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RCSB PDB - 3VS2: Crystal structure of HCK complexed with a pyrrolo-pyrimidine inhibitor 7-[cis-4-(4-methylpiperazin-1-yl)cyclohexyl]-5-(4-phenoxyphenyl)-7H-pyrrolo[2,3-d]pyrimidin-4-amine

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A Pyrrolo-Pyrimidine Derivative Targets Human Primary AML Stem Cells in Vivo

Saito, Y.Yuki, H.Kuratani, M.Hashizume, Y.Takagi, S.Honma, T.Tanaka, A.Shirouzu, M.Mikuni, J.Handa, N.Ogahara, I.Sone, A.Najima, Y.Tomabechi, Y.Wakiyama, M.Uchida, N.Tomizawa-Murasawa, M.Kaneko, A.Tanaka, S.Suzuki, N.Kajita, H.Aoki, Y.Ohara, O.Shultz, L.D.Fukami, T.Goto, T.Taniguchi, S.Yokoyama, S.Ishikawa, F.

(2013) Sci Transl Med 5: 181ra52-181ra52

  • PubMed23596204 Search on PubMed
  • DOI: https://doi.org/10.1126/scitranslmed.3004387

  • PubMed Abstract: 

    Leukemia stem cells (LSCs) that survive conventional chemotherapy are thought to contribute to disease relapse, leading to poor long-term outcomes for patients with acute myeloid leukemia (AML). We previously identified a Src-family kinase (SFK) member, hematopoietic cell kinase (HCK), as a molecular target that is highly differentially expressed in human primary LSCs compared with human normal hematopoietic stem cells (HSCs). We performed a large-scale chemical library screen that integrated a high-throughput enzyme inhibition assay, in silico binding prediction, and crystal structure determination and found a candidate HCK inhibitor, RK-20449, a pyrrolo-pyrimidine derivative with an enzymatic IC50 (half maximal inhibitory concentration) in the subnanomolar range. A crystal structure revealed that RK-20449 bound the activation pocket of HCK. In vivo administration of RK-20449 to nonobese diabetic (NOD)/severe combined immunodeficient (SCID)/IL2rg(null) mice engrafted with highly aggressive therapy-resistant AML significantly reduced human LSC and non-stem AML burden. By eliminating chemotherapy-resistant LSCs, RK-20449 may help to prevent relapse and lead to improved patient outcomes in AML.


  • Organizational Affiliation

    Laboratory for Human Disease Models, RIKEN Research Center for Allergy and Immunology, Yokohama, Kanagawa 230-0045, Japan.