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Drugging the catalytically inactive state of RET kinase in RET-rearranged tumors.


ABSTRACT: Oncogenic fusion events have been identified in a broad range of tumors. Among them, RET rearrangements represent distinct and potentially druggable targets that are recurrently found in lung adenocarcinomas. We provide further evidence that current anti-RET drugs may not be potent enough to induce durable responses in such tumors. We report that potent inhibitors, such as AD80 or ponatinib, that stably bind in the DFG-out conformation of RET may overcome these limitations and selectively kill RET-rearranged tumors. Using chemical genomics in conjunction with phosphoproteomic analyses in RET-rearranged cells, we identify the CCDC6-RETI788N mutation and drug-induced mitogen-activated protein kinase pathway reactivation as possible mechanisms by which tumors may escape the activity of RET inhibitors. Our data provide mechanistic insight into the druggability of RET kinase fusions that may be of help for the development of effective therapies targeting such tumors.

SUBMITTER: Plenker D 

PROVIDER: S-EPMC5805089 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Drugging the catalytically inactive state of RET kinase in RET-rearranged tumors.

Plenker Dennis D   Riedel Maximilian M   Brägelmann Johannes J   Dammert Marcel A MA   Chauhan Rakhee R   Knowles Phillip P PP   Lorenz Carina C   Keul Marina M   Bührmann Mike M   Pagel Oliver O   Tischler Verena V   Scheel Andreas H AH   Schütte Daniel D   Song Yanrui Y   Stark Justina J   Mrugalla Florian F   Alber Yannic Y   Richters André A   Engel Julian J   Leenders Frauke F   Heuckmann Johannes M JM   Wolf Jürgen J   Diebold Joachim J   Pall Georg G   Peifer Martin M   Aerts Maarten M   Gevaert Kris K   Zahedi René P RP   Buettner Reinhard R   Shokat Kevan M KM   McDonald Neil Q NQ   Kast Stefan M SM   Gautschi Oliver O   Thomas Roman K RK   Sos Martin L ML  

Science translational medicine 20170601 394


Oncogenic fusion events have been identified in a broad range of tumors. Among them, <i>RET</i> rearrangements represent distinct and potentially druggable targets that are recurrently found in lung adenocarcinomas. We provide further evidence that current anti-RET drugs may not be potent enough to induce durable responses in such tumors. We report that potent inhibitors, such as AD80 or ponatinib, that stably bind in the DFG-out conformation of RET may overcome these limitations and selectively  ...[more]

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