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2016 ; 11
(11
): 3214-3225
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Small Molecule Inhibitor of NRF2 Selectively Intervenes Therapeutic Resistance in
KEAP1-Deficient NSCLC Tumors
#MMPMID27552339
Singh A
; Venkannagari S
; Oh KH
; Zhang YQ
; Rohde JM
; Liu L
; Nimmagadda S
; Sudini K
; Brimacombe KR
; Gajghate S
; Ma J
; Wang A
; Xu X
; Shahane SA
; Xia M
; Woo J
; Mensah GA
; Wang Z
; Ferrer M
; Gabrielson E
; Li Z
; Rastinejad F
; Shen M
; Boxer MB
; Biswal S
ACS Chem Biol
2016[Nov]; 11
(11
): 3214-3225
PMID27552339
show ga
Loss of function mutations in Kelch-like ECH Associated Protein 1 (KEAP1), or
gain-of-function mutations in nuclear factor erythroid 2-related factor 2 (NRF2),
are common in non-small cell lung cancer (NSCLC) and associated with therapeutic
resistance. To discover novel NRF2 inhibitors for targeted therapy, we conducted
a quantitative high-throughput screen using a diverse set of ?400?000 small
molecules (Molecular Libraries Small Molecule Repository Library, MLSMR) at the
National Center for Advancing Translational Sciences. We identified ML385 as a
probe molecule that binds to NRF2 and inhibits its downstream target gene
expression. Specifically, ML385 binds to Neh1, the Cap 'N' Collar Basic Leucine
Zipper (CNC-bZIP) domain of NRF2, and interferes with the binding of the V-Maf
Avian Musculoaponeurotic Fibrosarcoma Oncogene Homologue G (MAFG)-NRF2 protein
complex to regulatory DNA binding sequences. In clonogenic assays, when used in
combination with platinum-based drugs, doxorubicin or taxol, ML385 substantially
enhances cytotoxicity in NSCLC cells, as compared to single agents. ML385 shows
specificity and selectivity for NSCLC cells with KEAP1 mutation, leading to gain
of NRF2 function. In preclinical models of NSCLC with gain of NRF2 function,
ML385 in combination with carboplatin showed significant antitumor activity. We
demonstrate the discovery and validation of ML385 as a novel and specific NRF2
inhibitor and conclude that targeting NRF2 may represent a promising strategy for
the treatment of advanced NSCLC.