease. Historically, therapeutics targeting RTKs have been identified using in vitro kinase assays. Due to frequent development of drug resistance, however, there is a need to identify more diverse compounds that inhibit mutated but not wild-type RTKs. Here, we describe MaMTH-DS (mammalian membrane two-hybrid drug screening), a live-cell platform for high-throughput identification of small molecules targeting functional protein-protein interactions of RTKs. We applied MaMTH-DS to an oncogenic epidermal growth factor receptor (EGFR) mutant resistant to the latest generation of clinically approved tyrosine kinase inhibitors (TKIs). We identified four mutant-specific compounds, including two that would not have been detected by conventional in vitro kinase assays. One of these targets mutant EGFR via a new mechanism of action, distinct from classical TKI inhibition. Our results demonstrate how MaMTH-DS is a powerful complement to traditional drug screening approaches.
Insights
A new live-cell screening platform, MaMTH-DS, identifies novel drugs targeting mutated receptor tyrosine kinases (RTKs). This approach found unique compounds effective against drug-resistant EGFR mutations, offering new therapeutic strategies.
Area of Science:
- Molecular Biology
- Pharmacology
- Oncology
Background:
- Receptor tyrosine kinases (RTKs) are critical in disease pathogenesis.
- Traditional drug discovery relies on in vitro kinase assays, which are limited in identifying compounds targeting resistant mutations.
- Drug resistance necessitates novel therapeutic strategies and screening methods for mutated RTKs.
Purpose of the Study:
- To introduce MaMTH-DS (mammalian membrane two-hybrid drug screening), a live-cell platform for high-throughput screening.
- To identify small molecules that target functional protein-protein interactions of RTKs, particularly mutant forms.
- To discover novel inhibitors for drug-resistant oncogenic mutations, such as in epidermal growth factor receptor (EGFR).
Main Methods:
- Development and application of the MaMTH-DS live-cell platform.
- Screening of small molecules targeting functional protein-protein interactions of RTKs.
- Application to an oncogenic, TKI-resistant EGFR mutant.
Main Results:
- Identification of four mutant-specific compounds targeting the oncogenic EGFR mutant.
- Two identified compounds were undetectable by conventional in vitro kinase assays.
- One compound exhibited a novel mechanism of action against mutant EGFR, distinct from classical tyrosine kinase inhibitors (TKIs).
Conclusions:
- MaMTH-DS is a powerful live-cell platform for discovering novel RTK inhibitors.
- This method complements traditional drug screening by identifying compounds targeting functional interactions and novel mechanisms.
- MaMTH-DS facilitates the discovery of therapeutics for drug-resistant mutations in RTKs.
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