Mutant-selective AKT inhibition through lysine targeting and neo-zinc chelation

Gregory B Craven1, Hang Chu2, Jessica D Sun2

  • 1Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA, USA.

Nature
|November 7, 2024
PubMed

Insights

Researchers developed a novel inhibitor targeting the AKT1 (E17K) mutation, a common driver in many cancers. This mutant-selective approach avoids hyperglycemia side effects seen with other AKT inhibitors, offering a promising new cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Somatic alterations in the AKT1 kinase, particularly the E17K mutation, are prevalent in various solid tumors.
  • The AKT1 E17K mutation leads to constitutive signaling, driving oncogenesis.
  • Existing pan-AKT inhibitors cause dose-limiting hyperglycemia, necessitating the development of mutant-selective inhibitors.

Purpose of the Study:

  • To design and develop novel, mutant-selective inhibitors targeting the AKT1 E17K mutation.
  • To overcome the challenge of achieving selectivity over wild-type AKT paralogs.
  • To explore a new therapeutic strategy for AKT1 (E17K)-driven cancers.

Main Methods:

  • Design of allosteric, lysine-targeted salicylaldehyde inhibitors.
  • Crystallographic analysis of inhibitor-kinase complexes.
  • In vitro and in vivo evaluation in AKT1 (E17K) xenograft models.
  • Assessment of Zn2+ recruitment and inhibition in cellular models.

Main Results:

  • Developed salicylaldehyde inhibitors with selectivity for AKT1 (E17K).
  • Discovered unexpected Zn2+ chelation by the inhibitor-kinase adduct, enhancing sustained inhibition.
  • Demonstrated efficacy in AKT1 (E17K) tumor xenografts without inducing hyperglycemia.
  • Achieved exquisite residence-time-based selectivity by targeting the mutant lysine and Zn2+ chelation.

Conclusions:

  • Targeting the AKT1 E17K mutant lysine with salicylaldehyde inhibitors, coupled with Zn2+ chelation, offers a highly selective approach.
  • This strategy provides a potential therapeutic window for treating AKT1 (E17K)-driven cancers without dose-limiting hyperglycemia.
  • The findings highlight a novel mechanism for achieving mutant-specific kinase inhibition.