Identification of 2-Aminopyrimidine Derivatives as FLT3 Kinase Inhibitors with High Selectivity over c-KIT

J Med Chem. 2022 Feb 24;65(4):3229-3248. doi: 10.1021/acs.jmedchem.1c01792. Epub 2022 Feb 9.

Abstract

Herein, we report two promising compounds 30 and 36 possessing nanomolar FLT3 inhibitory activities (IC50 = 1.5-7.2 nM), high selectivity over c-KIT (>1000-fold), and excellent anti-AML activity (MV4-11 IC50 = 0.8-3.2 nM). Furthermore, these two compounds efficiently inhibited the growth of multiple mutant BaF3 cells expressing FLT3-ITD, FLT3-D835V/F, FLT3-F691L, FLT3-ITD-F691L, and FLT3-ITD-D835Y. Oral administration of 30 and 36 at 6 mg/kg/d could significantly suppress tumor growth in the MV4-11 cell-inoculated xenograft model, exhibiting tumor growth inhibitory rates of 83.5% and 95.1%, respectively. Importantly, 36 could prolong the mouse survival time in the FLT3-ITD-TKD dual mutation syngeneic mouse model (BaF3-FLT3-ITD-D835Y) at a dose of 6 mg/kg p.o. bid/4W. No clear myelosuppression was observed in the treated group of 36 in the MPO strain of zebrafish, even at 10 μM. In summary, our data demonstrated that 36 may represent a promising candidate for the treatment of FLT3 mutant AML.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Demyelinating Diseases / chemically induced
  • Demyelinating Diseases / pathology
  • Dose-Response Relationship, Drug
  • Humans
  • Leukemia, Myeloid, Acute / drug therapy
  • Mice
  • Mice, Inbred BALB C
  • Protein Kinase Inhibitors / chemical synthesis*
  • Protein Kinase Inhibitors / pharmacology*
  • Protein Kinase Inhibitors / toxicity
  • Proto-Oncogene Proteins c-kit / antagonists & inhibitors*
  • Pyrimidines / chemical synthesis*
  • Pyrimidines / pharmacology*
  • Pyrimidines / toxicity
  • Signal Transduction / drug effects
  • Substrate Specificity
  • Xenograft Model Antitumor Assays
  • Zebrafish
  • fms-Like Tyrosine Kinase 3 / antagonists & inhibitors*

Substances

  • Protein Kinase Inhibitors
  • Pyrimidines
  • 2-aminopyrimidine
  • Flt3 protein, mouse
  • KIT protein, human
  • Proto-Oncogene Proteins c-kit
  • fms-Like Tyrosine Kinase 3