Elucidating the potential effects of point mutations on FGFR3 inhibitor resistance via combined molecular dynamics

Bo Liu1,2,3, Juntao Ding1,2,3, Yugang Liu1,3

  • 1The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.

Insights

FGFR3 mutations decrease drug affinity for FGFR3 kinase, causing resistance to pan-FGFR inhibitors. Molecular dynamics simulations revealed mechanisms involving hinge region and A-loop alterations, guiding new inhibitor development.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Fibroblast Growth Factor Receptor 3 (FGFR3) kinase mutations are implicated in various cancers.
  • Developing effective inhibitors for FGFR3 mutant kinases is crucial, yet resistance mechanisms remain poorly understood.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying resistance to pan-FGFR inhibitors in the presence of FGFR3 mutations.
  • To provide a theoretical basis for designing novel FGFR3 mutant kinase inhibitors.

Main Methods:

  • Utilized molecular dynamics (MD) simulations for global and local analyses.
  • Employed binding free energy calculations, umbrella sampling, and community network analysis.

Main Results:

  • FGFR3 mutations were shown to reduce the binding affinity between inhibitors and FGFR3 kinase.
  • Identified potential resistance mechanisms including alterations in hinge region residue environment and A-loop interference with allosteric networks.

Conclusions:

  • Systematically elucidated the mechanism of pan-FGFR inhibitor resistance driven by FGFR3 mutations using MD simulations.
  • Findings offer theoretical guidance for the development of next-generation FGFR3 mutant kinase inhibitors.