Allostery: Allosteric Cancer Drivers and Innovative Allosteric Drugs

Ruth Nussinov1, Mingzhen Zhang2, Ryan Maloney2

  • 1Computational Structural Biology Section, Frederick National Laboratory for Cancer Research in the Laboratory of Cancer Immunometabolism, National Cancer Institute, Frederick, MD 21702, USA; Department of Human Molecular Genetics and Biochemistry, Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.

Insights

Allosteric drugs offer innovative therapeutic strategies by targeting protein conformations. Novel approaches like Proteolysis Targeting Chimeras (PROTACs) leverage these principles to degrade disease-causing proteins, advancing drug discovery.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Molecular Biology

Background:

  • Allosteric activating mutations alter protein function by changing downstream signaling.
  • The Ras signaling network provides a model for understanding allosteric mechanisms.
  • Abl kinase mutations can lead to drug-resistant conformations, impacting therapeutic efficacy.

Purpose of the Study:

  • To discuss the principles of allosteric activating mutations and their downstream effects.
  • To explore the development and application of allosteric drugs, including novel degraders.
  • To highlight examples from the Ras signaling network and Abl kinase.

Main Methods:

  • Analysis of allosteric activating mutations and signal propagation.
  • Review of allosteric drug design, including PROTACs and heterobifunctional degraders.
  • Examination of engineered linkers for precise target-E3 ligase orientation.

Main Results:

  • Mutations in Abl kinase favor active conformations that resist imatinib binding.
  • Allosteric inhibitors linked to PROTACs target specific sites like the Bcr-Abl1 myristoylation site.
  • Designed linkers in bifunctional degraders enable precise control over target degradation.

Conclusions:

  • Allosteric drugs, including PROTACs and molecular glues, represent a paradigm shift in drug discovery.
  • These agents can degrade targets rather than merely inhibiting them, offering new therapeutic avenues.
  • Covalent linkage of allosteric ligands with other molecules enhances drug efficacy and specificity.

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