1. Challenging clinically unresponsive medullary thyroid cancer: Discovery and pharmacological activity of novel RET inhibitors
- Author
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La Pietra, Valeria, Sartini, Stefania, Botta, Lorenzo, Antonelli, Alessandro, Ferrari, Silvia Martina, Fallahi, Poupak, Moriconi, Alessio, Coviello, Vito, Quattrini, Luca, Yi-Yu, Ke, Hsing-Pang, Hsieh, Da Settimo, Federico, Novellino, Ettore, La Motta, Concettina, Marinelli, Luciana, La Pietra, Valeria, Sartini, Stefania, Botta, Lorenzo, Antonelli, Alessandro, Ferrari, Silvia Martina, Fallahi, Poupak, Moriconi, Alessio, Coviello, Vito, Quattrini, Luca, Ke, Yi-Yu, Hsing-Pang, Hsieh, Da Settimo, Federico, Novellino, Ettore, La Motta, Concettina, and Marinelli, Luciana
- Subjects
0301 basic medicine ,endocrine system diseases ,RET kinase ,Thyroid Gland ,Drug Screening Assays ,Settore CHIM/06 ,Docking ,0302 clinical medicine ,Drug Discovery ,Medullary thyroid carcinoma ,Receptor ,Tumor ,Molecular Structure ,Kinase ,Chemistry ,Thyroid ,Medullary thyroid cancer ,General Medicine ,Neuroendocrine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Focused library ,Virtual screening ,Pharmacology ,Drug Discovery3003 Pharmaceutical Science ,Organic Chemistry ,Drug ,endocrine system ,Antineoplastic Agents ,Carcinoma, Neuroendocrine ,Cell Line, Tumor ,Cell Proliferation ,Dose-Response Relationship, Drug ,Drug Screening Assays, Antitumor ,Humans ,Protein Kinase Inhibitors ,Proto-Oncogene Proteins c-ret ,Structure-Activity Relationship ,Thyroid Neoplasms ,Cell Line ,Dose-Response Relationship ,Thyroid carcinoma ,03 medical and health sciences ,medicine ,Carcinoma ,Wild type ,Antitumor ,medicine.disease ,030104 developmental biology ,Protein kinase domain ,Cell culture ,Cancer research - Abstract
It is now known that "gain of function" mutations of RET (REarranged during Transfection) kinase are specific and key oncogenic events in the onset of thyroid gland cancers such as the Medullary Thyroid Carcinoma (MTC). Although a number of RET inhibitors exist and are capable of inhibiting RET variants, in which mutations are outside the enzyme active site, the majority becomes dramatically ineffective when mutations are within the protein active site (V804L and V804M). Pursuing a receptor-based virtual screening against the kinase domain of RET, we found that compound 5 is able to inhibit efficiently both wild type and V804L mutant RET. Compound 5 was able to significantly reduce proliferation of both commercially available TT cell lines and surgical thyroid tissues obtained from patients with MTC and displayed a suitable drug-like profile, thus standing out as a promising candidate for further development towards the treatment of clinically unresponsive MTC.
- Published
- 2017