New scaffolds for type II JAK2 inhibitors overcome the acquired G993A resistance mutation

Matthew L. Arwood, Yao Liu, Shannon K. Harkins, David M. Weinstock, Lei Yang, Kristen E. Stevenson, Olivia D. Plana, Jingyun Dong, Haley Cirka, Kristen L. Jones, Anniina T. Virtanen, Dikshat G. Gupta, Amanda Ceas, Brian Lawney, Akinori Yoda, Catharine Leahy, Mingfeng Hao, Zhixiang He, Hwan Geun Choi, Yaning WangOlli Silvennoinen, Stevan R. Hubbard, Tinghu Zhang, Nathanael S. Gray*, Loretta S. Li*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Recurrent JAK2 alterations are observed in myeloproliferative neoplasms, B-cell acute lymphoblastic leukemia, and other hematologic malignancies. Currently available type I JAK2 inhibitors have limited activity in these diseases. Preclinical data support the improved efficacy of type II JAK2 inhibitors, which lock the kinase in the inactive conformation. By screening small molecule libraries, we identified a lead compound with JAK2 selectivity. We highlight analogs with on-target biochemical and cellular activity and demonstrate in vivo activity using a mouse model of polycythemia vera. We present a co-crystal structure that confirms the type II binding mode of our compounds with the “DFG-out” conformation of the JAK2 activation loop. Finally, we identify a JAK2 G993A mutation that confers resistance to the type II JAK2 inhibitor CHZ868 but not to our analogs. These data provide a template for identifying novel type II kinase inhibitors and inform further development of agents targeting JAK2 that overcome resistance.

Original languageEnglish (US)
Pages (from-to)618-631.e12
JournalCell Chemical Biology
Volume30
Issue number6
DOIs
StatePublished - Jun 15 2023

Funding

This work was supported by: the Prostate Cancer Foundation (N.S.G., S.R.H., O.S., and D.M.W.), the Damon Runyon Physician-Scientist Training Award (L.S.L.), CureSearch for Children’s Cancer (L.S.L.), the Rally! Foundation for Childhood Cancer Research (L.S.L.), a Conquer Cancer Young Investigator Award funded by the Strike 3 Foundation (L.S.L.), an Institutional Research Grant , IRG-21-144-27 , from the American Cancer Society (L.S.L.), the Stanley Manne Children’s Research Institute and the Ann & Robert H. Lurie Children’s Hospital of Chicago (L.S.L.), Academy of Finland (A.T.V. and O.S.), Sigrid Jusélius Foundation (A.T.V. and O.S.), Cancer Foundation Finland (A.T.V. and O.S.), Jane and Aatos Erkko Foundation (A.T.V. and O.S.), Tampere Tuberculosis Foundation (A.T.V. and O.S.), and Pirkanmaa hospital district competitive research funding (A.T.V. and O.S.). We thank the Robert H. Lurie Comprehensive Cancer Center of Northwestern University in Chicago, IL for the use of the Flow Cytometry Core Facility. The Lurie Cancer Center is supported in part by an NCI Cancer Center Support Grant #P30 CA060553. The authors thank Renee Rubio from the Dana-Farber Cancer Institute Center for Cancer Computational Biology for technical assistance with the RNA sequencing. Portions of the graphical abstract (QQ23JH07KJ) and Figure 4 A (KO23JGZX77) were created with BioRender.com .

Keywords

  • B-ALL
  • CHZ868
  • CRLF2
  • JAK2
  • kinase
  • myeloproliferative neoplasm
  • resistance
  • ruxolitinib
  • type II inhibitor

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Medicine
  • Molecular Biology
  • Pharmacology
  • Drug Discovery
  • Clinical Biochemistry

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  • Crystal structure of JAK2 JH1 with type II inhibitor YLIU-04-105-1

    Arwood, M. L. (Contributor), Liu, Y. (Contributor), Harkins, S. K. (Contributor), Weinstock, D. M. (Contributor), Yang, L. (Contributor), Stevenson, K. E. (Contributor), Plana, O. D. (Contributor), Dong, J. (Contributor), Cirka, H. (Contributor), Jones, K. L. (Contributor), Virtanen, A. T. (Contributor), Gupta, D. G. (Contributor), Ceas, A. (Contributor), Lawney, B. (Contributor), Yoda, A. (Contributor), Leahy, C. (Contributor), Hao, M. (Contributor), He, Z. (Contributor), Choi, H. G. (Contributor), Wang, Y. (Contributor), Silvennoinen, O. (Contributor), Hubbard, S. R. (Contributor), Zhang, T. (Contributor), Gray, N. S. (Contributor) & Li, L. S. (Contributor), Protein Data Bank (PDB), Jun 21 2023

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