Polypharmacology-based ceritinib repurposing using integrated functional proteomics.

Abstract:

:Targeted drugs are effective when they directly inhibit strong disease drivers, but only a small fraction of diseases feature defined actionable drivers. Alternatively, network-based approaches can uncover new therapeutic opportunities. Applying an integrated phenotypic screening, chemical and phosphoproteomics strategy, here we describe the anaplastic lymphoma kinase (ALK) inhibitor ceritinib as having activity across several ALK-negative lung cancer cell lines and identify new targets and network-wide signaling effects. Combining pharmacological inhibitors and RNA interference revealed a polypharmacology mechanism involving the noncanonical targets IGF1R, FAK1, RSK1 and RSK2. Mutating the downstream signaling hub YB1 protected cells from ceritinib. Consistent with YB1 signaling being known to cause taxol resistance, combination of ceritinib with paclitaxel displayed strong synergy, particularly in cells expressing high FAK autophosphorylation, which we show to be prevalent in lung cancer. Together, we present a systems chemical biology platform for elucidating multikinase inhibitor polypharmacology mechanisms, subsequent design of synergistic drug combinations, and identification of mechanistic biomarker candidates.

journal_name

Nat Chem Biol

journal_title

Nature chemical biology

authors

Kuenzi BM,Remsing Rix LL,Stewart PA,Fang B,Kinose F,Bryant AT,Boyle TA,Koomen JM,Haura EB,Rix U

doi

10.1038/nchembio.2489

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1222-1231

issue

12

eissn

1552-4450

issn

1552-4469

pii

nchembio.2489

journal_volume

13

pub_type

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