Mutation-oriented profiling of autoinhibitory kinase conformations predicts RAF inhibitor efficacies

Johanna E Mayrhofer1, Florian Enzler1,2, Andreas Feichtner1

  • 1Institute of Biochemistry and Center for Molecular Biosciences, University of Innsbruck, 6020 Innsbruck, Austria.

Insights

A new KinCon biosensor tracks kinase activity in real-time, revealing how specific mutations impact cancer drug effectiveness. This technology aids in selecting personalized, mutation-oriented cancer therapies for improved patient outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Kinase-targeted therapies offer promise for cancer treatment but require mutation-specific drug selection due to distinct kinase alterations.
  • Cancer-driving mutations reshape kinase conformations, influencing their activity and response to inhibitors.
  • Understanding these mutation-specific conformational changes is crucial for effective, personalized cancer therapy.

Purpose of the Study:

  • To introduce and validate the kinase conformation (KinCon) reporter platform for real-time, live-cell measurement of kinase activity states.
  • To investigate the impact of common BRAF cancer mutations on kinase conformations and their response to BRAF inhibitors (BRAFi).
  • To demonstrate the utility of KinCon reporters in predicting drug efficacy for various BRAF mutations.

Main Methods:

  • Development of a bioluminescence-based KinCon biosensor for tracking full-length kinase conformation dynamics in intact cells.
  • Application of KinCon reporters to measure the effects of patient-derived BRAF mutations on kinase activity and drug engagement.
  • Validation of KinCon-based drug efficacy predictions using proliferation assays and downstream signaling analysis in patient-derived lung cancer cell lines.

Main Results:

  • KinCon reporters successfully tracked real-time kinase conformation dynamics, revealing mutation-specific alterations in kinase activity.
  • The efficacy of clinically approved BRAFi (vemurafenib, encorafenib, dabrafenib) and a preclinical compound (PLX8394) varied significantly based on patient BRAF mutations.
  • KinCon-based predictions of drug efficacy for non-V600E BRAF mutations were confirmed in proliferation assays and signaling analyses.

Conclusions:

  • The KinCon reporter platform enables live-cell, real-time assessment of kinase conformation states and their response to targeted therapies.
  • KinCon profiling provides mechanistic insights into mutation-specific kinase behavior and drug interactions, facilitating personalized cancer treatment decisions.
  • The KinCon reporter concept is extendable to other kinases, offering a versatile tool for advancing mutation-oriented cancer therapy.

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