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  4. Crizotinib acts as ABL1 inhibitor combining ATP-binding with allosteric inhibition and is active against native BCR-ABL1 and its resistance and compound mutants BCR-ABL1(T315I) and BCR-ABL1(T315I-E255K)
 
research article

Crizotinib acts as ABL1 inhibitor combining ATP-binding with allosteric inhibition and is active against native BCR-ABL1 and its resistance and compound mutants BCR-ABL1(T315I) and BCR-ABL1(T315I-E255K)

Mian, Afsar Ali
•
Haberbosch, Isabella
•
Khamaisie, Hazem
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June 10, 2021
Annals Of Hematology

Resistance remains the major clinical challenge for the therapy of Philadelphia chromosome-positive (Ph+) leukemia. With the exception of ponatinib, all approved tyrosine kinase inhibitors (TKIs) are unable to inhibit the common "gatekeeper" mutation T315I. Here we investigated the therapeutic potential of crizotinib, a TKI approved for targeting ALK and ROS1 in non-small cell lung cancer patients, which inhibited also the ABL1 kinase in cell-free systems, for the treatment of advanced and therapy-resistant Ph+ leukemia. By inhibiting the BCR-ABL1 kinase, crizotinib efficiently suppressed growth of Ph+ cells without affecting growth of Ph- cells. It was also active in Ph+ patient-derived long-term cultures (PD-LTCs) independently of the responsiveness/resistance to other TKIs. The efficacy of crizotinib was confirmed in vivo in syngeneic mouse models of BCR-ABL1- or BCR-ABL1(T315I)-driven chronic myeloid leukemia-like disease and in BCR-ABL1-driven acute lymphoblastic leukemia (ALL). Although crizotinib binds to the ATP-binding site, it also allosterically affected the myristol binding pocket, the binding site of GNF2 and asciminib (former ABL001). Therefore, crizotinib has a seemingly unique double mechanism of action, on the ATP-binding site and on the myristoylation binding pocket. These findings strongly suggest the clinical evaluation of crizotinib for the treatment of advanced and therapy-resistant Ph+ leukemia.

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Type
research article
DOI
10.1007/s00277-020-04357-z
Web of Science ID

WOS:000659803200001

Author(s)
Mian, Afsar Ali
Haberbosch, Isabella
Khamaisie, Hazem
Agbarya, Abed
Pietsch, Larissa
Eshel, Elizabeh
Najib, Dally
Chiriches, Claudia
Ottmann, Oliver Gerhard
Hantschel, Oliver  
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Date Issued

2021-06-10

Publisher

SPRINGER

Published in
Annals Of Hematology
Volume

100

Start page

2023

End page

2029

Subjects

Hematology

•

crizotinib

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philadelphia chromosome-positive leukemia

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bcr-abl1

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tki resistance

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allosteric inhibition

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compound mutations

•

kinase

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mutations

•

domain

•

site

•

bcr

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPHAN  
Available on Infoscience
July 3, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/179752
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