The
FGF19-FGFR4 signaling pathway has been extensively studied
as a promising target for the treatment of hepatocellular carcinoma
(HCC). Several FGFR4-selective inhibitors have been developed, but
none of them receives approval. Additionally, acquired resistance
caused by FGFR4 gatekeeper mutations is emerging as a serious limitation
for these targeted therapies. Herein, we report a novel series of
5-formyl-pyrrolo[3,2-b]pyridine derivatives as new
reversible-covalent inhibitors targeting wild-type and gatekeeper
mutant variants of FGFR4 kinase. The representative compound 10z exhibited single-digit nanomolar activity against wild-type
FGFR4 and the FGFR4V550L/M mutant variants in biochemical
and Ba/F3 cellular assays, while sparing FGFR1/2/3. Furthermore, 10z showed significant antiproliferative activity against
Hep3B, JHH-7, and HuH-7 HCC cells with IC50 values of 37,
32, and 94 nM, respectively. MALDI-TOF-MS and X-ray protein crystallography
studies were consistent with 10z acting as a reversible-covalent
inhibitor of FGFR4, serving as a promising lead compound for further
anticancer drug development.