Exploring Degradation of Mutant and Wild-Type Epidermal Growth Factor Receptors Induced by Proteolysis-Targeting

Xufen Yu1, Meng Cheng2,3, Kaylene Lu3

  • 1Mount Sinai Center for Therapeutics Discovery, Departments of Pharmacological Sciences, Oncological Sciences and Neuroscience, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York 10029, United States.

Insights

New proteolysis-targeting chimeras (PROTACs) selectively degrade mutant epidermal growth factor receptor (EGFR) over wild-type (WT) EGFR. This selectivity mechanism involves ternary complex formation and offers a potential therapeutic strategy for WT EGFR-overexpressing cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Existing epidermal growth factor receptor (EGFR) proteolysis-targeting chimeras (PROTACs) degrade mutant EGFR but not wild-type (WT) EGFR.
  • The mechanism behind this selectivity remains unclear, limiting therapeutic applications.

Purpose of the Study:

  • To discover novel EGFR degraders with enhanced selectivity.
  • To elucidate the molecular mechanism of selective mutant EGFR degradation.
  • To explore therapeutic strategies for WT EGFR-overexpressing cancers.

Main Methods:

  • Structure-activity relationship studies to identify new EGFR degraders (Compounds 31 and 72).
  • Mechanistic studies investigating degradation pathways (ubiquitination/proteasome and autophagy/lysosome).
  • Analysis of ternary complex formation between EGFR, PROTAC, and E3 ligase.
  • Inhibition of phosphoinositide 3-kinase (PI3K) to assess effects on WT EGFR degradation.

Main Results:

  • Discovery of two novel EGFR degraders, 31 (MS9449) and 72 (MS9427), that selectively degrade mutant EGFR.
  • Demonstration that both mutant and WT EGFR degrade via ubiquitination/proteasome and autophagy/lysosome pathways.
  • Identification of preferential ternary complex formation between mutant EGFR, PROTACs, and E3 ligase.
  • PI3K inhibition sensitizes WT EGFR to PROTAC degradation and enhances anti-proliferation activity in cancer cells.

Conclusions:

  • Compounds 31 and 72 exhibit selective degradation of mutant EGFR.
  • The formation of EGFR-PROTAC-E3 ligase ternary complexes is crucial for selectivity.
  • Combining PI3K inhibitors with EGFR degraders presents a promising therapeutic strategy for WT EGFR-overexpressing cancers.

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