JOURNAL OF ENZYME INHIBITION AND MEDICINAL CHEMISTRY
1115
important to binding affinity. In the case of cKit kinase, threonine
residue locates at the same position, and same explanation could
be applied.
FLT3 mutated acute myeloid leukemia. Invest New Drugs
2017;35:556–65.
8. Perl AE, Altman JK, Cortes J, et al. Selective inhibition of
FLT3 by gilteritinib in relapsed or refractory acute myeloid
leukaemia: a multicentre, first-in-human, open-label, phase
1–2 study. Lancet Oncol 2017;18:1061–75.
3. Conclusions
9. Wu P, Nielsen TE, Clausen MH. FDA-approved small-mol-
ecule kinase inhibitors. Trends Pharmacol. Sci 2015;36:
422–39.
10. Versele M, Haefner B, Wroblowski B, et al. Covalent Flt3-
Cys828 inhibition represents a novel therapeutic approach
for the treatment of Flt3- ITD and Flt3-D835 mutant acute
myeloid leukemia. Cancer Res 2016;76:4800.
11. Im D, Jung K, Yang S, et al. Discovery of 4-arylamido 3-
methyl isoxazole derivatives as novel FMS kinase inhibitors.
Eur J Med Chem 2015;102:600–10.
12. Im D, Moon H, Kim J, et al. Conformational restriction of a
type II FMS inhibitor leading to discovery of 5-methyl- N-(2-
aryl-1H-benzo[d]imidazo-5-yl)isoxazole-4-carboxamide ana-
logues as selective FLT3 inhibitors. J Enzyme Inhib Med
Chem 2019;34:1716–21.
13. Kamal A, Reddy K, Devaiah V, et al. Recent advances in the
solid-phase combinatorial synthetic strategies for the qui-
noxaline, quinazoline and benzimidazole based privileged
structures. Mini-Rev Med Chem 2006;6:71–89.
14. Chen Y, Pan Y, Guo Y, et al. Tyrosine kinase inhibitors target-
ing FLT3 in the treatment of acute myeloid leukemia. Stem
Cell Investig 2017;4:48–13.
We designed and synthesised a series of 4-arylamido 5-methyli-
soxazole derivatives containing quinazoline using a conformational
rigidification strategy. Various analogues were synthesised and
tested for inhibitory activity against FLT3. Compound 7d displayed
the most potent inhibitory activity against FLT3, with an IC50 of
106 nM, and was also active against FLT3-ITD and FLT3-TKD
(D835Y), with an IC50 of 301 nM and 228 nM respectively. The
novel type II FLT3 inhibitors showed an excellent selectivity profile
having 20% or less activity towards other kinases including similar
FMS, cKit. Specifically, the selectivity over FMS and cKit potentially
relieve the myelosuppression toxicity observed in the dual FLT3/
cKit kinase inhibitor. Molecular docking of 7d into the ATP bind-
ing site of FLT3 kinase was performed and the result disclosed
that the quinazoline structure could perform an adequate or even
better bioisostere of benzimidazole in previous report.
Considering that FLT3 and FLT3 mutants have been significantly
associated with FLT3 mutant-mediated AML, compound 7d could
be a valuable molecule for FLT3-mutant positive physiology and
pathology research and a potential therapeutic agent. Even if fur-
ther optimisation would be necessary in terms of potency, our
research towards a novel selective FLT3 inhibitor suggests the
potential of quinazoline compounds as AML therapeutics.
15. Smith CC, Lin K, Stecula A, et al. FLT3 D835 mutations con-
fer differential resistance to type II FLT3 inhibitors. Leukemia
2015;29:2390–2.
16. Levis M. FLT3 mutations in acute myeloid leukemia?: What
is the best approach in 2013? Hematology Am Soc Hematol
Educ Program 2013;2013:220–6.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Funding
17. Sun D, Yang Y, Lyu J, et al. Discovery and rational design of
pteridin-7(8H)-one-based inhibitors targeting FMS-like tyro-
sine kinase 3 (FLT3) and its mutants. J Med Chem 2016;59:
6187–200.
This work was financially supported by grants from the National
Research Foundation of Korea [NRF-2017R1A2B4006447 and NRF-
2019M3A9A8066500; J.-M. Hah].
18. Roskoski R. Properties of FDA-approved small molecule pro-
tein kinase inhibitors. Pharmacol Res 2019;144:19–50.
19. Fathi AT, Chen YB. The role of FLT3 inhibitors in the treat-
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