[HTML][HTML] Potent and selective small-molecule MCL-1 inhibitors demonstrate on-target cancer cell killing activity as single agents and in combination with ABT-263 …

JD Leverson, H Zhang, J Chen, SK Tahir… - Cell death & …, 2015 - nature.com
JD Leverson, H Zhang, J Chen, SK Tahir, DC Phillips, J Xue, P Nimmer, S Jin, M Smith
Cell death & disease, 2015nature.com
The anti-apoptotic protein MCL-1 is a key regulator of cancer cell survival and a known
resistance factor for small-molecule BCL-2 family inhibitors such as ABT-263 (navitoclax),
making it an attractive therapeutic target. However, directly inhibiting this target requires the
disruption of high-affinity protein–protein interactions, and therefore designing small
molecules potent enough to inhibit MCL-1 in cells has proven extremely challenging. Here,
we describe a series of indole-2-carboxylic acids, exemplified by the compound A-1210477 …
Abstract
The anti-apoptotic protein MCL-1 is a key regulator of cancer cell survival and a known resistance factor for small-molecule BCL-2 family inhibitors such as ABT-263 (navitoclax), making it an attractive therapeutic target. However, directly inhibiting this target requires the disruption of high-affinity protein–protein interactions, and therefore designing small molecules potent enough to inhibit MCL-1 in cells has proven extremely challenging. Here, we describe a series of indole-2-carboxylic acids, exemplified by the compound A-1210477, that bind to MCL-1 selectively and with sufficient affinity to disrupt MCL-1–BIM complexes in living cells. A-1210477 induces the hallmarks of intrinsic apoptosis and demonstrates single agent killing of multiple myeloma and non-small cell lung cancer cell lines demonstrated to be MCL-1 dependent by BH3 profiling or siRNA rescue experiments. As predicted, A-1210477 synergizes with the BCL-2/BCL-X L inhibitor navitoclax to kill a variety of cancer cell lines. This work represents the first description of small-molecule MCL-1 inhibitors with sufficient potency to induce clear on-target cellular activity. It also demonstrates the utility of these molecules as chemical tools for dissecting the basic biology of MCL-1 and the promise of small-molecule MCL-1 inhibitors as potential therapeutics for the treatment of cancer.
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