Article
Discovery of Highly Selective AKR1C3 Inhibitors to Overcome EGFR C797S-Mediated Osimertinib Resistance in Non-Small Cell Lung Cancer.
Journal of medicinal chemistry - 26 Mar 2026
Guo Can, Wang Xiaolong, Guan Qianwen, Zhong Sheng, Zhang Lu, Liu Yimeng, Han Bingjie, Shao Jikuan, Liu Zongliang, Chen Yao, Sun Haopeng
Abstract excerpt
Osimertinib resistance driven by the cis-C797S/T790M EGFR triplet mutation remains clinically intractable. We identify aldo-keto reductase 1C3 (AKR1C3) as a metabolic vulnerability that sustains glutathione-reactive oxygen species (GSH-ROS) homeostasis in resistant non-small cell lung cancer (NSCLC). Starting from the selective inhibitor S07-2001, six rounds of structure-guided optimization delivered 55...
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