2004
DOI: 10.1038/sj.onc.1207810
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Disease associated mutations at valine 804 in the RET receptor tyrosine kinase confer resistance to selective kinase inhibitors

Abstract: We have recently demonstrated that the pyrazolopyrimidines PP1 and PP2 and the 4-anilinoquinazoline ZD6474 display a strong inhibitory activity (IC 50 p100 nM) towards constitutively active oncogenic RET kinases. Here, we show that most oncogenic MEN2-associated RET kinase mutants are highly susceptible to PP1, PP2 and ZD6474 inhibition. In contrast, MEN2-associated swap of bulky hydrophobic leucine or methionine residues for valine 804 in the RET kinase domain causes resistance to the three compounds. Substit… Show more

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Cited by 230 publications
(180 citation statements)
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References 38 publications
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“…V804 corresponds to the gatekeeper residues of PDGFR, c-KIT, ABL, and EGFR kinases, and mutations at these residues result in resistance to various inhibitors [236]. These results suggest that RET V804L and V804M mutations in medullary carcinomas may show primary resistance to ZD6474 [235].…”
Section: Targeting Ret Mutations and Ret/ptcmentioning
confidence: 86%
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“…V804 corresponds to the gatekeeper residues of PDGFR, c-KIT, ABL, and EGFR kinases, and mutations at these residues result in resistance to various inhibitors [236]. These results suggest that RET V804L and V804M mutations in medullary carcinomas may show primary resistance to ZD6474 [235].…”
Section: Targeting Ret Mutations and Ret/ptcmentioning
confidence: 86%
“…ZD6474 was demonstrated to block phosphorylation and signaling from RET/PTC3 in vitro. In that way, the growth of human papillary carcinoma cell lines harboring RET/PTC1 and RET/PTC3-transformed fibroblasts was arrested in nude mice [234,235].…”
Section: Targeting Ret Mutations and Ret/ptcmentioning
confidence: 99%
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“…However, the drug was not able to block RET when a hydrophobic amino-acid substitution occurs at V804, as in some inherited forms of MTC. 67 In a phase I trial in 77 patients with various solid carcinomas other than thyroid, doses up to 300 mg daily were tolerated with the most common dose-limiting side effects of diarrhea, hypertension, and skin rash. 68 On the basis of the preclinical demonstration that vandetanib inhibited most RET point mutations, a multicenter, open-label phase II trial studied the efficacy of the drug in patients with metastatic familial forms of MTC.…”
Section: Vandetanibmentioning
confidence: 99%
“…Antibodies-As primary antibodies, we used rabbit polyclonal antisera to Erk2 (C-14) (Santa Cruz Biotechnology), phospho-MAPK (p42/ p44) (Cell Signaling), RET and phospho-RET (phospho-Tyr905) (11), and mouse monoclonal antibodies to enhanced green fluorescent protein, AU5, and HA epitopes (Berkeley Antibody Company), Src (Ab-1; Oncogene Science), c-Abl (Pharmingen), and phospho-tyrosine, PY (Santa Cruz Biotechnology and Upstate Biotechnology).…”
Section: Methodsmentioning
confidence: 99%