TARGETING PROTEIN KINASES FOR CANCER THERAPY TARGETING PROTEIN KINASES FOR CANCER THERAPY David J. Matthews Mary E. Gerritsen AJOHNWILEY&SONS,INC.,PUBLICATION Copyright©2010byJohnWiley&Sons,Inc.Allrightsreserved PublishedbyJohnWiley&Sons,Inc.,Hoboken,NewJersey PublishedsimultaneouslyinCanada. Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmittedinanyform orbyanymeans,electronic,mechanical,photocopying,recording,scanning,orotherwise,exceptas permittedunderSection107or108ofthe1976UnitedStatesCopyrightAct,withouteithertheprior writtenpermissionofthePublisher,orauthorizationthroughpaymentoftheappropriateper-copyfee totheCopyrightClearanceCenter,Inc.,222RosewoodDrive,Danvers,MA01923,(978)750-8400, fax(978)750-4470,oronthewebatwww.copyright.com.RequeststothePublisherforpermission shouldbeaddressedtothePermissionDepartment,JohnWiley&Sons,Inc.,111RiverStreet, Hoboken,NJ07030,(201)748-6011,fax(201)748-6008,oronlineat http://www.wiley.com/go/permission. 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Wileyalsopublishesitsbooksinavarietyofelectronicformats.SomeContentthatappearsinprint maynotbeavailableinelectronicformats.FormoreinformationaboutWileyproducts,visitourweb siteatwww.wiley.com. LibraryofCongressCataloging-in-PublicationData: Matthews,DavidJ.(DavidJohn),1965– Targetingproteinkinasesforcancertherapy/DavidJ.Matthews,MaryE.Gerritsen. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-0-470-22965-1(cloth) 1.Proteinkinases–Inhibitors–Therapeuticuse.2.Antineoplasticagents.3.Protein kinases.I.Gerritsen,MaryE.II.Title. [DNLM:1.Neoplasms–drugtherapy.2.ProteinKinaseInhibitors–therapeuticuse.3. DrugDiscovery.4.DrugResistance,Neoplasm.5.ProteinKinases–physiology.6.Protein- TyrosineKinases–antagonists&inhibitors.QZ267M438t2009] RC271.P76M382009 615(cid:2).798–dc22 2009020804 PrintedintheUnitedStatesofAmerica 10987654321 CONTENTS Preface xi Acknowledgments xiii 1 KINASESANDCANCER 1 1.1 A BriefHistoryofProteinPhosphorylation 1 1.2 KinasesandCancer 3 1.3 A Tourof theHuman ProteinKinaseSuperfamily 8 1.3.1 TyrosineKinaseGroup 12 1.3.2 TKL(TyrosineKinase-like)Group 22 1.3.3 STE Group 25 1.3.4 CSNK1Group 27 1.3.5 AGCGroup 28 1.3.6 CAMKGroup 30 1.3.7 CMGCGroup 32 1.3.8 RGCGroup 36 1.3.9 Others 36 1.3.10 AtypicalProteinKinases 41 1.3.11 NonproteinKinases 41 1.4 StrategicConsiderationsforSelectingKinasesas DrugTargets 46 1.5 Comparisonof KinaseInhibitorTherapeuticStrategies 51 1.5.1 Small MoleculeVersusAntibody-DirectedTherapies 51 1.5.2 AlternativeStrategiesforKinaseInhibition 51 References 58 2 PROTEINKINASESTRUCTURE,FUNCTION,ANDREGULATION 75 2.1 LigandBindingto ReceptorTyrosineKinases 76 2.1.1 EGF:EGFReceptorInteractions 76 2.1.2 Insulin:InsulinReceptorand IGF1:IGF1R 78 2.1.3 FGF:FGFReceptor(Heparin/HeparanSulfate)Interactions 79 2.1.4 VEGF:VEGFReceptorInteractions 80 2.1.5 Angiopoietin2:TIE2ReceptorInteractions 80 2.1.6 Ephrin:EPHReceptor Interactions 82 2.1.7 TheRoleof TransmembraneDomains 82 2.2 ProteinKinaseDomainStructureand Function 83 2.3 CatalyticActivityofProteinKinases 87 2.3.1 Steady StateKinetics 87 2.3.2 ChemistryofProteinKinaseCatalysis 89 2.4 ProteinKinaseRegulation 91 2.4.1 RegulationViaActivationSegment Phosphorylation 92 v vi CONTENTS 2.4.2 RegulationbyN-TerminalSequencesand Domains 96 2.4.3 C-TerminalRegulatoryRegions 98 2.4.4 RegulationbyOtherDomainsand PartnerProteins 102 References 107 3 RECEPTORTYROSINEKINASES 119 3.1 EGF/ERBBReceptors 120 3.1.1 ERBBReceptorsandCancer 128 3.2 Insulin/IGFReceptors 130 3.2.1 Insulin/IGFReceptorsandCancer 134 3.3 AnaplasticLymphomaKinase 136 3.3.1 ALK andCancer 137 3.4 VEGFReceptors(VEGFR1,VEGFR2,VEGFR3) 140 3.5 PDGFReceptors 146 3.5.1 PDGFRsandCancer 149 3.6 FGFReceptors 153 3.6.1 FGFRsandCancer 156 3.7 KIT 158 3.7.1 KITandCancer 160 3.8 FLT3 165 3.8.1 FLT3 and Cancer 167 3.9 RET 168 3.9.1 RETand ThyroidCarcinoma 169 3.10 METand RON 170 3.10.1 MET 170 3.10.2 RON 175 References 177 4 NONRECEPTORTYROSINEKINASES 215 4.1 ABL 216 4.2 ARG 223 4.3 SRCand SRCFamilyKinases 224 4.3.1 SRC 228 4.3.2 CellularRolesof SRC 232 4.3.3 SRCand Cancer 234 4.4 FAK 235 4.4.1 FAK andCancer 238 4.5 JAK2 238 4.5.1 ActivationandKnownMutationsand Fusionsof theJAK Familyof TyrosineKinases 241 4.5.2 FurtherRolesofJAK2 inTumorGrowth 243 References 246 5 INTRACELLULARSIGNALTRANSDUCTIONCASCADES 265 5.1 ThePI3K/PTENPathway 266 5.1.1 PI3K 267 CONTENTS vii 5.1.2 PDK1 270 5.1.3 AKT 271 5.1.4 OtherAGCKinases 273 5.1.5 PI3KPathway ActivationinCancer 275 5.2 mTOR Signaling 279 5.2.1 mTOR 279 5.2.2 p70S6Kinase 282 5.2.3 mTOR Pathway ActivationinCancer 283 5.3 MAPKSignalingPathways 284 5.3.1 ERK/MAPKSignaling 285 5.3.2 RAFFamily Kinases 286 5.3.3 MEK andERK Kinases 289 5.3.4 ERK/MAPKPathwayActivationinCancer 291 5.4 PIMKinases 293 5.5 ProteinKinaseC 294 5.5.1 PKCActivation 295 5.5.2 ClassicalPKCs 298 5.5.3 NovelPKCs 299 5.5.4 AtypicalPKCs 300 References 301 6 CELLCYCLECONTROL 327 6.1 Cyclin-DependentKinases(CDKs)and CellCycleProgression 327 6.1.1 Introduction 328 6.1.2 CDK4and CDK6 332 6.1.3 CDK2 334 6.1.4 CDK3 337 6.1.5 CDK1 337 6.1.6 CDK10 341 6.1.7 CCRK/CDCH/p42 341 6.2 CDKsand mRNAProduction 342 6.2.1 Introduction 342 6.2.2 CDK7 344 6.2.3 CDK8 346 6.2.4 CDK9 347 6.2.5 CDK11 349 6.2.6 CDK12(CDC2-RelatedKinaseCRKRS) 350 6.2.7 CDK13(CDC2L5) 351 6.3 OtherCDK-RelatedKinases 352 6.3.1 CDK5 352 6.3.2 GAK 353 6.4 MitoticKinases 354 6.4.1 PLKs 356 6.4.2 AuroraKinases 359 6.5 CellCycleCheckpointKinases 361 6.5.1 ATM, ATR,and DNAPK 362 6.5.2 CHK1,CHK2,andMAPKAPK2 364 References 368 viii CONTENTS 7 STRUCTURALBIOCHEMISTRYOFKINASEINHIBITORS 391 7.1 StrategiesforInhibitorDesign 392 7.1.1 TargetingtheActiveVersusInactiveForm 392 7.1.2 ATP-CompetitiveVersusNoncompetitiveInhibitors 393 7.1.3 SpecificVersusMultitargetedInhibitors 394 7.2 Architectureof theATP BindingSite:DFG-in 396 7.3 CaseStudy:InhibitorsofCHK1 399 7.4 CaseStudy:InhibitorsofCDK2 407 7.5 CaseStudy:InhibitorsofSRC FamilyKinases 413 7.6 CaseStudy:EGFReceptor Inhibitors 416 7.7 TargetingtheInactiveConformation 420 7.7.1 BindingModeofImatinib 421 7.7.2 Bindingof BAY-43-9006(Sorafenib)totheInactiveBRAFKinase 423 7.8 NoncompetitiveInhibition 424 7.9 KinaseInhibitorSpecificity 426 References 429 8 TYROSINEKINASEINHIBITORS 435 8.1 BCR-ABLInhibitors 435 8.2 SRCInhibitors 446 8.3 JAK2Inhibitors 448 8.4 EGFR/ERBBInhibitors 452 8.4.1 DeterminantsofResponseandResistancetoERBB Inhibitors 455 8.5 IGF1RInhibitors 470 8.6 FLT3 Inhibitors 472 8.7 KITInhibitors 480 8.8 MET/RONInhibitors 490 8.9 RETInhibitors 496 8.10 OtherInhibitors 498 8.10.1 FAK 498 8.10.2 TGFβReceptor 499 References 500 9 ANGIOKINASEINHIBITORS 527 9.1 Introduction 527 9.2 AngiokinaseInhibitors 530 References 555 10 INTRACELLULARSIGNALINGKINASEINHIBITORS 567 10.1 mTOR Inhibitors 567 10.1.1 ClinicalPharmacodynamicsand TolerabilityofmTOR Inhibitors 569 10.2 PI3KInhibitors 578 10.3 RAFKinaseInhibitors 582 10.4 MEK Inhibitors 584 10.5 CDKInhibitors 587 10.6 CellCycleCheckpointKinaseInhibitors 593 10.7 MitoticKinaseInhibitors 597 CONTENTS ix 10.7.1 PLK Inhibitors 597 10.7.2 AuroraKinaseInhibitors 599 10.8 ProteinKinaseC Inhibitors 604 References 605 11 CURRENTCHALLENGESANDFUTUREDIRECTIONS 623 11.1 KinaseInhibitorDrugResistance 623 11.1.1 Efflux Pumpsand DrugTransporters 626 11.1.2 OtherDMPK Factors 627 11.1.3 Target Mutation 628 11.1.4 Target Overexpressionand Activation 631 11.1.5 DownstreamPathway Activation 632 11.1.6 RedundantReceptors/Pathways 633 11.2 CombinationTherapy WithKinaseInhibitors 635 11.2.1 AngiogenesisInhibitorsand Chemotherapy 637 11.2.2 SurvivalPathway InhibitorsandChemotherapy/TargetedTherapy 638 11.2.3 DNA DamageCheckpointInhibitorsand Chemotherapy 639 11.2.4 RTK Switching:TargetingReceptorRedundancy 640 11.3 SystemsBiologyand TranslationalMedicine 641 11.3.1 ClassificationofTumorsand PredictionofResponse: ExpressionProfiling 642 11.3.2 PhosphoproteinAnalysis,Kinomics,andSystems-Based Approaches 645 11.3.3 TranslationalMedicine 647 11.4 Conclusions 652 References 653 ListofAbbreviations 665 Index 689 x CONTENTS These Appendices referred to in the text can be found on Wiley ftp site at the following address: ftp://ftp.wiley.com/public/sci_tech_med/protein_kinase AppendixI TumorAssociatedMutationsinEGFR AppendixII TumorAssociatedMutationsinERBB2 AppendixIII TumorAssociatedMutationsinALK AppendixIV TumorAssociatedMutationsinPDGFRα AppendixV TumorAssociatedMutationsinFGFR1 AppendixVI TumorAssociatedMutationsinFGFR2 AppendixVII TumorAssociatedMutationsinFGFR3 AppendixVIII TumorAssociatedMutationsinFGFR4 AppendixIX TumorAssociatedMutationsinKIT AppendixX TumorAssociatedMutationsinFLT3 AppendixXI TumorAssociatedMutationsinRET AppendixXII TumorAssociatedMutationsinMET AppendixXIII TumorAssociatedMutationsinJAK2 AppendixXIV TumorAssociatedMutationsinPIK3CA AppendixXV TumorAssociatedMutationsinBRAF AppendixXVI TumorAssociatedKinaseDomainMutationsinABL PREFACE Protein kinases are among the most critical and widely studied cellular signaling moleculesandregulateessentiallyallprocessescentraltothegrowth,development, andhomeostasisofeukaryoticcells.Inthe1980s,proteinkinaseswerefirstshown to have an important role in oncogenesis and tumor progression, and since then they have received increasing attention as targets for anticancer drugs. Several kinaseinhibitorsarenowapprovedforthetreatmentofcancer,andmanymoreare advancingthroughclinicaltrials.InTargetingProteinKinasesforCancerTherapy, we provide an integrated view of kinase cancer targets and the drugs that inhibit them,withafocus onsmallmoleculeinhibitors. Wehavesoughttocoverthe field broadly,andalthoughsometargets,pathways,anddrugsarecoveredindepth,some have of necessity only been covered briefly. We have included many references to both review articles and primary literature, but apologize to colleagues whose work could not be cited due to limitations of space. Throughout this book, proteins are denoted by their most widely accepted abbreviationincapitalletters(seeListofAbbreviations)andoftenadditionalnames bywhichtheproteinisknownarealsoprovided.Thehumangenes(usingtheabbre- viations of the Human Genome Nomenclature Committee (www.genenames.org)) are denoted by italic capital letters. Genes from lower organisms are denoted by italiclowercaseletters.Viralproteinsorgenesaredenotedbytheprefixv-.Protein kinase structures (discussed mainly in Chapters 2 and 7) are referenced by their protein data bank (PDB) accession code and can be accessed at www.rcsb.org. In Chapter 1, we review the human kinome—the superfamily of over 500 protein kinases, many of which have been implicated in tumorigenesis and the proliferation and survival of cancer cells. We also consider various approaches for the discovery and validation of kinase cancer targets, and some of the therapeu- tic modalities that have been employed apart from small molecule inhibitors of kinase domains. Here we meet a recurring theme: many kinases appear to be dual agents with regard to cancer, in that depending on the cellular context in which they operate, they can either promote or inhibit tumor formation and progression. Chapter 2 introduces the structural features of protein kinases. We discuss vari- ous modes of receptor:ligand interaction used by receptor tyrosine kinases, then turn our attention to the catalytic properties and various regulatory mechanisms of the kinase catalytic domain itself. Chapter 3 presents a review of some prominent receptortyrosine kinases,whichto date have receivedthe mostattentionas cancer targets. In Chapter 4, we move inside the cell membrane and focus on the non- receptor tyrosine kinases. Chapters 5 and 6 introduce various intracellular kinase signalingpathwaysthataredysregulatedintumorcells andthathave receivedsig- nificantattentionforthedevelopmentofanticancerdrugs.Theseincludeacomplex, xi