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Vol. 298, Issue 3, 1172-1178, September 2001
COR Therapeutics, Inc., South San Francisco, California (J.-C.Y.,
N.L., S.H., M.A., J.L., A.B., D.S., N.A.G.); and Kyowa Hakko Kogyo Co.,
Ltd., Pharmaceutical Research Institute, Shizuoka, Japan (S.O., Y.N.,
K.M., S.-i.I., E.J.)
Exaggerated or inappropriate signaling by the platelet-derived
growth factor receptor (PDGFR) tyrosine kinase has been implicated in a
wide variety of diseases. Thus, a series of piperazinyl quinazoline compounds were identified as potent antagonists of the PDGFR by screening chemical libraries. An optimized analog, CT52923, was shown
to be an ATP-competitive inhibitor that exhibited remarkable specificity when tested against other kinases, including all members of
the closely related PDGFR family. The PDGFRs and stem cell factor
receptor were inhibited with an IC50 of 100 to 200 nM, while 45- to >200-fold higher concentrations of CT52923 were
required to inhibit fms-like tyrosine kinase-3 and colony-stimulating
factor-1 receptor, respectively. Other receptor tyrosine kinases,
cytoplasmic tyrosine kinases, serine/threonine kinases, or members of
the mitogen-activated protein kinase pathway were not significantly inhibited at 100- to 1000-fold higher concentrations. In addition, this
compound also demonstrated specificity for inhibition of cellular
responses. Platelet-derived growth factor-induced smooth muscle cell
migration or fibroblast proliferation was found to be blocked by
CT52923 with an IC50 of 64 and 280 nM, respectively, whereas 50- to 100-fold higher concentrations were required to inhibit
these responses when induced with fibroblast growth factor. To
investigate the effect of CT52923 on PDGFR signaling, in vivo studies
demonstrated that CT52923 could significantly inhibit neointima
formation following carotid artery injury by oral administration in the
rat. Therefore, PDGFR antagonism by CT52923 could be a viable strategy
for the prevention of clinical restenosis or the treatment of other
human diseases involving PDGFR signaling.
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