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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Ruxolitinib mediated paradoxical JAK2 hyperphosphorylation is due to the protection of activation loop tyrosines from
Sivahari P Gorantla1, Lorenz Oelschläger2, Gerin Prince2
1Department of Hematology and Oncology, University Medical Center Schleswig-Holstein, and University Cancer Center Schleswig-Holstein, Lübeck, Germany. Sivahari.PrasadGorantla@uksh.de.
Abstract:
Myelofibrosis (MF) in 50% of cases is driven by an activating JAK2 mutation, mostly V617F. Ruxolinitib is approved for the treatment of MF. Responses to ruxolitinib in MF are of limited duration. Unexpectedly, treatment of JAK2-V617F expressing cells with ruxolitinib causes paradoxical hyperphosphorylation of JAK2 at activation loop Tyr1007/Tyr1008. The significance of ruxolitinib-induced JAK2 hyperphosphorylation is not well understood. We found that a ruxolitinib-resistant JAK2 variant (V617F + L983F) and a kinase dead mutant (JAK2-V617F + K882R) did not show paradoxical hyperphosphorylation after ruxolitinib treatment indicating that it is an intrinsic mechanism. Antibodies against pTyr1007/1008 failed to immunoprecipitate native JAK2-V617F in the presence of ruxolitinib, although JAK2-V617F was hyperphosphorylated at these sites, suggesting that in the presence of ruxolitinib the JAK2 activation loop is buried within the kinase domain. This stabilization of the activation loop conformation resulted in the protection of pTyr1007/1008 sites from phosphatases. Mutation of Arg975 and Lys999 to Ala reduced the phosphorylation at both Tyr1007/Tyr1008 residues, and notably, ruxolitinib treatment did not lead to JAK2 hyperphosphorylation. Importantly, hyperphosphorylated JAK2 after ruxolitinib dissociation displayed excess rebound activation of STAT5 target gene PIM kinase. Our results suggest a novel mode of kinase regulation by modulating kinase activity through conformational changes induced by ruxolitinib.Subject categories: JAK2-V617F, Ruxolitinib, JAK2 hyperphosphorylation, Phosphatases action, PIM kinases.
Insights
Ruxolitinib treatment paradoxically increases JAK2 phosphorylation in myelofibrosis cells. This leads to rebound activation of PIM kinase, suggesting a novel kinase regulation mechanism.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- Myelofibrosis (MF) is often driven by JAK2 V617F mutation.
- Ruxolitinib treats MF but responses are temporary.
- The mechanism of ruxolitinib resistance and JAK2 hyperphosphorylation is unclear.
Purpose of the Study:
- Investigate the significance of ruxolitinib-induced JAK2 hyperphosphorylation.
- Elucidate the role of JAK2 activation loop conformation in ruxolitinib response.
- Understand the downstream effects of ruxolitinib-mediated JAK2 modulation.
Main Methods:
- Utilized JAK2 V617F expressing cells and resistant/inactive mutants.
- Employed immunoprecipitation assays with phospho-specific antibodies.
- Analyzed STAT5 target gene PIM kinase activation.
Main Results:
- Ruxolitinib induced paradoxical JAK2 hyperphosphorylation at Tyr1007/Tyr1008.
- This hyperphosphorylation was an intrinsic JAK2 mechanism, dependent on specific residues.
- Ruxolitinib binding stabilized the JAK2 activation loop, protecting it from phosphatases.
- Hyperphosphorylated JAK2 showed rebound activation of PIM kinase after drug dissociation.
Conclusions:
- Ruxolitinib induces a conformational change in JAK2, protecting it from phosphatases.
- This leads to increased PIM kinase activation upon ruxolitinib dissociation.
- Suggests a novel regulatory mechanism of kinase activity via conformational changes.
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