Synthesis, Structure-Activity Relationships, and Antitumor Activities of Quinoxiline-Containing Inhibitors of the Protein-Protein Interactions between Transcription Coactivator AF9/ENL and DOT1L/AF4
Chandra Bhushan Mishra1, Xin Li1,2, Bala Krishna Moku1
1Verna and Marrs McLean Department of Biochemistry and Molecular Pharmacology, Baylor College of Medicine, 1 Baylor Plaza, Houston, Texas 77030, United States.
Abstract:
Mixed lineage leukemia (MLL) gene rearrangements cause ∼75% of acute leukemia in infants and 5-10% in children and adults with poor clinical outcomes. Protein-protein interactions (PPI) between frequent MLL fusion partners AF9/ENL and AF4 or histone methyltransferase DOT1L are drug targets for MLL-rearranged (MLL-r) leukemia. Sixty-seven quinoxiline compounds were synthesized and tested for their ability to inhibit such PPIs. Compounds 16, 17, 59, and 63 were found to be potent inhibitors with IC50 values of 0.35-1.5 μM. Structure-activity relationships are discussed. Potent inhibitors can suppress the expression of MLL target genes Myc and Meis1 and selectively block the proliferation of MLL-r and several other leukemia cells with EC50 values as low as 0.84 μM. Compound 17 exhibited significant antitumor activities in a mouse model of MLL-r leukemia without overt toxicities. It also showed favorable pharmacokinetics in mice. These results indicate that compound 17 is a promising pharmaceutical lead for the treatment of MLL-r leukemia.
Insights
New quinoxaline compounds effectively inhibit protein-protein interactions in Mixed Lineage Leukemia (MLL)-rearranged leukemia. Compound 17 shows promise as a targeted therapy, demonstrating antitumor activity and favorable pharmacokinetics in preclinical models.
Area of Science:
- Oncology
- Medicinal Chemistry
- Molecular Biology
Background:
- Mixed Lineage Leukemia (MLL) gene rearrangements are a significant cause of infant acute leukemia and contribute to adult cases, often with poor prognoses.
- Targeting protein-protein interactions (PPIs) involving MLL fusion partners and DOT1L is a key strategy for MLL-rearranged (MLL-r) leukemia treatment.
Purpose of the Study:
- To synthesize and evaluate novel quinoxaline compounds as inhibitors of MLL-r leukemia-associated PPIs.
- To identify potent and selective inhibitors with potential therapeutic applications.
Main Methods:
- Synthesis of 67 quinoxaline compounds.
- In vitro testing for inhibition of MLL fusion partner PPIs and cellular proliferation.
- Structure-activity relationship (SAR) analysis.
- In vivo evaluation of compound 17 in a mouse model of MLL-r leukemia.
Main Results:
- Four compounds (16, 17, 59, 63) demonstrated potent PPI inhibition (IC50: 0.35-1.5 μM).
- Inhibitors suppressed MLL target genes (Myc, Meis1) and selectively inhibited leukemia cell proliferation (EC50: as low as 0.84 μM).
- Compound 17 exhibited significant antitumor efficacy and favorable pharmacokinetics in a preclinical MLL-r leukemia mouse model without apparent toxicity.
Conclusions:
- Novel quinoxaline derivatives are effective inhibitors of MLL-r leukemia-associated PPIs.
- Compound 17 represents a promising pharmaceutical lead for MLL-r leukemia treatment due to its efficacy, selectivity, and pharmacokinetic profile.
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