Article
TRK xDFG Mutations Trigger a Sensitivity Switch from Type I to II Kinase Inhibitors.
Cancer discovery - 1 Jan 2021
Cocco Emiliano, Lee Ji Eun, Kannan Srinivasaraghavan, Schram Alison M, Won Helen H, Shifman Sophie, Kulick Amanda, Baldino Laura, Toska Eneda, Arruabarrena-Aristorena Amaia, Kittane Srushti, Wu Fan, Cai Yanyan, Arena Sabrina, Mussolin Benedetta, Kannan Ram, Vasan Neil, Gorelick Alexander N, Berger Michael F, Novoplansky Ofra, Jagadeeshan Sankar, Liao Yi, Rix Uwe, Misale Sandra, Taylor Barry S, Bardelli Alberto, Hechtman Jaclyn F, Hyman David M, Elkabets Moshe, de Stanchina Elisa, Verma Chandra S, Ventura Andrea, Drilon Alexander, Scaltriti Maurizio
Abstract excerpt
On-target resistance to next-generation TRK inhibitors in TRK fusion-positive cancers is largely uncharacterized. In patients with these tumors, we found that TRK xDFG mutations confer resistance to type I next-generation TRK inhibitors designed to maintain potency against several kinase domain mutations. Computational modeling and biochemical assays showed that TRKAG667 and TRKCG696 xDFG substitutions reduce...
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