Dyr726, a brain-penetrant inhibitor of PI3Kα, Type III receptor tyrosine kinases, and WNT signaling
- bioRxiv. 2025 Mar 29:2025.03.26.645490. doi: 10.1101/2025.03.26.645490.
- 1. Division of Cancer Research, School of Medicine, University of Dundee, Dundee DD1 9SY, UK.
- 2. Department of Chemistry & Biochemistry, The University of Arizona, Tucson, AZ 85721, USA.
- 3. Division of Drug Discovery Development, Department of Pharmacology & Toxicology, The College of Pharmacy, The University of Arizona, Tucson, AZ, 85721, USA.
- 4. University of Arizona Cancer Center, Department of Cellular and Molecular Medicine, College of Medicine, The University of Arizona, Tucson, AZ, USA.
- 5. Drug Discovery Unit, School of Life Sciences, University of Dundee, Dundee DD1 5EH, UK.
- 6. Institute of Pharmacology and Toxicology, RWTH Aachen University, 52074 Aachen, Germany.
- 7. School of Cancer Sciences, University of Glasgow, Glasgow G61 1QH, UK.
- 8. The Institute of Genetics and Cancer, University of Edinburgh, Edinburgh EH4 2XR, UK.
- 9. Dundee Imaging Facility, School of Life Sciences, University of Dundee, Dundee DD1 5EH, UK.
- 10. Children's Brain Tumour Research Centre, School of Medicine, University of Nottingham, Nottingham, NG7 2RD, UK.
The vast majority of clinical small molecule multi-kinase inhibitors (mKI) report abject failures in targeting cancers with high stem cell contents like high-grade glioma and colorectal cancers. The FDA-approved mKIs to date ablate receptor tyrosine kinase signaling but do not target the paradoxical Wnt signaling which is a key survival driver for the self-renewing Cancer Stem Cells. The Wnt pathway enhances Cancer plasticity and triggers relapse of highly heterogenous tumours. Using de novo synthesis and structure-activity-relationship (SAR) studies with blood-brain-barrier (BBB) penetrant mKI scaffolds, we designed a highly potent and selective small molecule inhibitor of PI3Kα, PDGFR/KIT, and the Wnt pathway denoted Dyr726. Dyr726 is superior to clinical mKIs and inhibits PI3K-AKT-mTOR and WNT-pathway signaling at multiple nodes thereby impeding proliferation, invasion, and tumour growth. Phospho-proteomic, structural, and target engagement analyses, combined with in vitro, in vivo efficacy, and pharmacokinetic studies reveal that Dyr726 is a brain-penetrant small molecule which effectively reduces tumour volume and extends survival of murine orthotopic models. Our current work establishes a first-in-class brain penetrant small molecule mKI which simultaneously antagonize the PI3K-AKT-mTOR and Wnt pathways in preclinical Cancer stem cell cultures, adult and pediatric primary organoids, and orthotopic murine models with positive efficacy in combination with clinical standard of care.