Trametinib (GSK1120212, JTP-74057) is a second-generation small molecule inhibitor of MEK kinase. It functions as allosteric, ATP noncompetitive inhibitor with nanomolar activity against both MEK 1 and MEK 2 kinases with IC50 is 0.7-14.9 nM for MEK1/MEK2[3,7].
Trametinib (GSK1120212), identified as a potent p15INKb inducer, modulates p27KIP1, cyclin D1, cyclin A and c-Myc protein levels and induces G1 arrest in HT-29 cells[2]. Trametinib (GSK1120212) blocked tumor necrosis factor-α and interleukin-6 production from PBMCs. AIA and CIA development were suppressed almost completely by 0.1 mg/kg of JTP-74057 or 10 mg/kg of leflunomide. In the CIA, Trametinib (GSK1120212), but not leflunomide, suppressed collagen-reactive T-cell proliferation ex vivo[1]. Among the different cell lines evaluated in the study, those with either BRAFV600E mutation or activating mutations in KRAS or NRAS were the most sensitive.Trametinib (GSK1120212) inhibited the MEK1/2-dependent activating dual phosphorylation of ERK1/2 on both T202 and Y204[4].
In xenograft models of HT-29 and COLO205 colorectal tumor cell lines, trametinib demonstrated robust anticancer activity when administered daily for 14 days, Tumor growth was significantly suppressed in mice treated with 100 mg/kg Trametinib (GSK1120212) during the course of the treatment, by single oral dosing of 100 mg/kg Trametinib (GSK1120212), the phosphorylation of ERK1/2 in the established tumor tissues was completely inhibited, and both p15INK4b and p27KIP1 mRNA levels were upregulated in parallel[2,5]. In patients treated with Trametinib (GSK1120212)for malignant melanoma most common adverse events observed were rash, diarrhea, peripheral edema, fatigue, and dermatitis acneiform[6].
References:
[1]. Yamaguchi T, Kakefuda R, et,al. Suppressive effect of an orally active MEK1/2 inhibitor in two different animal models for rheumatoid arthritis: a comparison with leflunomide. Inflamm Res. 2012 May;61(5):445-54. doi: 10.1007/s00011-011-0431-5. Epub 2012 Jan 14. PMID: 22245957.
[2]. Yamaguchi T, Yoshida T, et,al. Identification of JTP-70902, a p15(INK4b)-inductive compound, as a novel MEK1/2 inhibitor. Cancer Sci. 2007 Nov;98(11):1809-16. doi: 10.1111/j.1349-7006.2007.00604.x. Epub 2007 Sep 2. PMID: 17784872.
[3]. be H, Kikuchi S, Hayakawa K, et,al.Discovery of a Highly Potent and Selective MEK Inhibitor: GSK1120212 (JTP-74057 DMSO Solvate). ACS Med Chem Lett. 2011 Feb 28;2(4):320-4. doi: 10.1021/ml200004g. PMID: 24900312; PMCID: PMC4018163.
[4]. Gilmartin AG, Bleam MR, et,al. GSK1120212 (JTP-74057) is an inhibitor of MEK activity and activation with favorable pharmacokinetic properties for sustained in vivo pathway inhibition. Clin Cancer Res. 2011 Mar 1;17(5):989-1000. doi: 10.1158/1078-0432.CCR-10-2200. Epub 2011 Jan 18. Erratum in: Clin Cancer Res. 2012 Apr 15;18(8):2413. PMID: 21245089.
[5]. Gilmartin AG, Bleam MR, et,al. GSK1120212 (JTP-74057) is an inhibitor of MEK activity and activation with favorable pharmacokinetic properties for sustained in vivo pathway inhibition. Clin Cancer Res. 2011 Mar 1;17(5):989-1000. doi: 10.1158/1078-0432.CCR-10-2200. Epub 2011 Jan 18. Erratum in: Clin Cancer Res. 2012 Apr 15;18(8):2413. PMID: 21245089.
[6]. Flaherty KT, Infante JR, et,al. Combined BRAF and MEK inhibition in melanoma with BRAF V600 mutations. N Engl J Med. 2012 Nov 1;367(18):1694-703. doi: 10.1056/NEJMoa1210093. Epub 2012 Sep 29. PMID: 23020132; PMCID: PMC3549295.
[7]. Zeiser R, Andrlová H, et,al. Trametinib (GSK1120212). Recent Results Cancer Res. 2018;211:91-100. doi: 10.1007/978-3-319-91442-8_7. PMID: 30069762.
Trametinib (GSK1120212, JTP-74057) 是第二代 MEK 激酶小分子抑制剂。它作为变构的 ATP 非竞争性抑制剂,对 MEK 1 和 MEK 2 激酶具有纳摩尔活性,对 MEK1/MEK2 的 IC50 为 0.7-14.9 nM[3,7]。
Trametinib (GSK1120212) 被确定为一种有效的 p15INKb 诱导剂,可调节 p27KIP1、细胞周期蛋白 D1、细胞周期蛋白 A 和 c-Myc 蛋白水平,并诱导 HT-29 细胞发生 G1 期阻滞[2]。曲美替尼 (GSK1120212) 可阻断 PBMC 中肿瘤坏死因子-α 和白细胞介素 6 的产生。 AIA 和 CIA 的发展几乎完全被 0.1 mg/kg 的 JTP-74057 或 10 mg/kg 的来氟米特抑制。在 CIA 中,Trametinib (GSK1120212),而不是来氟米特,在体外抑制胶原反应性 T 细胞增殖[1]。在研究中评估的不同细胞系中,具有 BRAFV600E 突变或 KRAS 或 NRAS 激活突变的细胞系最敏感。Trametinib (GSK1120212) 抑制 T202 和 Y204 上 ERK1/2 的 MEK1/2 依赖性激活双重磷酸化[4].
在 HT-29 和 COLO205 结直肠肿瘤细胞系的异种移植模型中,trametinib 在连续 14 天每天给药时表现出强大的抗癌活性,在接受 100 mg/kg Trametinib (GSK1120212) 处理的小鼠中,肿瘤生长在通过单次口服 100 mg/kg Trametinib (GSK1120212) 治疗,已建立的肿瘤组织中 ERK1/2 的磷酸化被完全抑制,p15INK4b 和 p27KIP1 mRNA 水平同时上调[2,5 ]。在使用曲美替尼 (GSK1120212) 治疗恶性黑色素瘤的患者中,观察到的最常见不良事件是皮疹、腹泻、外周水肿、疲劳和痤疮样皮炎[6]。
















