DOE PAGES title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Crystal structure of the FLT3 kinase domain bound to the inhibitor quizartinib (AC220)

Abstract

More than 30% of acute myeloid leukemia (AML) patients possess activating mutations in the receptor tyrosine kinase FMS-like tyrosine kinase 3 or FLT3. A small-molecule inhibitor of FLT3 (known as quizartinib or AC220) that is currently in clinical trials appears promising for the treatment of AML. Here, we report the co-crystal structure of the kinase domain of FLT3 in complex with quizartinib. FLT3 with quizartinib bound adopts an “Abl-like” inactive conformation with the activation loop stabilized in the “DFG-out” orientation and folded back onto the kinase domain. This conformation is similar to that observed for the uncomplexed intracellular domain of FLT3 as well as for related receptor tyrosine kinases, except for a localized induced fit in the activation loop. The co-crystal structure reveals the interactions between quizartinib and the active site of FLT3 that are key for achieving its high potency against both wild-type FLT3 as well as a FLT3 variant observed in many AML patients. This co-complex further provides a structural rationale for quizartinib-resistance mutations.

Authors:
 [1];  [1];  [2];  [3];  [4];  [5]
  1. Univ. of California, Berkeley (United States). Dept. of Molecular and Cell Biology and California Inst. for Quantitative Biosciences.
  2. Univ. of California, Berkeley (United States). Dept. of Molecular and Cell Biology; Harvard Univ. Cambridge, MA (United States). Dept. of Chemistry and Chemical Biology.
  3. Univ. of California, Berkeley (United States). Dept. of Molecular and Cell Biology, California Inst. for Quantitative Biosciences, and Howard Hughes Medical Inst.
  4. Univ. of California, Berkeley (United States). Dept. of Molecular and Cell Biology, California Inst. for Quantitative Biosciences, Howard Hughes Medical Inst., and Dept. of Chemistry; Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Physical Biosciences Division.
  5. Yale University School of Medicine, New Haven, CT (United States)
Publication Date:
Research Org.:
Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
Sponsoring Org.:
USDOE; National Cancer Institute (NCI); Howard Hughes Medical Institute
OSTI Identifier:
1212456
Grant/Contract Number:  
AC02-05CH11231
Resource Type:
Accepted Manuscript
Journal Name:
PLoS ONE
Additional Journal Information:
Journal Volume: 10; Journal Issue: 4; Journal ID: ISSN 1932-6203
Publisher:
Public Library of Science
Country of Publication:
United States
Language:
English
Subject:
59 BASIC BIOLOGICAL SCIENCES; crystal structure; tyrosine; acute myeloid leukemia; molecular structure; kinase inhibitors; drug interactions; intracellular receptors; small molecules

Citation Formats

Zorn, Julie A., Wang, Qi, Fujimura, Eric, Barros, Tiago, Kuriyan, John, and Boggon, Titus J. Crystal structure of the FLT3 kinase domain bound to the inhibitor quizartinib (AC220). United States: N. p., 2015. Web. doi:10.1371/journal.pone.0121177.
Zorn, Julie A., Wang, Qi, Fujimura, Eric, Barros, Tiago, Kuriyan, John, & Boggon, Titus J. Crystal structure of the FLT3 kinase domain bound to the inhibitor quizartinib (AC220). United States. https://doi.org/10.1371/journal.pone.0121177
Zorn, Julie A., Wang, Qi, Fujimura, Eric, Barros, Tiago, Kuriyan, John, and Boggon, Titus J. Thu . "Crystal structure of the FLT3 kinase domain bound to the inhibitor quizartinib (AC220)". United States. https://doi.org/10.1371/journal.pone.0121177. https://www.osti.gov/servlets/purl/1212456.
@article{osti_1212456,
title = {Crystal structure of the FLT3 kinase domain bound to the inhibitor quizartinib (AC220)},
author = {Zorn, Julie A. and Wang, Qi and Fujimura, Eric and Barros, Tiago and Kuriyan, John and Boggon, Titus J.},
abstractNote = {More than 30% of acute myeloid leukemia (AML) patients possess activating mutations in the receptor tyrosine kinase FMS-like tyrosine kinase 3 or FLT3. A small-molecule inhibitor of FLT3 (known as quizartinib or AC220) that is currently in clinical trials appears promising for the treatment of AML. Here, we report the co-crystal structure of the kinase domain of FLT3 in complex with quizartinib. FLT3 with quizartinib bound adopts an “Abl-like” inactive conformation with the activation loop stabilized in the “DFG-out” orientation and folded back onto the kinase domain. This conformation is similar to that observed for the uncomplexed intracellular domain of FLT3 as well as for related receptor tyrosine kinases, except for a localized induced fit in the activation loop. The co-crystal structure reveals the interactions between quizartinib and the active site of FLT3 that are key for achieving its high potency against both wild-type FLT3 as well as a FLT3 variant observed in many AML patients. This co-complex further provides a structural rationale for quizartinib-resistance mutations.},
doi = {10.1371/journal.pone.0121177},
journal = {PLoS ONE},
number = 4,
volume = 10,
place = {United States},
year = {Thu Apr 02 00:00:00 EDT 2015},
month = {Thu Apr 02 00:00:00 EDT 2015}
}

Journal Article:
Free Publicly Available Full Text
Publisher's Version of Record

Citation Metrics:
Cited by: 68 works
Citation information provided by
Web of Science

Save / Share:

Works referenced in this record:

Kinase Drug Discovery – What’s Next in the Field?
journal, December 2012

  • Cohen, Philip; Alessi, Dario R.
  • ACS Chemical Biology, Vol. 8, Issue 1
  • DOI: 10.1021/cb300610s

Particle mesh Ewald: An N ⋅log( N ) method for Ewald sums in large systems
journal, June 1993

  • Darden, Tom; York, Darrin; Pedersen, Lee
  • The Journal of Chemical Physics, Vol. 98, Issue 12
  • DOI: 10.1063/1.464397

Molecular conformations, interactions, and properties associated with drug efficiency and clinical performance among VEGFR TK inhibitors
journal, September 2012

  • McTigue, M.; Murray, B. W.; Chen, J. H.
  • Proceedings of the National Academy of Sciences, Vol. 109, Issue 45
  • DOI: 10.1073/pnas.1207759109

The activation loop in Lck regulates oncogenic potential by inhibiting basal kinase activity and restricting substrate specificity
journal, August 2000

  • Laham, Lorraine E.; Mukhopadhyay, Nishit; Roberts, Thomas M.
  • Oncogene, Vol. 19, Issue 35
  • DOI: 10.1038/sj.onc.1203738

Arylcarboxyamino-substituted diaryl ureas as potent and selective FLT3 inhibitors
journal, September 2009

  • Patel, Hitesh K.; Grotzfeld, Robert M.; Lai, Andiliy G.
  • Bioorganic & Medicinal Chemistry Letters, Vol. 19, Issue 17
  • DOI: 10.1016/j.bmcl.2009.07.024

Cell Signaling by Receptor Tyrosine Kinases
journal, June 2010


Improved side-chain torsion potentials for the Amber ff99SB protein force field
journal, January 2010

  • Lindorff-Larsen, Kresten; Piana, Stefano; Palmo, Kim
  • Proteins: Structure, Function, and Bioinformatics
  • DOI: 10.1002/prot.22711

Protein kinase biochemistry and drug discovery
journal, December 2011


Exploration of Type II Binding Mode: A Privileged Approach for Kinase Inhibitor Focused Drug Discovery?
journal, April 2014

  • Zhao, Zheng; Wu, Hong; Wang, Li
  • ACS Chemical Biology, Vol. 9, Issue 6
  • DOI: 10.1021/cb500129t

Oncogenic kinase signalling
journal, May 2001

  • Blume-Jensen, Peter; Hunter, Tony
  • Nature, Vol. 411, Issue 6835
  • DOI: 10.1038/35077225

Structural insights into the extracellular assembly of the hematopoietic Flt3 signaling complex
journal, July 2011


The roles of FLT3 in hematopoiesis and leukemia
journal, September 2002


GROMACS 4.5: a high-throughput and highly parallel open source molecular simulation toolkit
journal, February 2013


Validation of ITD mutations in FLT3 as a therapeutic target in human acute myeloid leukaemia
journal, April 2012

  • Smith, Catherine C.; Wang, Qi; Chin, Chen-Shan
  • Nature, Vol. 485, Issue 7397
  • DOI: 10.1038/nature11016

Rational design of inhibitors that bind to inactive kinase conformations
journal, June 2006

  • Liu, Yi; Gray, Nathanael S.
  • Nature Chemical Biology, Vol. 2, Issue 7
  • DOI: 10.1038/nchembio799

Receptor Tyrosine Kinases: Legacy of the First Two Decades
journal, March 2014


Structural Mechanism for STI-571 Inhibition of Abelson Tyrosine Kinase
journal, September 2000


Tyrphostins and Other Tyrosine Kinase Inhibitors
journal, June 2006


AC220 is a uniquely potent and selective inhibitor of FLT3 for the treatment of acute myeloid leukemia (AML)
journal, October 2009


Structure of a c-Kit Product Complex Reveals the Basis for Kinase Transactivation
journal, June 2003

  • Mol, Clifford D.; Lim, Kheng B.; Sridhar, Vandana
  • Journal of Biological Chemistry, Vol. 278, Issue 34
  • DOI: 10.1074/jbc.c300186200

Structural Basis for Autoinhibition of the EphB2 Receptor Tyrosine Kinase by the Unphosphorylated Juxtamembrane Region
journal, September 2001


FLT3 Inhibitors in AML: Are We There Yet?
journal, March 2014

  • Sudhindra, Akshay; Smith, Catherine Choy
  • Current Hematologic Malignancy Reports, Vol. 9, Issue 2
  • DOI: 10.1007/s11899-014-0203-8

Juxtamembrane autoinhibition in receptor tyrosine kinases
journal, June 2004

  • Hubbard, Stevan R.
  • Nature Reviews Molecular Cell Biology, Vol. 5, Issue 6
  • DOI: 10.1038/nrm1399

Crenolanib is a selective type I pan-FLT3 inhibitor
journal, March 2014

  • Smith, C. C.; Lasater, E. A.; Lin, K. C.
  • Proceedings of the National Academy of Sciences, Vol. 111, Issue 14
  • DOI: 10.1073/pnas.1320661111

The Structural Basis for Autoinhibition of FLT3 by the Juxtamembrane Domain
journal, January 2004


Structural Basis for the Autoinhibition and STI-571 Inhibition of c-Kit Tyrosine Kinase
journal, April 2004

  • Mol, Clifford D.; Dougan, Douglas R.; Schneider, Thomas R.
  • Journal of Biological Chemistry, Vol. 279, Issue 30
  • DOI: 10.1074/jbc.M403319200

FLT3 Tyrosine Kinase Inhibitors
journal, August 2005

  • Levis, Mark; Small, Donald
  • International Journal of Hematology, Vol. 82, Issue 2
  • DOI: 10.1532/IJH97.05079

Transient Exposure to Quizartinib Mediates Sustained Inhibition of FLT3 Signaling while Specifically Inducing Apoptosis in FLT3-Activated Leukemia Cells
journal, February 2013


[20] Processing of X-ray diffraction data collected in oscillation mode
book, January 1997


PHENIX: a comprehensive Python-based system for macromolecular structure solution
journal, January 2010

  • Adams, Paul D.; Afonine, Pavel V.; Bunkóczi, Gábor
  • Acta Crystallographica Section D Biological Crystallography, Vol. 66, Issue 2, p. 213-221
  • DOI: 10.1107/S0907444909052925

Coot model-building tools for molecular graphics
journal, November 2004

  • Emsley, Paul; Cowtan, Kevin
  • Acta Crystallographica Section D Biological Crystallography, Vol. 60, Issue 12, p. 2126-2132
  • DOI: 10.1107/S0907444904019158

The Conformational Plasticity of Protein Kinases
journal, May 2002


Crystal Structure of Hck in Complex with a Src Family–Selective Tyrosine Kinase Inhibitor
journal, May 1999


Structure of the Kinase Domain of an Imatinib-Resistant Abl Mutant in Complex with the Aurora Kinase Inhibitor VX-680
journal, January 2006


Improving the specificity of organophosphorus hydrolase to acephate by mutagenesis at its binding site: a computational study
journal, May 2021

  • Badakhshan, Reza; Mohammadi, Mozafar; Farnoosh, Gholamreza
  • Journal of Molecular Modeling, Vol. 27, Issue 6
  • DOI: 10.1007/s00894-021-04749-6

Cavin1 intrinsically disordered domains are essential for fuzzy electrostatic interactions and caveola formation
journal, February 2021


PHENIX: a comprehensive Python-based system for macromolecular structure solution.
text, January 2010

  • Adams, Paul D.; Afonine, Pavel V.; Bunkóczi, Gábor
  • Apollo - University of Cambridge Repository
  • DOI: 10.17863/cam.45787

Improved side-chain torsion potentials for the Amber ff99SB protein force field
journal, January 2010

  • Lindorff-Larsen, Kresten; Piana, Stefano; Palmo, Kim
  • Proteins: Structure, Function, and Bioinformatics
  • DOI: 10.1002/prot.22711

Arylcarboxyamino-substituted diaryl ureas as potent and selective FLT3 inhibitors
journal, September 2009

  • Patel, Hitesh K.; Grotzfeld, Robert M.; Lai, Andiliy G.
  • Bioorganic & Medicinal Chemistry Letters, Vol. 19, Issue 17
  • DOI: 10.1016/j.bmcl.2009.07.024

Cell Signaling by Receptor Tyrosine Kinases
journal, June 2010


Structural Basis for Autoinhibition of the EphB2 Receptor Tyrosine Kinase by the Unphosphorylated Juxtamembrane Region
journal, September 2001


Kinase Drug Discovery – What’s Next in the Field?
journal, December 2012

  • Cohen, Philip; Alessi, Dario R.
  • ACS Chemical Biology, Vol. 8, Issue 1
  • DOI: 10.1021/cb300610s

Oncogenic kinase signalling
journal, May 2001

  • Blume-Jensen, Peter; Hunter, Tony
  • Nature, Vol. 411, Issue 6835
  • DOI: 10.1038/35077225

Rational design of inhibitors that bind to inactive kinase conformations
journal, June 2006

  • Liu, Yi; Gray, Nathanael S.
  • Nature Chemical Biology, Vol. 2, Issue 7
  • DOI: 10.1038/nchembio799

Juxtamembrane autoinhibition in receptor tyrosine kinases
journal, June 2004

  • Hubbard, Stevan R.
  • Nature Reviews Molecular Cell Biology, Vol. 5, Issue 6
  • DOI: 10.1038/nrm1399

The activation loop in Lck regulates oncogenic potential by inhibiting basal kinase activity and restricting substrate specificity
journal, August 2000

  • Laham, Lorraine E.; Mukhopadhyay, Nishit; Roberts, Thomas M.
  • Oncogene, Vol. 19, Issue 35
  • DOI: 10.1038/sj.onc.1203738

Structure of a c-Kit Product Complex Reveals the Basis for Kinase Transactivation
journal, June 2003

  • Mol, Clifford D.; Lim, Kheng B.; Sridhar, Vandana
  • Journal of Biological Chemistry, Vol. 278, Issue 34
  • DOI: 10.1074/jbc.c300186200

GROMACS 4.5: a high-throughput and highly parallel open source molecular simulation toolkit
journal, February 2013


The roles of FLT3 in hematopoiesis and leukemia
journal, September 2002


AC220 is a uniquely potent and selective inhibitor of FLT3 for the treatment of acute myeloid leukemia (AML)
journal, October 2009


Structural insights into the extracellular assembly of the hematopoietic Flt3 signaling complex
journal, July 2011


Works referencing / citing this record:

A novel irreversible FLT3 inhibitor, FF-10101, shows excellent efficacy against AML cells with FLT3 mutations
journal, January 2018


Antitumor Activity of a Novel Tyrosine Kinase Inhibitor AIU2001 Due to Abrogation of the DNA Damage Repair in Non-Small Cell Lung Cancer Cells
journal, September 2019

  • Ryu, Hwani; Choi, Hyun-Kyung; Kim, Hyo Jeong
  • International Journal of Molecular Sciences, Vol. 20, Issue 19
  • DOI: 10.3390/ijms20194728

High-throughput Identification of FLT3 Wild-type and Mutant Kinase Substrate Preferences and Application to Design of Sensitive In Vitro Kinase Assay Substrates
journal, December 2018

  • Perez, Minervo; Blankenhorn, John; Murray, Kevin J.
  • Molecular & Cellular Proteomics, Vol. 18, Issue 3
  • DOI: 10.1074/mcp.ra118.001111

Phase 1 study of quizartinib in combination with induction and consolidation chemotherapy in patients with newly diagnosed acute myeloid leukemia
journal, December 2017

  • Altman, Jessica K.; Foran, James M.; Pratz, Keith W.
  • American Journal of Hematology, Vol. 93, Issue 2
  • DOI: 10.1002/ajh.24974

Conformational modifications induced by internal tandem duplications on the FLT3 kinase and juxtamembrane domains
journal, January 2019

  • Todde, Guido; Friedman, Ran
  • Physical Chemistry Chemical Physics, Vol. 21, Issue 34
  • DOI: 10.1039/c9cp02938a

Deciphering the molecular mechanism of FLT3 resistance mutations
journal, January 2020

  • Georgoulia, Panagiota S.; Bjelic, Sinisa; Friedman, Ran
  • The FEBS Journal, Vol. 287, Issue 15
  • DOI: 10.1111/febs.15209

High-throughput identification of FLT3 wild-type and mutant kinase substrate preferences and application to design of sensitive in vitro kinase assay substrates
posted_content, October 2018

  • Perez, Minervo; Blankenhorn, John; Murray, Kevin J.
  • Molecular & Cellular Proteomics
  • DOI: 10.1101/457689

Discovery of a Diaminopyrimidine FLT3 Inhibitor Active against Acute Myeloid Leukemia
journal, May 2017


Heat shock protein 90 inhibitors overcome the resistance to Fms-like tyrosine kinase 3 inhibitors in acute myeloid leukemia
journal, September 2018


Antitumor Activity of a Novel Tyrosine Kinase Inhibitor AIU2001 Due to Abrogation of the DNA Damage Repair in Non-Small Cell Lung Cancer Cells
journal, September 2019

  • Ryu, Hwani; Choi, Hyun-Kyung; Kim, Hyo Jeong
  • International Journal of Molecular Sciences, Vol. 20, Issue 19
  • DOI: 10.3390/ijms20194728