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Updated: Aug 6, 2026

Kinase Inhibitor Screening In Self-assembled Human Protein Microarrays
Published on: October 23, 2019
Structural basis for a p21-activated kinase 4 and nicotinamide phosphoribosyltransferase dual inhibitor
Jaehui Park1, Hye Rim Hong2, Sang Hyun Han1
1College of Pharmacy, Chungbuk National University, Chungbuk 28160, South Korea.
Abstract:
Simultaneous inhibition of oncogenic signaling and metabolic pathways represents a promising approach for cancer therapy. KPT-9274, a clinical stage compound, has been reported as a dual inhibitor of p21-activated kinase 4 (PAK4) and nicotinamide phosphoribosyltransferase (NAMPT), but its structural basis has remained undefined. Here, we present high-resolution crystal structures of PAK4 and NAMPT in complex with KPT-7523, an analog of KPT-9274, determined at 2.20 and 1.45 Å resolution, respectively. In PAK4, the 2-aminopyridine moiety of KPT-7523 enables dual binding, occupying the adenine-binding site for ATP and simultaneously engaging the substrate-binding cleft in the C-lobe, thereby interfering with both catalytic and regulatory functions. In NAMPT, the same scaffold inserts into the NAD+ active site in an extended conformation that preserves critical interactions. Biophysical assays revealed distinct affinities across the two targets. These findings highlight the 2-aminopyridine moiety as a versatile pharmacophore that is adaptable to structurally unrelated proteins and provide a framework for designing next-generation dual inhibitors in cancer therapy.
Insights
This study reveals the structural basis for KPT-7523, a dual inhibitor of p21-activated kinase 4 (PAK4) and nicotinamide phosphoribosyltransferase (NAMPT), offering insights for novel cancer therapies.
Area of Science:
- Structural biology
- Molecular pharmacology
- Cancer therapeutics
Background:
- Simultaneous inhibition of oncogenic signaling and metabolic pathways is a key strategy in cancer therapy.
- KPT-9274 is a dual inhibitor of p21-activated kinase 4 (PAK4) and nicotinamide phosphoribosyltransferase (NAMPT), but its structural mechanism is unknown.
Purpose of the Study:
- To elucidate the structural basis of dual inhibition by KPT-9274, an analog, on PAK4 and NAMPT.
- To provide a structural framework for developing next-generation dual inhibitors for cancer treatment.
Main Methods:
- High-resolution crystal structures of PAK4 and NAMPT complexed with KPT-7523 were determined.
- Structural analysis focused on the binding modes and interactions of KPT-7523 within the active sites.
- Biophysical assays were employed to assess target affinities.
Main Results:
- Crystal structures revealed KPT-7523 binding to PAK4 and NAMPT at 2.20 Å and 1.45 Å resolution, respectively.
- In PAK4, KPT-7523's 2-aminopyridine moiety binds dual sites, inhibiting catalytic and regulatory functions.
- In NAMPT, KPT-7523 binds the NAD+ active site, preserving key interactions; distinct affinities were observed for each target.
Conclusions:
- The 2-aminopyridine moiety acts as a versatile pharmacophore adaptable to different protein targets.
- These structural insights facilitate the design of advanced dual inhibitors for enhanced cancer therapy.
- The study provides a foundation for developing novel therapeutic strategies targeting both signaling and metabolic pathways in cancer.
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