Lamellarin 14, a derivative of marine alkaloids, inhibits the T790M/C797S mutant epidermal growth factor receptor

Naoyuki Nishiya1, Yusuke Oku1, Chie Ishikawa1

  • 1Division of Integrated Information for Pharmaceutical Sciences, Department of Clinical Pharmacy, Iwate Medical University School of Pharmacy, Yahaba, Japan.

Cancer Science
|February 5, 2021
PubMed

Insights

A new marine-derived compound, lamellarin 14, effectively targets the C797S mutant epidermal growth factor receptor (EGFR), overcoming resistance to current EGFR-tyrosine kinase inhibitors (TKIs). This discovery offers a promising strategy against acquired resistance in cancer therapy.

Area of Science:

  • Medicinal Chemistry
  • Molecular Biology
  • Pharmacology

Background:

  • Acquired resistance to molecularly targeted kinase inhibitors is a significant clinical challenge.
  • The C797S mutation in epidermal growth factor receptor (EGFR) confers resistance to third-generation EGFR-tyrosine kinase inhibitors (TKIs) like osimertinib.

Purpose of the Study:

  • To develop a novel class of EGFR-TKIs effective against resistance mutations.
  • To investigate the potential of derivatized marine alkaloids as EGFR-TKIs.

Main Methods:

  • Derivatization of the marine alkaloid lamellarin N to create new EGFR-TKI candidates.
  • Bioinformatic analyses to assess changes in biological activity.
  • In vitro studies using Ba/F3 and PC-9 cell lines with specific EGFR mutations (del ex19/T790M/C797S).
  • In vivo efficacy assessment in a mouse xenograft model.

Main Results:

  • Lamellarin 14, a novel derivative, demonstrated efficacy against the C797S mutant EGFR.
  • Bioinformatic analysis indicated a shift from topoisomerase inhibition to kinase inhibition activity.
  • Lamellarin 14 showed sensitivity in cells with EGFR del ex19/T790M/C797S mutations, comparable to cells with earlier resistance mutations.
  • In vivo studies confirmed lamellarin 14's ability to suppress tumor growth in a relevant mouse model.

Conclusions:

  • Lamellarin 14 represents a new structural class of EGFR-TKIs.
  • This compound effectively targets EGFR with the C797S resistance mutation.
  • Lamellarin 14 holds potential for preventing cross-resistance to existing EGFR-TKIs in cancer treatment.