2022
DOI: 10.1038/s42004-022-00718-z
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Characterization of the cholangiocarcinoma drug pemigatinib against FGFR gatekeeper mutants

Abstract: Fibroblast growth factor receptor (FGFR) dysregulation is involved in a variety of tumorigenesis and development. Cholangiocarcinoma is closely related with FGFR aberrations, and pemigatinib is the first drug approved to target FGFR for the treatment of cholangiocarcinoma. Herein, we undertake biochemical and structural analysis on pemigatinib against FGFRs as well as gatekeeper mutations. The results show that pemigatinib is a potent and selective FGFR1–3 inhibitor. The extensive network of hydrogen bonds and… Show more

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Cited by 18 publications
(14 citation statements)
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“…This mutation was identified in several FGFR2 fusion-positive cholangiocarcinoma patients who progressed after treatment with infigratinib ( 52 ). All three inhibitors bind the inactive conformation of FGFR ( 53 , 54 ), which might explain their relatively modest potency on the AN3-CA cell line compared to the other FGFR -altered cell lines.…”
Section: Resultsmentioning
confidence: 99%
“…This mutation was identified in several FGFR2 fusion-positive cholangiocarcinoma patients who progressed after treatment with infigratinib ( 52 ). All three inhibitors bind the inactive conformation of FGFR ( 53 , 54 ), which might explain their relatively modest potency on the AN3-CA cell line compared to the other FGFR -altered cell lines.…”
Section: Resultsmentioning
confidence: 99%
“…Introducing bulky isoleucine, methionine, and phenylalanine residues at the gatekeeper position of FGFR leads to severe steric clash with the indole group of sulfatinib. Consequently, the clash disrupts the hydrogen binding with Ala564 of the hinge region and Glu531 surrounding the hydrophobic pocket [32][33][34] . The flexible oxy linker may assist in shifting the indole group out of this pocket, resulting in a CSF-1R/sulfatinib-like binding model to better accommodate gatekeeper mutation and maintain hydrogen contacts with the hinge residue.…”
Section: Discussionmentioning
confidence: 99%
“…Expression and purification of the human FGFR kinase domain. FGFRs were prepared as previously described 6,34,44,45 . Briefly, FGFR1 (residues 458-765), FGFR2 (residues 458-768), FGFR3 (residues 450-758) as well as FGFR4 (residues 445-753), and their mutants, FGFR1 C584S , FGFR1 V561M , FGFR2 V564I , FGFR2 V564F and FGFR3 V555M , were cloned into a modified pET28a vector in frame with an N-terminal PreScission-cleavable 6×His tag and expressed in E. coli BL21 Rosetta cells.…”
Section: Methodsmentioning
confidence: 99%
“…The crystal structure of FGFR1 complexed with pemigatinib (PDB ID 7WCL) was downloaded from the Protein Data Bank (PDB). The protonation state of all ionizable amino acids was determined at pH 7.4 using PROPKA 3.1 .…”
Section: Methodsmentioning
confidence: 99%