Design and Synthesis of 2-Aminopyrazolpyrimidopyridone Derivatives as RETV 804M and RETG 810C Kinase Inhibitors

Jiayi Shen1, Anzhi Li1, Jieman Lin1

  • 1Jiangxi Provincial Key Laboratory of Synthetic Pharmaceutical Chemistry, Gannan Normal University, Ganzhou, China.

PubMed

Insights

New 2-aminopyrazolpyrimidopyridone derivatives were developed to overcome acquired resistance to RET inhibitors like pralsetinib. Compound 7qe shows promise as a lead for novel inhibitors targeting RET V804M and G810C mutations in cancer.

Area of Science:

  • Medicinal Chemistry
  • Oncology
  • Drug Discovery

Background:

  • The rearranged during transfection (RET) tyrosine kinase is oncogenic in several cancers.
  • Acquired resistance to RET inhibitors, such as pralsetinib, often involves solvent-front mutations (e.g., RETG810R/S/C), limiting therapeutic efficacy.

Purpose of the Study:

  • To design and synthesize novel 2-aminopyrazolpyrimidopyridone derivatives as inhibitors of RETV804M and RETG810C solvent-front mutants.
  • To overcome pralsetinib resistance mediated by these specific RET mutations.

Main Methods:

  • Synthesis of a series of 2-aminopyrazolpyrimidopyridone derivatives.
  • In vitro evaluation of inhibitory potency against BaF3 cells harboring CCDC6-RETV804M and CCDC6-RETG810C mutations.
  • Assessment of compound effects on RET activation and downstream signaling pathways.

Main Results:

  • Compound 7la demonstrated inhibitory activity against RETV804M (IC50 = 0.271 μM).
  • Compound 7qe effectively suppressed cells with RETV804M (IC50 = 0.841 μM) and RETG810C (IC50 = 0.272 μM) mutations.
  • Compound 7qe dose-dependently inhibited RET activation and downstream signaling.

Conclusions:

  • The synthesized 2-aminopyrazolpyrimidopyridone derivatives show potential for overcoming pralsetinib resistance.
  • Compound 7qe is identified as a promising lead compound for developing novel RETV804M and RETG810C inhibitors, despite limitations in pharmacokinetic properties.