BCR-ABL residues interacting with ponatinib are critical to preserve the tumorigenic potential of the oncoprotein

Patients with chronic myeloid leukemia in whom tyrosine kinase inhibitors (TKIs) fail often present mutations in the BCR-ABL catalytic domain. We noticed a lack of substitutions involving 4 amino acids (E286, M318, I360, and D381) that form hydrogen bonds with ponatinib. We therefore introduced mutations in each of these residues, either preserving or altering their physicochemical properties. We found that E286, M318, I360, and D381 are dispensable for ABL and BCR-ABL protein stability but are critical for preserving catalytic activity. Indeed, only a "conservative" I360T substitution retained kinase proficiency and transforming potential. Molecular dynamics simulations of BCR-ABLI360T revealed differences in both helix αC dynamics and protein-correlated motions, consistent with a modified ATP-binding pocket. Nevertheless, this mutant remained sensitive to ponatinib, imatinib, and dasatinib. These results suggest that changes in the 4 BCR-ABL residues described here would be selected against by a lack of kinase activity or by maintained responsiveness to TKIs. Notably, amino acids equivalent to those identified in BCR-ABL are conserved in 51% of human tyrosine kinases. Hence, these residues may represent an appealing target for the design of pharmacological compounds that would inhibit additional oncogenic tyrosine kinases while avoiding the emergence of resistance due to point mutations.This work was supported by an investigator grant to P.V. from Associazione Italiana per la Ricerca sul Cancro (AIRC) and by funding from the Biotechnology and Biological Sciences Research Council (BB/I023291/1 and BB/H018409/1 to AP and FF). P.B. is the recipient of an AIRC - Marie Curie fellowship

JAK2 V617F Constitutive Activation Requires JH2 Residue F595: A Pseudokinase Domain Target for Specific Inhibitors

The JAK2 V617F mutation present in over 95% of Polycythemia Vera patients and in 50% of Essential Thrombocythemia and Primary Myelofibrosis patients renders the kinase constitutively active. In the absence of a three-dimensional structure for the full-length protein, the mechanism of activation of JAK2 V617F has remained elusive. In this study, we used functional mutagenesis to investigate the involvement of the JH2 αC helix in the constitutive activation of JAK2 V617F. We show that residue F595, located in the middle of the αC helix of JH2, is indispensable for the constitutive activity of JAK2 V617F. Mutation of F595 to Ala, Lys, Val or Ile significantly decreases the constitutive activity of JAK2 V617F, but F595W and F595Y are able to restore it, implying an aromaticity requirement at position 595. Substitution of F595 to Ala was also able to decrease the constitutive activity of two other JAK2 mutants, T875N and R683G, as well as JAK2 K539L, albeit to a lower extent. In contrast, the F595 mutants are activated by erythropoietin-bound EpoR. We also explored the relationship between the dimeric conformation of EpoR and several JAK2 mutants. Since residue F595 is crucial to the constitutive activation of JAK2 V617F but not to initiation of JAK2 activation by cytokines, we suggest that small molecules that target the region around this residue might specifically block oncogenic JAK2 and spare JAK2 wild-type

Bruton tyrosine kinase in immunodeficiency and in B-cell malignancy

BTK inhibitors have induced high response rates in the treatment of leukemias and lymphomas. Ibrutinib is the first-in-class US Food and Drug Administration (FDA)-approved BTK covalent inhibitor to treat chronic lymphocytic leukemia (CLL). However, a sub-group of patients develops resistance to ibrutinib therapy. The most common resistance mechanism is substitution of cysteine 481 to serine of BTK, the residue to which ibrutinib binds irreversibly. Few other amino acid replacements at this site had been characterized. In paper I, we therefore performed functional analysis of all the possible amino acid replacements at C481 site due to a single nucleotide change. We also included threonine substitution because of its structural similarity to serine. BTK with cysteine-to-threonine substitution retains catalytic activity and cause ibrutinib resistance. Thus, we identified a new potential resistant variant, BTK C481T for BTK irreversible inhibitors. For the replacement with arginine, phenylalanine, tryptophan or tyrosine, BTK enzymatic activity was completely ablated, while glycine substitution still showed some kinase activity, but to a much lower extent. CLL patients receiving ibrutinib treatment show rapid mobilization of tumor cells from lymph nodes (LN) to peripheral blood (PB). However, the detailed mechanism of ibrutinibinduced tumor cell redistribution has not been clarified. In paper II, we tried to explore this observation by analyzing changes in plasma inflammation-related biomarkers, transcriptional levels in CLL cells, B-cell activation and migration markers, and PB mononuclear cell populations as early as 9h after ibrutinib treatment. We compared the changes between before and at 6 time points after treatment initiation in LN and PB. We observed a significant downregulation of 10 plasma inflammation-related markers, mainly chemokines but not CLL-derived within 9 hours. RNA-sequencing data showed significant and continuous expression changes of genes related to B-cell receptor (BCR) signaling and CLL biology. We conclude that ibrutinib rapidly blocks an ongoing inflammatory response and in particular influences LN CLL cells. Loss-of-function (LOF) mutations of BTK lead to a severe block in B lineage development, as seen in X-linked agammaglobulinemia (XLA). In paper III, we analyzed a large number of XLA patients, including 108 previously unreported cases. The tolerance to single amino acid replacements was predicted for full-length BTK. Moreover, we compared these germline XLA-causing mutations with those acquired in leukemia and lymphoma. Based on published cases and those reported to a mutation database, BTK mutation spectrum in more than 10,000 BTK-independent tumors was compared to the BTK-dependent malignancies, CLL and mantle cell lymphoma (MCL), and also to BTK-potentially-dependent malignancies, like diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL) and germinal center (GC)-derived B-cell lymphoma. This analysis for the first time identifies BTK to be a potential tumor suppressor in a subset of DLBCL and FL. Therefore, whether BTK inhibitors, which show highly efficient therapeutic effects in CLL and MCL, might promote tumorigenesis in a subset of other B cell malignancies remains an open question

Toxoplasma gondii effectors are master regulators of the inflammatory response

Toxoplasma is a highly successful parasite that establishes a life-long chronic infection. To do this, it must carefully regulate immune activation and host cell effector mechanisms. Here we review the latest developments in our understanding of how Toxoplasma counteracts the immune response of the host, and in some cases provokes it, through the use of specific parasite effector proteins. An emerging theme from these discoveries is that Toxoplasma effectors are master regulators of the pro-inflammatory response, which elicits many of the toxoplasmacidal mechanisms of the host. We speculate that combinations of these effectors present in certain Toxoplasma strains work to maintain an optimal parasite burden in different hosts to ensure parasite transmission.Knights Templar Eye Foundation, Inc.American Heart Association (0835099N)Massachusetts Life Sciences Center (New Investigator Award)Singapore-MIT Alliance for Research and Technology (SMART)National Institutes of Health (U.S.) (NIH RO1-AI080621)New England Regional Center of Excellence for Biodefense and Emerging Infectious Diseases (NERCE Developmental Grant)National Cancer Institute (U.S.) (Irvington Postdoctoral Fellowship Program

Characterizing Complex Polysera Produced by Antigen-Specific Immunization through the Use of Affinity-Selected Mimotopes

BACKGROUND: Antigen-based (as opposed to whole organism) vaccines are actively being pursued for numerous indications. Even though different formulations may produce similar levels of total antigen-specific antibody, the composition of the antibody response can be quite distinct resulting in different levels of therapeutic activity. METHODOLOGY/PRINCIPAL FINDINGS: Using plasmid-based immunization against the proto-oncogene HER-2 as a model, we have demonstrated that affinity-selected epitope mimetics (mimotopes) can provide a defined signature of a polyclonal antibody response. Further, using novel computer algorithms that we have developed, these mimotopes can be used to predict epitope targets. CONCLUSIONS/SIGNIFICANCE: By combining our novel strategy with existing methods of epitope prediction based on physical properties of an individual protein, we believe that this method offers a robust method for characterizing the breadth of epitope-specificity within a specific polyserum. This strategy is useful as a tool for monitoring immunity following vaccination and can also be used to define relevant epitopes for the creation of novel vaccines

In vitro and in vivo studies of Bruton tyrosine kinase (BTK) mutations & inhibition

Bruton tyrosine kinase (BTK) is a non-receptor protein kinase that belongs to the TEC family kinases. It plays an important role in the B-cell receptor signaling pathway (BCR) and its pharmacological inhibition has been demonstrated as an effective strategy for the treatment of B-cell malignancies. Ibrutinib, acalabrutinib and zanubrutinib are small molecules and irreversible BTK binders that have been approved by the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) for the treatment of several B-cell malignancies. Irreversible inhibitors block BTK catalytic activity by covalently binding to the cysteine (C) 481 located in the kinase domain. Mutations at this residue abrogate the possibility of forming a covalent bond, thereby decreasing the efficacy of the inhibitor. The most common mutation found in treated patients is the cysteine-481 to serine substitution (C481S). However, other less frequent substitutions have also been identified, such as, T474I and T474S substitutions in the BTK gatekeeper residue or PLCg2 gain-of-function substitutions e.g. S707Y and R665W. In paper I we studied a novel C481S knock-in mouse model. Our analysis of these mice reveled no phenotype alterations, as compared to wild-type mice, and demonstrated that C481S substitution has no detectable effect on BTK´s function or on the development of hematopoietic cells. We demonstrated that isolated B-lymphocytes carrying C481S were resistant to irreversible but sensitive to reversible BTK inhibitors (BTKis). This was achieved by analyzing BTK catalytic activity, cell-viability and expression of cell activation markers. Additionally, we confirmed that irreversible BTKis impaired T-lymphocyte activation in a BTK independent manner. This demonstrates the potential of this mouse model to be used in the study of BTKindependent, both therapeutic and adverse, effects caused by irreversible BTKis. Resistance to BTKis has become one of the most critical concerns in long term ibrutinib treated patients. The cause of the resistance to irreversible BTKis is less frequently associated to the gatekeeper residue, in contrast what is observed for other kinase inhibitors such as the fusionprotein BCR-ABL inhibitor imatininb or the EGFR inhibitor gefitinib. In paper II we aimed to understand the role of gatekeeper and combined gatekeeper/C481 BTK variants in the resistance to reversible and irreversible BTKis. We evaluated protein expression, catalytic activity and susceptibility to BTKis of 16 BTK single and double variants. We found that double T474I/C481S, T474M/C481S and T474M/C481T variants were insensitive to ³16 fold irreversible inhibitor pharmacological serum concentration. On the other hand, reversible BTKis showed a variable inhibition pattern. RN486 seemed to have highest therapeutic potential for patients that develop resistance to combined gatekeeper/C481 BTK variants

Identification of the phosphorylation sites on the E3 ubiquitin ligase Pellino that are critical for activation by IRAK1 and IRAK4

The E3 ubiquitin ligase Pellino can be activated by phosphorylation in vitro, catalyzed by IL-1 receptor-associated kinase 1 (IRAK1) or IRAK4. Here, we show that phosphorylation enhances the E3 ligase activity of Pellino 1 similarly with any of several E2-conjugating enzymes (Ubc13-Uev1a, UbcH4, or UbcH5a/5b) and identify 7 amino acid residues in Pellino 1 whose phosphorylation is critical for activation. Five of these sites are clustered between residues 76 and 86 (Ser-76, Ser-78, Thr-80, Ser-82, and Thr-86) and decorate a region of antiparallel β-sheet, termed the “wing,” which is an appendage of the forkhead-associated domain that is thought to interact with IRAK1. The other 2 sites are located at Thr-288 and Ser-293, just N-terminal to the RING-like domain that carries the E3 ligase activity. Unusually, the full activation of Pellino 1 can be achieved by phosphorylating any one of several different sites (Ser-76, Thr-86, Thr-288, or Ser-293) or a combination of other sites (Ser-78, Thr-80, and Ser-82). These observations imply that dephosphorylation of multiple sites is required to inactivate Pellino 1, which could be a device for prolonging Pellino's E3 ubiquitin ligase activity in vivo

Foldamers in Medicinal Chemistry

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