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Activation by substoichiometric inhibition.


ABSTRACT: Startling reports described the paradoxical triggering of the human mitogen-activated protein kinase pathway when a small-molecule inhibitor specifically inactivates the BRAF V600E protein kinase but not wt-BRAF. We performed a conceptual analysis of the general phenomenon "activation by inhibition" using bacterial and human HtrA proteases as models. Our data suggest a clear explanation that is based on the classic biochemical principles of allostery and cooperativity. Although substoichiometric occupancy of inhibitor binding sites results in partial inhibition, this effect is overrun by a concomitant activation of unliganded binding sites. Therefore, when an inhibitor of a cooperative enzyme does not reach saturating levels, a common scenario during drug administration, it may cause the contrary of the desired effect. The implications for drug development are discussed.

SUBMITTER: Merdanovic M 

PROVIDER: S-EPMC6983408 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Activation by substoichiometric inhibition.

Merdanovic Melisa M   Burston Steven G SG   Schmitz Anna Laura AL   Köcher Steffen S   Knapp Stefan S   Clausen Tim T   Kaiser Markus M   Huber Robert R   Ehrmann Michael M  

Proceedings of the National Academy of Sciences of the United States of America 20200106 3


Startling reports described the paradoxical triggering of the human mitogen-activated protein kinase pathway when a small-molecule inhibitor specifically inactivates the BRAF V600E protein kinase but not wt-BRAF. We performed a conceptual analysis of the general phenomenon "activation by inhibition" using bacterial and human HtrA proteases as models. Our data suggest a clear explanation that is based on the classic biochemical principles of allostery and cooperativity. Although substoichiometric  ...[more]

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