Discovery and Structural Optimization of N5-Substituted 6,7-Dioxo-6,7-dihydropteridines as Potent and Selective Epidermal Growth Factor Receptor (EGFR) Inhibitors against L858R/T790M Resistance Mutation

EGFR-targeted
inhibitors (gefitinib and erlotinib) provided an
effective strategy for the treatment of non-small-cell lung cancer.
However, the EGFR T790M secondary mutation has become a leading cause
of clinically acquired resistance to these agents. Herein, on the
basis of the previously reported irreversible EGFR inhibitor (compound 9), we present a structure-based design approach, which is
rationalized via analyzing its binding model and comparing the differences
of gatekeeper pocket between the T790M mutant and wild-type (WT) EGFR
kinases. Guided by these results, a novel 6,7-dioxo-6,7-dihydropteridine
scaffold was discovered and hydrophobic modifications at N5-position
were conducted to strengthen nonpolar contacts and improve mutant
selectivity over EGFRWT. Finally, the most representative
compound 17d was identified. This work demonstrates the
power of structure-based strategy in discovering lead compounds and
provides molecular insights into the selectivity of EGFRL858R/T790M over EGFRWT, which may play an important role in designing
new classes of mutant-selective EGFR inhibitors.