A selective WDR5 degrader inhibits acute myeloid leukemia in patient-derived mouse models

Xufen Yu1,2, Dongxu Li3,4, Jithesh Kottur1,2

  • 1Mount Sinai Center for Therapeutics Discovery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Insights

Pharmacological degradation of WD40 repeat domain protein 5 (WDR5) offers a new cancer therapy. A novel WDR5 degrader, MS67, effectively suppressed tumor growth in preclinical models, outperforming traditional protein-protein interaction inhibitors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Structural Biology

Background:

  • Interactions of WD40 repeat domain protein 5 (WDR5) with partners like MLL and c-MYC are crucial for cancer development.
  • Existing inhibitors targeting WDR5 protein-protein interactions (PPIs) show limited efficacy in cancer treatment.

Purpose of the Study:

  • To explore pharmacological degradation of WDR5 as a therapeutic strategy for WDR5-dependent cancers.
  • To design and validate a novel WDR5 degrader using structure-based drug design.

Main Methods:

  • Structure-based drug design to identify a WDR5 degrader.
  • Determination of high-resolution crystal structures of WDR5-degrader-E3 ligase ternary complexes.
  • In vitro and in vivo evaluation of the degrader's antitumor activity and selectivity.

Main Results:

  • An effective WDR5 degrader, MS67, was identified and characterized.
  • MS67 demonstrated potent and selective WDR5 depletion, surpassing PPI inhibitors in suppressing WDR5-regulated gene transcription and protein binding.
  • MS67 inhibited cancer cell proliferation and suppressed tumor growth in MLL-rearranged acute myeloid leukemia models with good tolerability.

Conclusions:

  • Pharmacological degradation is a viable therapeutic strategy for WDR5-dependent tumors.
  • Structure-based design is effective for developing potent WDR5 degraders.
  • MS67 shows promise as a novel therapeutic agent for specific cancers.