leukemia project

Upload: lokendra-tripathi

Post on 10-Apr-2018

219 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/8/2019 Leukemia Project

    1/62

    INTRODUCTION

    Drug design is the approach of finding drugs by design, based on their

    biological targets. Typically a drug target is a key molecule involved in aparticular metabolic or signalling pathway that is specific to a disease

    condition or pathology, or to the infectivity or survival of a microbial

    pathogen.

    Rational drug design is a process used in the biopharmaceutical industry to

    discover and develop new drug compounds. RDD uses a variety of

    computational methods to identify novel compounds, design compounds for

    selectivity, efficacy and safety, and develop compounds into clinical trial

    candidates. These methods fall into several natural categories structure-

    based drug design, ligand-based drug design, de novo design and homology

    modeling depending on how much information is available about drug

    targets and potential drug compounds. Well focus on structure-based drug

    design in this article and describe a few of its salient features

    Structure-based drug design is one of several methods in the rational drug

    design toolbox. Drug targets are typically key molecules involved in a specific

    metabolic or cell signaling pathway that is known, or believed, to be related

    to a particular disease state. Drug targets are most often proteins and

    enzymes in these pathways. Drug compounds are designed to inhibit, restore

    or otherwise modify the structure and behavior of disease-related proteins

    and enzymes. SBDD uses the known 3D geometrical shape or structure of

    proteins to assist in the development of new drug compounds. The 3D

    structure of protein targets is most often derived from x-ray crystallographyor nuclear magnetic resonance (NMR) techniques. X-ray and NMR methods

    can resolve the structure of proteins to a resolution of a few angstroms

    (about 500,000 times smaller than the diameter of a human hair). At this

    level of resolution, researchers can precisely examine the interactions

    between atoms in protein targets and atoms in potential drug compounds

    11

  • 8/8/2019 Leukemia Project

    2/62

    that bind to the proteins. This ability to work at high resolution with both

    proteins and drug compounds makes SBDD one of the most powerful

    methods in drug design.

    Bioinformatics plays an important role in the design of new drug compounds.

    Drug discovery has long been a multidisciplinary effort to optimize ligands

    properties (potency, selectivity, pharmacokinetics) towards a single

    macromolecular target. It is estimated that, out of the 2025 000 human

    genes supposed to encode for ca. 3000 druggable targets only a subset of

    that pharmacological space has currently been investigated by the

    pharmaceutical industry. Remarkably, medicinal chemistry followed a parallel

    boost with the miniaturization and parallelization of compound synthesis,

    such that over 10 million non-redundant chemical structures covers the

    actual chemical space, out of which ca. 1000 have been approved as drugs.

    Therefore, only a small fraction of compounds describing the current

    chemical space has been tested on a fraction of the entire target space.

    LEUKEMIA : AN INTRODUCTION

    Leukemia is a cancer of the blood or bone marrow and is characterized by

    an abnormal proliferation (production by multiplication) of blood cells,

    usually white blood cells (leukocytes). It is part of the broad group of

    diseases called hematological neoplasms.

    Damage to the bone marrow, by way of displacing the normal bone marrow

    cells with higher numbers of immature white blood cells, results in a lack of

    blood platelets, which are important in the blood clotting process. This

    means people with leukemia may become bruised, bleed excessively, or

    develop pinprick bleeds (petechiae). White blood cells, which are involved

    in fighting pathogens, may be suppressed or dysfunctional. This could cause

    the patient's immune system to be unable to fight off a simple infection or to

    start attacking other body cells.

    22

    http://en.wikipedia.org/wiki/Cancerhttp://en.wikipedia.org/wiki/Bloodhttp://en.wikipedia.org/wiki/Bone_marrowhttp://en.wikipedia.org/wiki/Cell_(biology)http://en.wikipedia.org/wiki/Leukocyteshttp://en.wikipedia.org/wiki/Hematological_malignancyhttp://en.wikipedia.org/wiki/Platelethttp://en.wikipedia.org/wiki/Coagulation_of_human_bloodhttp://en.wikipedia.org/wiki/Purpurahttp://en.wikipedia.org/wiki/Hemorrhagehttp://en.wikipedia.org/wiki/Petechiahttp://en.wikipedia.org/wiki/White_blood_cellhttp://en.wikipedia.org/wiki/Pathogenhttp://en.wikipedia.org/wiki/Cancerhttp://en.wikipedia.org/wiki/Bloodhttp://en.wikipedia.org/wiki/Bone_marrowhttp://en.wikipedia.org/wiki/Cell_(biology)http://en.wikipedia.org/wiki/Leukocyteshttp://en.wikipedia.org/wiki/Hematological_malignancyhttp://en.wikipedia.org/wiki/Platelethttp://en.wikipedia.org/wiki/Coagulation_of_human_bloodhttp://en.wikipedia.org/wiki/Purpurahttp://en.wikipedia.org/wiki/Hemorrhagehttp://en.wikipedia.org/wiki/Petechiahttp://en.wikipedia.org/wiki/White_blood_cellhttp://en.wikipedia.org/wiki/Pathogen
  • 8/8/2019 Leukemia Project

    3/62

    Finally, the red blood cell deficiency leads to anemia, which may cause

    dyspnea. All symptoms can be attributed to other diseases; for diagnosis,

    blood tests and a bone marrow examination are required.

    Some other related symptoms:

    Fever, chills, night sweats and other flu-like symptoms

    Weakness and fatigue

    Swollen or bleeding gums

    Neurological symptoms (headache)

    Enlarged liver and spleen

    Frequent infection

    Bone pain Joint pain

    Dizziness

    Swollen tonsils

    Combining these two classifications provides a total of four maincategories:

    Acute Chronic

    lymphocytic

    leukemia

    Acute lymphocytic leukemia(also known as AcuteLymphoblastic Leukemia, or ALL)is the most common type ofleukemia in young children. Thisdisease also affects adults,especially those age 65 and older.

    Chronic lymphocytic

    leukemia (CLL) most oftenaffects adults over the age of55. It sometimes occurs inyounger adults, but it almostnever affects children.

    myelogenous

    leukemia (or"myeloid")

    Acute myelogenous

    leukemia (also known as AcuteMyeloid Leukemia, or AML) occursmore commonly in adults than inchildren. This type of leukemia waspreviously called "acutenonlymphocytic leukemia".

    Chronic myelogenousleukemia (CML) occursmainly in adults. A very smallnumber of children alsodevelop this disease

    33

    http://en.wikipedia.org/wiki/Anemiahttp://en.wikipedia.org/wiki/Dyspneahttp://en.wikipedia.org/wiki/Diagnosishttp://en.wikipedia.org/wiki/Blood_testhttp://en.wikipedia.org/wiki/Bone_marrow_examinationhttp://en.wikipedia.org/wiki/Headachehttp://en.wikipedia.org/wiki/Liverhttp://en.wikipedia.org/wiki/Spleenhttp://en.wikipedia.org/wiki/Lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Acute_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Chronic_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Chronic_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Chronic_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Chronic_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Myelogenous_leukemiahttp://en.wikipedia.org/wiki/Myelogenous_leukemiahttp://en.wikipedia.org/wiki/Acute_myeloid_leukemiahttp://en.wikipedia.org/wiki/Acute_myeloid_leukemiahttp://en.wikipedia.org/wiki/Chronic_myelogenous_leukemiahttp://en.wikipedia.org/wiki/Chronic_myelogenous_leukemiahttp://en.wikipedia.org/wiki/Chronic_myelogenous_leukemiahttp://en.wikipedia.org/wiki/Chronic_myelogenous_leukemiahttp://en.wikipedia.org/wiki/Anemiahttp://en.wikipedia.org/wiki/Dyspneahttp://en.wikipedia.org/wiki/Diagnosishttp://en.wikipedia.org/wiki/Blood_testhttp://en.wikipedia.org/wiki/Bone_marrow_examinationhttp://en.wikipedia.org/wiki/Headachehttp://en.wikipedia.org/wiki/Liverhttp://en.wikipedia.org/wiki/Spleenhttp://en.wikipedia.org/wiki/Lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Acute_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Chronic_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Chronic_lymphocytic_leukemiahttp://en.wikipedia.org/wiki/Myelogenous_leukemiahttp://en.wikipedia.org/wiki/Myelogenous_leukemiahttp://en.wikipedia.org/wiki/Acute_myeloid_leukemiahttp://en.wikipedia.org/wiki/Acute_myeloid_leukemiahttp://en.wikipedia.org/wiki/Chronic_myelogenous_leukemiahttp://en.wikipedia.org/wiki/Chronic_myelogenous_leukemia
  • 8/8/2019 Leukemia Project

    4/62

    There is no single known cause for all of the different types of leukemia. The

    different leukemias likely have different causes, and very little is certain

    about what causes them. Researchers have strong suspicions about four

    possible causes:

    natural or artificial ionizing radiation

    certain kinds of chemicals

    some viruses

    genetic predispositions

    Acute myeloid leukemia (AML), also known as acute myelogenous leukemia,

    is a cancer of the myeloid line ofwhite blood cells, characterized by the rapid

    proliferation of abnormal cells which accumulate in the bone marrow and

    interfere with the production of normal blood cells. AML is the most

    common acute leukemia affecting adults, and its incidence increases with

    age. Although AML is a relatively rare disease, accounting for approximately

    1.2% of cancer deaths in the United States, its incidence is expected to

    increase as the population ages.

    The World Health Organization (WHO) classification of acute myeloid

    leukemia attempts to be more clinically useful and to produce more

    meaningful prognostic information than the FAB criteria. Each of the WHO

    categories contains numerous descriptive sub-categories of interest to the

    hematopathologist and oncologist; however, most of the clinically

    significant information in the WHO schema is communicated via

    categorization into one of the five subtypes listed below.

    The WHO subtypes of AML are:

    AML with characteristic genetic abnormalities, which includes

    AML with translocations between chromosome 8 and 21 [t(8;21)],

    inversions in chromosome 16 [inv(16)], or translocations between

    chromosome 15 and 17 [t(15;17)]. Patients with AML in this category

    44

    http://en.wikipedia.org/wiki/Cancerhttp://en.wikipedia.org/wiki/Myeloidhttp://en.wikipedia.org/wiki/White_blood_cellhttp://en.wikipedia.org/wiki/Bone_marrowhttp://en.wikipedia.org/wiki/Haematopoiesishttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/World_Health_Organizationhttp://en.wikipedia.org/wiki/Hematopathologisthttp://en.wikipedia.org/wiki/Oncologisthttp://en.wikipedia.org/wiki/Cancerhttp://en.wikipedia.org/wiki/Myeloidhttp://en.wikipedia.org/wiki/White_blood_cellhttp://en.wikipedia.org/wiki/Bone_marrowhttp://en.wikipedia.org/wiki/Haematopoiesishttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/World_Health_Organizationhttp://en.wikipedia.org/wiki/Hematopathologisthttp://en.wikipedia.org/wiki/Oncologist
  • 8/8/2019 Leukemia Project

    5/62

  • 8/8/2019 Leukemia Project

    6/62

    Transcription 3.7 kb; 2979 bp open reading frame

    Protein

    Description Size: 993 amino acids; 112804 Da;

    FLT3 is a class III receptor tyrosine kinase (RTK) structurally

    related to the receptors for platelet derived growth factor

    (PDGF), colony stimulating factor 1 (CSF1), and KIT ligand

    (KL).; these RTK contain five immunoglobulin-like domains in

    the extracellular region and an intracelular tyrosine kinase

    domain splitted in two by a specific hydrophilic insertion (kinase

    insert); immunoprecipitation of the human FLT3 protein results

    in the appearance of a minor band of Mr 130 000 and a majorband of Mr 155 000/160 000; the high-molecular-weight band

    corresponds to the mature, N-glycosylated form, and the low-

    molecular-weight band to the immature, high mannose-

    containing form; N-linked glycosylations account for 50 000

    daltons.

    Expression FLT3 expression was described on bone marrow CD34-positive

    cells, corresponding to multipotential, myeloid and B-lymphoid

    progenitor cells, and on monocytic cells; FLT3 expression is

    restricted to cells of the fetal liver expressing high levels of

    CD34; in addition, the FLT3 protein is expressed on blast cells

    from most ANLL and B-ALL.

    Localisation Subcellular location: Type I membrane protein. 3D structure:

    PDB id 1RJB (3D).

    Function FLT3 receptor function can be defined by the activity of its

    ligand (FL); FL is an early acting factor and supports thesurvival, proliferation and differentiation of primitive

    hemopoietic progenitor cells. Ligand binding to FLT3 promotes

    receptor dimerization and subsequent signalling through

    posphorylation of multiple cytoplasmatic proteins, including

    SHC, SHP-2, SHIP, Cbl, Cbl-b, Gab1 and Gab2, as well as the

    66

    http://atlasgeneticsoncology.org/Anomalies/ClassifAMLID1238.htmlhttp://atlasgeneticsoncology.org/Anomalies/ClassifAMLID1238.html
  • 8/8/2019 Leukemia Project

    7/62

    activation of several downstream signalling pathways, such as

    the Ras/Raf/MAPK and PI3 kinase cascades.

    Function: Receptor for the FL cytokine. Has a tyrosine-protein

    kinase activity. Catalytic activity: ATP + a protein tyrosine =

    ADP + protein tyrosine phosphate.

    Similarity: Belongs to the Tyr protein kinase family. CSF-

    1/PDGF receptor subfamily. Contains 1 immunoglobulin-like C2-

    type domain.

    Homology Other tyrosine kinases: KIT, PDGFRA, PDGFRB, VEGFR

    Mutations

    Somatic Mutations in the FLT3 gene are the most frequent geneticaberration that have been described in acute myeloid leukemia.

    With 20-25% length mutations in the juxtamembrane domain are

    the most frequent, followed by 7-8% mutations in the second

    tyrosine kinase kinase domain, mostly point mutations in codon

    835 or deletions of codon 836. Also point mutations in the juxta

    membrane domain have been described and the number of new

    mutations all over the total gene is still growing.

    Implicated in

    Entity FLT3-length mutation (FLT3-LM)

    Disease Internal tandem duplications and/or insertions and, rarely,

    deletions in the FLT3-gene are implicated in 20-25% of all

    acute myeloid leukemias (AML). It was also described to be

    involved in 5-10 % myelodysplastic syndromes (MDS)

    refractory anaemia with excess of blasts (RAEB 1 and RAEB 2)and rare cases with acute lymphoblastic leukemia (ALL) The

    duplicated sequence belongs to exon 11 but sometimes

    involves intron 11 and exon 12. The most frequently used

    nomenclature is FLT3-ITD (internal tandem duplication).

    Because of the very heterogenous molecular structure the

    77

    http://atlasgeneticsoncology.org/Genes/KITID127.htmlhttp://atlasgeneticsoncology.org/Genes/PDGFRBID21ch5q32.htmlhttp://atlasgeneticsoncology.org/Genes/KITID127.htmlhttp://atlasgeneticsoncology.org/Genes/PDGFRBID21ch5q32.html
  • 8/8/2019 Leukemia Project

    8/62

    term FLT3-LM (length mutation) seems to be more adequate.

    Prognosis An unfavourable impact on prognosis especially a high relapse

    rate of the FLT3-LM has been shown by many study groups.

    Patients with loss of the wildtype allele have an even worse

    prognosis than the mutated with retention of the wildtype

    allele. Perspective : It is of special interest that this mutation

    allows to perform PCR-based minimal residual disease

    detection in a high number of these high risk AML patients.

    Cytogenetics FLT3-LM are highly correlated with a) normal karyotype,

    b) t(15;17)(q25;q21)

    c) CYTOGENETICS Perspective: It is of special interest that

    this mutation allows to perform PCR-based minimal residual

    disease detection in a high number of these high risk AML

    patients.

    Oncogenesis This mutation leads to constitutive ligand independent

    autophosphorylation of the receptor. The FLT3-LM vary in size

    and position in a nearly patient specific manner. Overall the

    aberrant structure of the juxtamembrane domain disrupts a

    negative regulatory domain, which leads to the constitutive

    receptor activation. Several Groups have reported qualitative

    differences in the intracellular signals provided by wild type

    and mutated receptors.Mutated receptor weakly works through

    MAP kinase and Akt but instead through strong and

    constitutively activated STAT5.

    Entity FLT3 Tyrosine Kinase Domain Mutation (FLT3-TKD)

    Disease In the second tyrosine kinase domain point mutations and

    small deletions mostly of codons 835 and 836, respectively,

    can be found in 7-8% of all AML.

    88

    http://atlasgeneticsoncology.org/Anomalies/t1517ID1035.htmlhttp://atlasgeneticsoncology.org/Anomalies/t1517ID1035.html
  • 8/8/2019 Leukemia Project

    9/62

    Prognosis No independent impact on prognosis shown yet.

    Cytogenetics In contrast to the FLT3-LM they do not seem to be specifically

    correlated to a certain AML type.

    Oncogenesis These mutations also lead to constitutive autoactivation of the

    receptor. It has been suggested that TKD mutation may both

    trigger the activation loop and stabilize it in the active state.

    Pathways Of Formation And Action Of Flt3 protein

    99

  • 8/8/2019 Leukemia Project

    10/62

    Fig- Production And Action Of Flt3 protein

    FLT3 is a class III receptor tyrosine kinase (RTK) structurally related to the

    receptors for platelet derived growth factor (PDGF), colony stimulating factor

    1 (CSF1), and KIT ligand (KL).; these RTK contain five immunoglobulin-like

    domains in the extracellular region and an intracelular tyrosine kinase

    domain splitted in two by a specific hydrophilic insertion (kinase insert);

    101

  • 8/8/2019 Leukemia Project

    11/62

    immunoprecipitation of the human FLT3 protein results in the appearance of

    a minor band of Mr 130 000 and a major band of Mr 155 000/160 000; the

    high-molecular-weight band corresponds to the mature, N-glycosylated form,

    and the low-molecular-weight band to the immature, high mannose-

    containing form; N-linked glycosylations account for 50 000 daltons.

    FLT3 expression was described on bone marrow CD34-positive cells,

    corresponding to multipotential, myeloid and B-lymphoid progenitor cells,

    and on monocytic cells; FLT3 expression is restricted to cells of the fetal liver

    expressing high levels of CD34; in addition, the FLT3 protein is expressed on

    blast cells from most ANLL and B-ALL.

    FLT3 receptor function can be defined by the activity of its ligand (FL); FL is

    an early acting factor and supports the survival, proliferation and

    differentiation of primitive hemopoietic progenitor cells. Ligand binding to

    FLT3 promotes receptor dimerization and subsequent signalling through

    posphorylation of multiple cytoplasmatic proteins, including SHC, SHP-2,

    SHIP, Cbl, Cbl-b, Gab1 and Gab2, as well as the activation of several

    downstream signalling pathways, such as the Ras/Raf/MAPK and PI3 kinase

    cascades.

    Function: Receptor for the FL cytokine. Has a tyrosine-protein kinase

    activity. Catalytic activity: ATP + a protein tyrosine = ADP + protein tyrosine

    phosphate.

    Similarity: Belongs to the Tyr protein kinase family. CSF-1/PDGF receptor

    subfamily. Contains 1 immunoglobulin-like C2-type domain.

    111

    http://atlasgeneticsoncology.org/Anomalies/ClassifAMLID1238.htmlhttp://atlasgeneticsoncology.org/Anomalies/ClassifAMLID1238.html
  • 8/8/2019 Leukemia Project

    12/62

    FIG. . Flt3 protein cascade

    FMS-related tyrosine kinase 3 (FLT3, also called Flk2), is a member of the

    type III receptor tyrosine kinase family, which includes c-Kit, PDGFR and M-CSF receptors. FLT3 is expressed on early hematopoietic progenitor cells and

    supports growth and differentiation within the hematopoietic system (1,2).

    FLT3 is activated after binding with its ligand FL, which results in a cascade of

    tyrosine autophosphorylation and tyrosine phosphorylation of downstream

    targets (3). The p85 subunit of PI3 kinase, SHP2, GRB2 and Shc are

    121

  • 8/8/2019 Leukemia Project

    13/62

    associated with FLT3 after FL stimulation (4-6). Tyr589/591 is located in the

    juxtamembrane region of FLT3 and may play an important role in regulation

    of FLT3 tyrosine kinase activity. Somatic mutations of FLT3 consisting of

    internal tandem duplications (ITDs) occur in 20% of patients with acute

    myeloid leukemia

    REVIEW OF LITERATURE

    Mizuki et-al, 2003 reported The receptor tyrosine kinase Flt3 is expressed

    and functionally important in early myeloid progenitor cells and in the majority

    of acute myeloid leukemia (AML) blasts. Internal tandem duplications (ITDs) in

    the juxtamembrane domain of the receptor occur in 25% of AML cases.

    Previously, we have shown that these mutations activate the receptor and

    induce leukemic transformation. In this study, we performed genome-wide

    parallel expression analyses of 32Dcl3 cells stably transfected with either wild-

    type or 3 different ITD isoforms of Flt3. Comparison of microarray expression

    analyses revealed that 767 of 6586 genes differed in expression between

    FLT3-WT- and FLT3-ITD-expressing cell lines. The target genes of mutationally

    activated Flt3 resembled more closely those of the interleukin 3 (IL-3)

    receptor than those of ligand-activated Flt3. The serine-threonine kinase Pim-

    2 was up-regulated on the mRNA and the protein level in Flt3-ITD-expressing

    cells. Further experiments indicated that Pim-2 function was important for

    clonal growth of 32D cells. Several genes repressed by the mutations were

    found to be involved in myeloid gene regulation. Pu.1 and C/EBPalpha, both

    induced by ligand-activation of wild-type Flt3, were suppressed in theirexpression and function by the Flt3 mutations. In conclusion, internal tandem

    duplication mutations of Flt3 activate transcriptional programs that partially

    mimic IL-3 activity. Interestingly, other parts of the transcriptional program

    involve novel, IL-3-independent pathways that antagonize differentiation-

    inducing effects of wild-type Flt3. The identification of the transcriptional

    131

  • 8/8/2019 Leukemia Project

    14/62

    program induced by ITD mutations should ease the development of specific

    therapies.

    Steffen et-al, 2005 reported the description of the molecular pathogenesis of

    acute myeloid leukemias (AML) has seen dramatic progress over the last

    years. Two major types of genetic events have been described that are crucial

    for leukemic transformation: alterations in myeloid transcription factors

    governing hematopoietic differentiation and activating mutations of signal

    transduction intermediates. These processes are highly interdependent, since

    the molecular events changing the transcriptional control in hematopoietic

    progenitor cells modify the composition of signal transduction molecules

    available for growth factor receptors, while the activating mutations in signal

    transduction molecules induce alterations in the activity and expression of

    several transcription factors that are crucial for normal myeloid differentiation.

    The purpose of this article is to review the current literature describing these

    genetic events, their biological consequences and their clinical implications. As

    the article will show, the recent description of several critical transforming

    mutations in AML may soon give rise to more efficient and less toxic

    molecularly targeted therapies of this deadly disease.

    Schessl ,et-al, 2005 work showed that The molecular characterization of

    leukemia has demonstrated that genetic alterations in the leukemic clone

    frequently fall into 2 classes, those affecting transcription factors (e.g., AML1-

    ETO) and mutations affecting genes involved in signal transduction (e.g.,

    activating mutations of FLT3 and KIT). This finding has favored a model of

    leukemogenesis in which the collaboration of these 2 classes of genetic

    alterations is necessary for the malignant transformation of hematopoietic

    progenitor cells. The model is supported by experimental data indicating that

    AML1-ETO and FLT3 length mutation (FLT3-LM), 2 of the most frequent

    genetic alterations in AML, are both insufficient on their own to cause leukemia

    141

    http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Steffen%20B%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Schessl%20C%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Steffen%20B%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Schessl%20C%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus
  • 8/8/2019 Leukemia Project

    15/62

    in animal models. Here we report that AML1-ETO collaborates with FLT3-LM in

    inducing acute leukemia in a murine BM transplantation model. Moreover, in a

    series of 135 patients with AML1-ETO-positive AML, the most frequently

    identified class of additional mutations affected genes involved in signal

    transduction pathways including FLT3-LM or mutations of KIT and NRAS.

    These data support the concept of oncogenic cooperation between AML1-ETO

    and a class of activating mutations, recurrently found in patients with t(8;21),

    and provide a rationale for therapies targeting signal transduction pathways in

    AML1-ETO-positive leukemias.

    Stirewalt DL and Radich JP., 2003 work showed Normal haematopoietic

    cells use complex systems to control proliferation, differentiation and cell

    death. The control of proliferation is, in part, accomplished through the ligand-

    induced stimulation of receptor tyrosine kinases, which signal to downstream

    effectors through the RAS pathway. Recently, mutations in the FMS-like

    tyrosine kinase 3 (FLT3) gene, which encodes a receptor tyrosine kinase, have

    been found to be the most common genetic lesion in acute myeloid leukaemia

    (AML), occurring in approximately 25% of cases. Exploring the mechanism by

    which these FLT3 mutations cause uncontrolled proliferation might lead to a

    better understanding of how cells become cancerous and provide insights for

    the development of new drugs.

    Mizuki et-al, 2000, Their studies were performed to Somatic mutations of

    the receptor tyrosine kinase Flt3 consisting of internal tandem duplications

    (ITD) occur in 20% of patients with acute myeloid leukemia. They are

    associated with a poor prognosis of the disease. In this study, wecharacterized the oncogenic potential and signaling properties of Flt3

    mutations. We constructed chimeric molecules that consisted of the murine

    Flt3 backbone and a 510-base pair human Flt3 fragment, which contained

    either 4 different ITD mutants or the wild-type coding sequence. Flt3

    isoforms containing ITD mutations (Flt3-ITD) induced factor-independent

    151

    http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Stirewalt%20DL%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Radich%20JP%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Stirewalt%20DL%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Radich%20JP%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus
  • 8/8/2019 Leukemia Project

    16/62

    growth and resistance to radiation-induced apoptosis in 32D cells. Cells

    containing Flt3-ITD, but not those containing wild-type Flt3 (Flt3-WT),

    formed colonies in methylcellulose. Injection of 32D/Flt3-ITD induced rapid

    development of a leukemia-type disease in syngeneic mice. Flt3-ITD

    mutations exhibited constitutive autophosphorylation of the immature form

    of the Flt3 receptor. Analysis of the involved signal transduction pathways

    revealed that Flt3-ITD only slightly activated the MAP kinases Erk1 and 2 and

    the protein kinase B (Akt) in the absence of ligand and retained ligand-

    induced activation of these enzymes. However, Flt3-ITD led to strong factor-

    independent activation of STAT5. The relative importance of the STAT5 and

    Ras pathways for ITD-induced colony formation was assessed by transfection

    of dominant negative (dn) forms of these proteins: transfection of dnSTAT5

    inhibited colony formation by 50%. Despite its weak constitutive activation

    by Flt3-ITD, dnRas also strongly inhibited Flt3-ITD-mediated colony

    formation. Taken together, Flt3-ITD mutations induce factor-independent

    growth and leukemogenesis of 32D cells that are mediated by the Ras and

    STAT5 pathways.

    Quentmeier et-al, 2003 estimated Internal tandem duplications (ITD) and

    D835 point mutations of the receptor tyrosine kinase (RTK) FLT3 are found in

    a high proportion of cases with acute myeloid leukemia (AML). These genetic

    aberrations may lead to the constitutive activation of the receptor, thus

    providing the molecular basis for a persisting growth stimulus. We have

    screened 69 AML-derived cell lines for FLT3 mutations. Four of these cell lines

    showed ITD of the FLT3 gene, none carried a D835 point mutation. Two cell

    lines (MUTZ-11 and MV4-11) expressed exclusively the mutated allele, the

    other two cell lines (MOLM-13 and PL-21) displayed a mutated and the wild-

    type version of the gene. Although mutationally activated FLT3 is supposed to

    substitute for the stimulatory signal of a growth factor, one of these cell lines

    (MUTZ-11) was strictly cytokine-dependent. FLT3 transcripts were found in all

    four cell lines, but the constitutively phosphorylated receptor protein was

    161

  • 8/8/2019 Leukemia Project

    17/62

    clearly detectable only in cell line MV4-11, possibly explaining why MUTZ-11

    cells were growth-factor dependent. Thus, not all FLT3 ITD-positive cells

    express high levels of the active receptor protein, a finding that might be of

    relevance for a possible future application of a kinase inhibitor as therapeutic

    agent. It had been described that STAT-5 phosphorylation was part of the

    FLT3 signalling chain and that STAT-5 molecules were constitutively

    phosphorylated in FLT3 ITD-positive cells. Although we observed the

    constitutive phosphorylation of STAT-5 molecules in FLT3-mutant cells, FLT3

    ligand (FL) did not induce STAT-5 phosphorylation in FLT3 wild-type cells.

    These results suggest that the signalling mechanisms of the mutated FL

    receptor differ at least to some extent from those conferred by wild-type FLT3.

    In conclusion, (1) not all cells with FLT3 ITD express significant amounts of

    the mutated receptor protein; (2) signals downstream from wild-type and

    mutant FLT3 receptors are not 100% identical; and (3) MV4-11 represents a

    model cell line for FLT3 ITD signalling.

    Choudhary et-al, 2005 sujjested that Activating mutations of Fms-like

    tyrosine kinase 3 (Flt3) are the most common genetic lesions in acute

    myeloid leukemia (AML) and are present in approximately one third of AML

    patients. The 2 classes of Flt3 mutations are internal tandem duplications in

    the juxtamembrane domain and point mutations in the tyrosine kinase

    domain. In normal hematopoietic progenitor cells, Flt3 ligand induces the

    activation of several downstream signal-transduction mediators, including

    phosphoinositol 3-kinases, Src kinases, mitogen-activated protein kinases,

    and the phosphorylation of several adaptor proteins. Oncogenic mutations in

    Flt3 result in ligand-independent constitutive and deregulated activation of

    these signaling pathways. In addition, however, oncogenic mutations of Flt3

    also result in the activation of aberrant signaling pathways, including strong

    activation of STAT5, induction of STAT target genes, and repression of

    myeloid transcription factors c/EBP-3 and Pu.1. Aberrant activation of these

    171

    http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Choudhary%20C%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Choudhary%20C%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus
  • 8/8/2019 Leukemia Project

    18/62

    signaling pathways by oncogenic Flt3 may play a critical role in mutant Flt3-

    mediated leukemic transformation.

    Moore, et-al, 2007 worked on human leukemogenesis by transduction of

    human hematopoietic stem cells (HSC) with genes associated with leukemia

    and expressed in leukemic stem cells. METHODS: Constitutive activation of

    Flt3 (Flt3-ITD) has been reported in 25 to 30% of patients with acute

    myeloid leukemia (AML). Retroviral vectors expressing constitutively

    activated Flt3 and STAT5A were used to transduce human cord blood

    CD34(+) cells and HSC cell self-renewal and differentiation were evaluated.

    RESULTS: We have demonstrated that retroviral transduction of Flt3

    mutations into CD34(+) cells enhanced HSC self-renewal as measured in

    vitro in competitive stromal coculture and limiting-dilution week-2

    cobblestone (CAFC) assays. Enhanced erythropoiesis and decreased

    myelopoiesis were noted together with strong activation of STAT5A.

    Consequently, transduction studies were undertaken with a constitutively

    active mutant of STAT5A (STAT5A[1( *)6]) and here also a marked, selective

    expansion of transduced CD34(+) cells was noted, with a massive increase in

    self-renewing CAFC detectable at both 2 and 5 weeks of stromal coculture.

    Differentiation was biased to erythropoiesis, including erythropoietin

    independence, with myeloid maturation inhibition. The observed phenotypic

    changes correlated with differential gene expression, with a number of genes

    differentially regulated by both the Flt3 and STAT5A mutants. These included

    upregulation of genes involved in erythropoiesis and downregulation of genes

    involved in myelopoiesis. The phenotype of week-2 self-renewing CAFC also

    characterized primary Flt3-ITD(+) AML bone marrow samples. Isolation of

    leukemic stem cells (LSC) with a CD34(+), CD38(-), HLA-DR(-) phenotype

    was undertaken with Flt3-ITD(+) AML samples resulting in co-purification of

    early CAFC. Gene expression of LSC relative to the bulk leukemic population

    revealed upregulation of homeobox genes (HOXA9, HOXA5) implicated in

    leukemogenesis, and hepatic leukemia factor (HLF) involved in stem cell

    181

    http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Moore%20MA%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Moore%20MA%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus
  • 8/8/2019 Leukemia Project

    19/62

    proliferation. CONCLUSION: Myeloid leukemogenesis is a multi-stage process

    that can involve constitutively activated receptors and downstream pathways

    involving STAT5, HOX genes, and HLF.

    Spiekermann, et-al, 2003 indicated that Activating length mutations in the

    juxtamembrane domain (FLT3-LM) and mutations in the tyrosine kinase

    domain (FLT3-TKD) of FLT3 represent the most frequent genetic alterations

    in acute myeloid leukemia (AML). However, the functional role of active FLT3

    mutants in primary AML blast cells is not well characterized. EXPERIMENTAL

    DESIGN: We analyzed the transforming potential and the signaling of FLT3-

    ITD mutants in Ba/F3 cells and in primary AML blasts. RESULTS: FLT3-ITD

    mutants induce an autophosphorylation of the receptor, interleukin 3-

    independent growth in Ba/F3 cells, and a strong STAT5 and mitogen-

    activated protein kinase (MAPK) activation. In contrast to the FLT3-ITD

    mutants, the ligand-stimulated FLT3-WT receptor was unable to transduce a

    fully proliferative response in Ba/F3 and monocytic OCI-AML5 cells. The

    ligand-stimulated FLT3-WT receptor activated AKT and MAPK, but not STAT5.

    In primary blast cells from 60 patients with AML, FLT3 was expressed in

    91.9% of patients carrying a FLT3-LM/TKD mutation compared with 77.8% in

    FLT3-LM/TKD-negative patients. STAT3 and STAT5 were constitutively

    activated in 76 and 63% of patients, respectively. In accordance with the

    results in Ba/F3 cells, a high FLT3 expression and the presence of a FLT3-LM

    was strongly associated with the STAT5 but not with the STAT3 activation in

    primary AML blast cells. Moreover, the constitutive tyrosine phosphorylation

    of STAT5 was efficiently down-regulated by a FLT3 protein tyrosine kinase

    inhibitor in AML cells expressing an active FLT3 mutant. CONCLUSIONS:

    Active FLT3 receptor mutants have transforming potential in hematopoietic

    cells and induce a strong activation of STAT5 in primary AML cells. The FLT3-

    STAT5 pathway contributes to the malignant phenotype and represents a

    promising molecular therapeutic target structure in AML.

    191

    http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Spiekermann%20K%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=Search&Term=%22Spiekermann%20K%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus
  • 8/8/2019 Leukemia Project

    20/62

    MATERIALS AND METHODS

    Retrieval of Protein Sequence of Flt3 in Homo sapiens:

    Protein sequence of Flt3 in Homo sapiens was done from National Center OfBiotechnology information(www.ncbi.nlm.nih.gov/). The sequence of

    protein was in FASTA format :

    >gi|406323|emb|CAA81393.1| FLT3 receptor tyrosine kinase precursor

    [Homo sapiens]

    MPALARDGGQLPLLVVFSAMIFGTITNQDLPVIKCVLINHKNNDSSVGKSSSYPMVSESPEDLGCALRPQ

    SSGTVYERAAVEVDVSASITLQVLVDAPGNISCLWVFKHSSLNCQPHFDLQNRGVVSMVILKMTETQAGE

    YLLFIQSEATNYTILFTVSIRNTLLYTLRRPYFRKMENQDALVCISESVPEPIVEWVLCDSQGESCKEES

    PAVVKKEEKVLHELFGMDIRCCARNELGRECTRLFTIDLNQTPQTTLPQLFLKVGEPLWIRCKAVHVNHG

    FGLTWELENKALEEGNYFEMSTYSTNRTMIRILFAFVSSVARNDTGYYTCSSSKHPSQSALVTIVEKGFI

    NATNSSEDYEIDQYEEFCFSVRFKAYPQIRCTWTFSRKSFPCEQKGLDNGYSISKFCNHKHQPGEYIFHAENDDAQFTKMFTLNIRRKPQVLAEASASQASCFSDGYPLPSWTWKKCSDKSPNCTEEITEGVWNRKANRK

    VFGQWVSSSTLNMSEAIKGFLVKCCAYNSLGTSCETILLNSPGPFPFIQDNISFYATIGVCLLFIVVLTL

    LICHKYKKQFRYESQLQMVQVTGSSDNEYFYVDFREYEYDLKWEFPRENLEFGKVLGSGAFGKVMNATAY

    GISKTGVSIQVAVKMLKEKADSSEREALMSELKMMTQLGSHENIVNLLGACTLSGPIYLIFEYCCYGDLL

    NYLRSKREKFHRTWTEIFKEHNFSFYPTFQSHPNSSMPGSREVQIHPDSDQISGLHGNSFHSEDEIEYEN

    QKRLEEEEDLNVLTFEDLLCFAYQVAKGMEFLEFKSCVHRDLAARNVLVTHGKVVKICDFGLARDIMSDS

    NYVVRGNARLPVKWMAPESLFEGIYTIKSDVWSYGILLWEIFSLGVNPYPGIPVDANFYKLIQNGFKMDQ

    PFYATEEIYIIMQSCWAFDSRKRPSFPNLTSFLGCQLADAEEAMYQNVDGRVSECPHTYQNRRPFSREMD

    LGLLSPQAQVEDS

    Homology Modelling :

    Homology modelling is required when the exact structure of the protein is not

    available. The structure of Flt3 was also unavailable, so homology modeling

    was required. It is also known as comperative modelling. Here we model the

    molecule (protein) from amino acid sequence by following a protocol to

    model.The amino acid sequence is query or target sequence. Homology

    modeling techniques depend on identificatiction of one or more stuctures

    known as template, which resembles the sructure of query sequence. The

    sequence alignment and template stucture are used to produce a structural

    model of the target. Usually sequence similarity corresponds to high

    structural similarity.

    202

  • 8/8/2019 Leukemia Project

    21/62

    Different softwares are used for Homology Modelling such as SWISS MODEL

    SERVER.,CPH MODEL SERVER.,MODELLER etc. In this project Swiss

    Model server is used for Homology Modelling. The methodology for

    homology modeling with Swiss Model Server is:

    BLAST

    BLAST (Basic Local Alignment Search Tool),(www.ncbi.nlm.nih.gov/BLAST)is a tool

    by which we can find alignment between our query in form of nucleotide or

    protein sequence, against the database of BLAST. The results show us the

    extent to which our query sequence matches the sequences stored in theBLAST database.In case our sequence is a novel entry ,it does not show any

    results. Here I carried out protein-protein BLAST of my query sequence,

    against pdb (protein data bank);which consists of amino acid sequences of

    the proteins submitted in pdb .The results generated by BLAT were furthur

    used for the modeling of the protein. After we get BLAST results we carry out

    CLUSTAL W.

    CLUSTAL W

    CLUSTAL-W (www.ebi.ac.uk/clustalw/) is a multiple sequence alignment

    programme for DNA or proteins. It provides multiple sequence alignment

    forgiven sequence. It gives the match between the query sequences and

    allows us to have the idea of best match between our target sequence and

    template. This informationis furthur used in swiss model. Evolutionaryrelationships can be viewed by cladograms or phylograms.

    212

    http://www.ncbi.nlm.nih.gov/BLAST)ishttp://www.ncbi.nlm.nih.gov/BLAST)is
  • 8/8/2019 Leukemia Project

    22/62

    Swiss Model:

    It is totally automated protein structure homology modeling server,

    accessible via ExPASy web server or from swiss pdb viewer.

    (www.swissmodel.expasy.org//SWISS-MODEL.html).

    SWISS MODEL SERVER: It is used for final modeling of protein, using

    results of CLUSTAL-W. Basically there are three moes os SWISS MODEL,

    which are:

    1. First approach mode: it only requires a single amino acid sequence

    information as input data. The server automatically selects suitable template.

    However the user may specify up to five template structures either fromExPDB library, or opload co-ordinate files. The process starts if atleast one

    template sequence has a identity of more than 25% with submitted target

    sequence. The reliability of model decreases as sequence identity decreases.

    2. Alignment Mode: it is done by submitting a sequence alignment. The ser

    predicts the target sequence and the one, which is structurally known protein

    FROM ExPDB library. The server builds yhe model according to given

    alignment.

    3. Project Mode: here user submits a manually optimized modeling request

    to SWISS MODEL server The starting moe is a Deep View project file. It

    contains superposed template structures and alignment between target and

    template. It allows template selection or gap placement in the alignment. It

    can also be used to improve the output of first approach mode.

    Here alignment mode of SWISS MODEL was used to predict structure of Flt3model.

    There are certain steps to be followed in this process, which are:

    Retrieval of protein seuence from NCBI in FASTA format.

    222

  • 8/8/2019 Leukemia Project

    23/62

    Protein BLAST of protein sequence obyained in last step against

    pdb(protein data bank).

    Selecting the second, third, fourth match results and obtaining their

    FASTA format of sequence.

    Puting the results obtained in last step alongwith target protein

    sequence of protein in a notepad. The sequences obtained in last steo

    are pot\entail te,plates.

    Open CLUSTAL W page and paste the sequence obtained in last step in

    window displayed and submit.

    Open SWISS MODEL SERVER page and paste the sequence in window

    and submit.

    The results are obtained, asve the result file with (.pdb) extension, to

    save a pdb file.

    Open the saved file with rasmol viewer to view 3-D image of the

    modeled protein.

    Retrieval of inhibitor against Flt3:

    Inhibitor against Flt3 protein retrieved through two major sources.

    1. BRENDA (www.brenda.uni-koeln.de) is the main collection of enzyme

    functional data available to the scientific community. BRENDA is maintainedand developed at the institute of Biochemistry at the University of Cologne

    2. NCBI Pubchem Compound: PubChem Structure Search allows

    PubChem Compound Database to be queried using a chemical structure.

    Chemical structure queries may be sketched using the PubChem Sketcher.

    232

  • 8/8/2019 Leukemia Project

    24/62

    You may also specify the structural query input by PubChem Compound

    Identifier (CID), SMILES, SMARTS, InChI, Molecular Formula, or by upload of

    a supported structure file format.

    This standardizing allows NCBI to compute chemical parameters and

    similarity relationships between compounds. The compounds are grouped

    into levels of chemical similarity from most general to most specific: same

    bonding connectivity and any tautomer; same bonding connectivity; same

    stereochemistry; same isotopes; and same stereochemistry and isotopes.

    PubChem Compound also indexes these chemicals using 34 fields, many of

    which represent computed chemical properties such as the number of chiral

    centers, the number of hydrogen bond donors/acceptors, molecular formula

    and weight, total formal charge, and octanol-water partition coefficients

    (XlogP). These groups are provided as Entrez links that allow similar

    compounds to be retrieved quickly.

    Building of 3d structure (PDB file) of Inhibitors:

    2D structure of potent inhibitors are obtained by submitting the CID no tothe NCBIs Pubchem compound and convert it into SDF format then convert it

    into PDB format to get the 3D-structure.

    Procedure of converting 2D-structure into 3D-structure

    1) To select SDF format from NCBI.

    Open google and enter NCBI home page.

    Choose pubchem compound from search drop-down menu.

    Type CID no.

    When answers come ,Change display format to SDFand save it .

    242

  • 8/8/2019 Leukemia Project

    25/62

    252

  • 8/8/2019 Leukemia Project

    26/62

    To retrieve PDB file of Inhibitors:

    2-D structure of protein has been obtained by put the specific CID no. in the

    pubchem compound it retrieved the 2-D or SDF file of inhibitor we save it &

    will convert this 2-D file in the 3-D file i.e. in the form of PDB file, using

    software Babel.

    Babel Molecule format Converter:

    Babel is a cross-platform program designed to interconvert between many

    file formats used in molecular modeling and computational chemistry and

    related areas. Babel is a chemical toolbox designed to allowing anyone,

    convert, analyze, or store data from molecular modeling, chemistry, solid-

    state materials, biochemistry, or related areas.

    Procedure to convert the 2-D file in the 3-D file or PDB file

    First of all open the Babel page.

    Set the parameter for input and output file i.e. SDF for input file

    & PDF for output file.

    Paste the data of 2-D file in the input section or upload the SDF

    file.

    Click on the convert file.

    The result will show in the output section in the form of PDF file, copy thatdata and paste in the word pad and save that file with (.pdb) extension.

    COMPND 1248

    HETATM 1 O1 LIG 1 5.411 0.262 0.000 1.00 0.00 O

    HETATM 2 O2 LIG 1 8.160 -1.543 0.000 1.00 0.00 O

    262

  • 8/8/2019 Leukemia Project

    27/62

    HETATM 3 O3 LIG 1 8.160 -3.152 0.000 1.00 0.00 O

    HETATM 4 O4 LIG 1 3.579 2.966 0.000 1.00 0.00 O

    HETATM 5 O5 LIG 1 2.000 2.653 0.000 1.00 0.00 O

    HETATM 6 O6 LIG 1 5.717 2.011 0.000 1.00 0.00 O

    HETATM 7 N7 LIG 1 3.682 -1.827 0.000 1.00 0.00 N

    HETATM 8 C8 LIG 1 4.588 -1.313 0.000 1.00 0.00 C

    HETATM 9 C9 LIG 1 3.682 -2.868 0.000 1.00 0.00 C

    HETATM 10 C10 LIG 1 4.600 -0.313 0.000 1.00 0.00 C

    HETATM 11 C11 LIG 1 5.482 -1.847 0.000 1.00 0.00 C

    HETATM 12 C12 LIG 1 4.588 -3.382 0.000 1.00 0.00 C

    HETATM 13 C13 LIG 1 5.482 -2.847 0.000 1.00 0.00 C

    HETATM 14 C14 LIG 1 2.682 -1.823 0.000 1.00 0.00 C

    HETATM 15 C15 LIG 1 3.185 -0.959 0.000 1.00 0.00 C

    HETATM 16 C16 LIG 1 3.802 0.280 0.000 1.00 0.00 C

    HETATM 17 C17 LIG 1 6.348 -1.347 0.000 1.00 0.00 C

    HETATM 18 C18 LIG 1 6.348 -3.347 0.000 1.00 0.00 C

    HETATM 19 C19 LIG 1 4.123 1.227 0.000 1.00 0.00 C

    HETATM 20 C20 LIG 1 7.214 -1.847 0.000 1.00 0.00 C

    HETATM 21 C21 LIG 1 5.117 1.211 0.000 1.00 0.00 C

    HETATM 22 C22 LIG 1 7.214 -2.847 0.000 1.00 0.00 C

    HETATM 23 C23 LIG 1 2.821 0.085 0.000 1.00 0.00 C

    HETATM 24 C24 LIG 1 3.464 1.979 0.000 1.00 0.00 C

    HETATM 25 C25 LIG 1 2.483 1.784 0.000 1.00 0.00 C

    HETATM 26 C26 LIG 1 2.162 0.837 0.000 1.00 0.00 C

    HETATM 27 C27 LIG 1 8.744 -2.347 0.000 1.00 0.00 C

    HETATM 28 C28 LIG 1 2.676 3.382 0.000 1.00 0.00 C

    HETATM 29 H8 LIG 1 4.054 -0.998 0.000 1.00 0.00 H

    HETATM 30 1H9 LIG 1 3.071 -2.762 0.000 1.00 0.00 H

    272

  • 8/8/2019 Leukemia Project

    28/62

    HETATM 31 2H9 LIG 1 3.473 -3.452 0.000 1.00 0.00 H

    HETATM 32 H10 LIG 1 5.149 -0.601 0.000 1.00 0.00 H

    HETATM 33 1H12 LIG 1 4.194 -3.861 0.000 1.00 0.00 H

    HETATM 34 2H12 LIG 1 4.993 -3.852 0.000 1.00 0.00 H

    HETATM 35 1H14 LIG 1 2.680 -2.443 0.000 1.00 0.00 H

    HETATM 36 2H14 LIG 1 2.062 -1.820 0.000 1.00 0.00 H

    HETATM 37 3H14 LIG 1 2.684 -1.203 0.000 1.00 0.00 H

    HETATM 38 1H15 LIG 1 2.647 -1.266 0.000 1.00 0.00 H

    HETATM 39 2H15 LIG 1 2.877 -0.421 0.000 1.00 0.00 H

    HETATM 40 3H15 LIG 1 3.724 -0.651 0.000 1.00 0.00 H

    HETATM 41 H17 LIG 1 6.348 -0.727 0.000 1.00 0.00 H

    HETATM 42 H18 LIG 1 6.348 -3.967 0.000 1.00 0.00 H

    HETATM 43 H23 LIG 1 2.621 -0.502 0.000 1.00 0.00 H

    HETATM 44 H26 LIG 1 1.554 0.716 0.000 1.00 0.00 H

    HETATM 45 1H27 LIG 1 9.205 -2.762 0.000 1.00 0.00 H

    HETATM 46 2H27 LIG 1 9.205 -1.933 0.000 1.00 0.00 H

    HETATM 47 1H28 LIG 1 2.993 3.915 0.000 1.00 0.00 H

    HETATM 48 2H28 LIG 1 2.179 3.753 0.000 1.00 0.00 H

    TER 49 LIG 1

    CONECT 1 10 21

    CONECT 2 20 27

    CONECT 3 22 27

    CONECT 4 24 28

    CONECT 5 25 28

    CONECT 6 21 21

    CONECT 7 8 9 14 15

    CONECT 8 7 10 11 29

    CONECT 9 7 12 30 31

    282

  • 8/8/2019 Leukemia Project

    29/62

    CONECT 10 1 8 16 32

    CONECT 11 8 13 17 17

    CONECT 12 9 13 33 34

    CONECT 13 11 12 18 18

    CONECT 14 7 35 36 37

    CONECT 15 7 38 39 40

    CONECT 16 10 19 19 23

    CONECT 17 11 11 20 41

    CONECT 18 13 13 22 42

    CONECT 19 16 16 21 24

    CONECT 20 2 17 22 22

    CONECT 21 1 6 6 19

    CONECT 22 3 18 20 20

    CONECT 23 16 26 26 43

    CONECT 24 4 19 25 25

    CONECT 25 5 24 24 26

    CONECT 26 23 23 25 44

    CONECT 27 2 3 45 46

    CONECT 28 4 5 47 48

    CONECT 29 8

    CONECT 30 9

    CONECT 31 9

    CONECT 32 10

    CONECT 33 12

    CONECT 34 12

    CONECT 35 14

    CONECT 36 14

    CONECT 37 14

    292

  • 8/8/2019 Leukemia Project

    30/62

    CONECT 38 15

    CONECT 39 15

    CONECT 40 15

    CONECT 41 17

    CONECT 42 18

    CONECT 43 23

    CONECT 44 26

    CONECT 45 27

    CONECT 46 27

    CONECT 47 28

    CONECT 48 28

    END

    Docking Of Flexible Ligands to the Receptors

    For docking the flexible ligands to the receptors following softwares can be used which

    are listed below:

    SN Name License Term Platform Keyword

    1 Autodock Commercial UNIX,LINUX,SGI GA/LGA,MC

    2 Affinity Commercial SGI Monte Carlo

    method

    3 Dock Vision Commercial LINUX.IRIS MC,GA

    4 DOT(Daughter

    of Turnip)

    Free Supercomputers,UNIX

    5 Flex X Commercial UNIX Fragnent Based

    6 Shape E-mail request UNIX Structure andchemistry of

    molecular surface

    7 LEAPFROG Commercial SGI ligand design

    8 Q site Commercial UNIX,LINUX,SGI Mixed

    quantum and

    molecular

    303

  • 8/8/2019 Leukemia Project

    31/62

    mechanics

    9 HINT Commercial Windows

    2000,SGI,LINUX

    Hydropathic

    interaction

    10 GOLD Free evaluation UNIX GA

    Cygwin: It is a collection of free software tools originally developed from

    Cygnus solutionsto allow various versions of Microsoft windows to act

    similarto a Linux operating system.As Autodock is programmed to run on

    Linux operating system,so for those systems which run on windows,cygwin is

    a must.It can be freely downloaded from the internet.

    AUTODOCK: Autodock is a suite of automated docking tools. It is designed

    to predict how small molecules, such as substrates or drug candidates, bind

    to a receptor of known 3D structure.AutoDockactually consists of two main

    programs: AutoDock performs the docking of the ligand to a set of grids

    describing the target protein; Auto Grid pre-calculates these grids. In

    additions to using them for docking, the atomic affinity grids can be

    visualized. This can help, for example, to guide organic synthetic chemistsdesign better binders.

    1.Autogrid.

    2.Autodock.

    AUTOGRID:

    A. Peparing a Ligand for Autodock:

    In autodock page,go to ligand and in it click on input.

    313

  • 8/8/2019 Leukemia Project

    32/62

    In input click on open AD3.

    Go to your folder and open the (.pdb) file of the inhibitor.

    Go to Ligand again in autodock window and in it Torsion Tree andclick ondetect route.

    In Ligand select Torsion Tree and click on Choose Torsionand click

    on done.

    Go to Ligand again and select Torsion Tree and select Set number

    Of Torsions.The number of torsions

    Set number of torsions less than or equal to 6 and click on Dismiss.

    Go to Logand and in it to Output and then click on Save As

    PDBQ.Then go to your folder a save your this file as (inhibitor

    name.out.pdbq).

    B. Preparing A Macromolecule For Autodock:

    Go to Grid and in it click on Macromolecule and in it click on OpenAG3.

    Open the (.pdb) file from your folder and click on OK.

    Now save this file as protein name.pdbqs.

    Come back to autodock window and press shift key+n to visualize the

    protein on screen.

    C. Preparing The Grid Parameter File:

    Go to Grid and select Set Map Types and in it select Choose Ligand

    AG3.

    323

  • 8/8/2019 Leukemia Project

    33/62

    Now select the inhibitor file.

    Now click on Ligand and then click on Accept.

    Go to Grid and selectGrid Box.

    On the window that opens,set x,y,z co-ordinate axes so that the

    macromolecule is completely covered.You can rotate the molecule by

    pressing shift+right click of mouse.

    On the same window,click on File and there click on Saving CurrentSetting.

    Go to Grid again and in it go to Output,then click on SaveGPF(AG3)

    Save this file in your folder as protein name.gpf.

    Go to Grid and in it go to Edit Grid and clik it,then click on Accept.

    Go to your folder and copy the path of your folder eg(C:\probir) and

    open the (.gpf) file in your folder wit wordpad and paste this path

    followed by \ on left of wherever you find protein name in this file.It

    is to be noted that there should not be any gap between path and

    protein name.

    Click on Save in this window after you finish.

    AUTODOCK:

    A. Startimg Autodogrid:

    333

  • 8/8/2019 Leukemia Project

    34/62

    Go to Run and in it click on Run Autogrid.

    On the window that opens on the first Browse option click and select

    autogrid.exe file.

    Then in second Browse option click and go to your folder and open

    the (.gpf) file.

    Back to autogrid, select the entire bottom line(i.e. the path) of the

    Browse window and press cntrl+c.

    Open Cygwin and in it go to Edit and Paste the path copied and

    press Enter.

    B. Preparing A docking Parameter For Autodock:

    Click on Docking on the the autodock window.

    In it select on Macromolecule and in it click on Choose AD3.

    Select your protein in the window that opens and click on OK.

    Click on Select Macromolecule and click on window that opens twice.

    Go to Docking and in it go to Ligand and in it click on Choose

    (AD3).

    On the window that opens click and select the ligand.

    Click on Select Ligand and click on Accept on the window.

    Go to docking again and selectSearch Parameterand in it click on

    Genetic Algorithm.Click Accept on yhe window that opens.

    Go to Docking again and in it click on Docking Parameters.Click on

    Accept on the window that opens.

    343

  • 8/8/2019 Leukemia Project

    35/62

    Go to Docking again and in it select Output and in it click on

    Lamarkian GA(AD3).Then go to your folder and save the file as

    (inhibitor name.dpf).

    Go to your folder and copy the path of (.dpf) file.

    Open this (.dpf) file in wordpad and paste the copied path

    everywhere you find inhibitor name,followed by \ i.e.path+\,on left

    of the inhibitor name.Continue till you reach on yhe line with move

    and here do the same.

    Save the page.

    C. Starting Autodock:

    Back to autodock,click on Run and in it click on Run Autodock.

    On the window that opens on first Browse option,click it and open the

    autodock.exe file.

    On the second Browse option,click and go to your folder and open the

    the (.dpf) file.

    Come back to Browse window and copy the path at the bottom by

    selecting it and then pressing cntrl+c.

    Open Cygwin and go to Edit and click on Paste .

    Press Enter to run Autodock.

    D. Analysing Autodock Results:

    Click on Analyse on the autodock window and in it click on Docking.

    Go to your folder and open the (.dlg) file. And click ok.

    353

  • 8/8/2019 Leukemia Project

    36/62

    Now go to Macromolecule in Analyse and go to your folder and open

    the (.pdbqs) file of the target.

    Press Shift+n to visualize the macromolecule on the screen.

    Go to Conformation in Analyse and in it click on Load,a box

    appears.

    Go to Conformation again and click on Play,another window opens.

    In the Play window,click on (&) sign ,a new window opens.

    Now on the first window that came on pressing Load go to its second

    line and click

    It shows the docking energy and various other docking

    parameters.Note it.The more negative dock energy,the better inhibitor

    is;positive dock energies(if found) are neglected as it is not a proper

    result.

    Now go to the window which came in Play,in it click on the direction

    buttons to analyse each of the ten active sites.It gives information

    about various parameters on a particular active site.Here we also

    search for hydrogen bonds which are shown on the bottom of that

    window and we can also find the amino acid to which the ligand binds.

    Expand the bottom of the box which we got on clicking Load.

    Click on Write Current Coords and go to your folder and save this file

    as (inhibitor.docked.pdbq).

    Record the results.

    363

  • 8/8/2019 Leukemia Project

    37/62

    PMV (Python Molecular Viewer):

    Python Molecular Viewer is a tool to view the binding of hydrogen bonds in

    the target molecule.It helps to visualise and analyse the hudrogen bonds.The

    process of operation of PMV is enlisted below:

    Procedure For Operation Of PMV:

    Open PMV.

    Go to File and click on Browse Command.

    In the window that opens,click on pmv

    In the adjacent window click on trace command,then click on

    Load.Again in the adjacent window of pmv click on hbond command

    and load this too.

    Go to file in PMV and click on Read Molecule nad go to your folder and

    open (protein name.pdbqs) file.

    Go to Compute and in it go to Trace.

    Here click on Compute Extrude Trace.

    Go to color and click on choose color.

    In the that opens click on CAT race and click ok.

    In the next window which opens, choose any color of your choice and

    click on Dismiss.

    373

  • 8/8/2019 Leukemia Project

    38/62

    Go to Display of PMV and click on Display.

    In the next window click on undisplay and click ok.

    Go to Select and I it click on Select From String.

    In the window that opens in the box where Residue Number is written

    enter the residue with its number which was noted from Analyse of

    autodock. In the place where atom type is given type *.

    Click on Add.

    Click on Dismiss.

    Go to Display and in it click on cpk.

    In the window that opens adjust the Scale Factor to 0.7 and Sphere

    Quality to 15,by moving the mouse across the wheels.

    Click ok.

    Go to Color and click on By Atom Type.

    Click cpk in the window that opens.

    Click ok.

    Go to File and in it go to Read Molecule.

    By last step go to your folder and open the (inhibitor.docked.pdbq) file

    and open it.

    383

  • 8/8/2019 Leukemia Project

    39/62

    Go to Select and in it click on Direct Select.

    In the window that opens click on Molecule and in it click on your

    macromolecule.

    Click on Molecule again and now click on the ligand or the inhibitor.

    Click on Dismiss.

    Go to Display.

    In it click on Stick and Balls.

    In the window that opens set Stick Quality to 15 and set Ball

    Quality to 15.

    Click ok.

    Go to Color and click on By Atom Type.

    In the next window click on Stick and Balls.

    Click ok.

    Go to Hydrogen Bond.

    In it go to Build.

    In it click on Set Parms+Build.

    In the window that opens click on specify two sets.

    393

  • 8/8/2019 Leukemia Project

    40/62

    In the next window click on,in the top list under Molecule List click it

    and select macromolecule.

    I the bottom Molecule List,click it and select the ligand.

    Click ok.

    Go to H bond and in it click on Display.

    In it click on as lines.

    Click Dismiss in the window that opens.

    Again go to Display and click on Cylinders.

    In the window that opens adjust bond length and bond radius of the

    hydrogen bond by using mouse,to a suitable size.

    Go to Dj vu GUI and click on camera in the lower window.

    On the window which lengthens, click on Set Background Color.

    Click on SW and then click on S.

    Go to File of PMV and click on save as.

    In the window that opens click on Browse and go to your folder and

    save the picture as (protein.tif).

    RESULTS AND DISCUSSION

    Retrieval of protein sequence of Flt3

    404

  • 8/8/2019 Leukemia Project

    41/62

    >gi|406323|emb|CAA81393.1| FLT3 receptor tyrosine kinase precursor

    [Homo sapiens]

    MPALARDGGQLPLLVVFSAMIFGTITNQDLPVIKCVLINHKNNDSSVGKSSSYPMVSESPEDLGCALRPQ

    SSGTVYERAAVEVDVSASITLQVLVDAPGNISCLWVFKHSSLNCQPHFDLQNRGVVSMVILKMTETQAGE

    YLLFIQSEATNYTILFTVSIRNTLLYTLRRPYFRKMENQDALVCISESVPEPIVEWVLCDSQGESCKEES

    PAVVKKEEKVLHELFGMDIRCCARNELGRECTRLFTIDLNQTPQTTLPQLFLKVGEPLWIRCKAVHVNHG

    FGLTWELENKALEEGNYFEMSTYSTNRTMIRILFAFVSSVARNDTGYYTCSSSKHPSQSALVTIVEKGFI

    NATNSSEDYEIDQYEEFCFSVRFKAYPQIRCTWTFSRKSFPCEQKGLDNGYSISKFCNHKHQPGEYIFHA

    ENDDAQFTKMFTLNIRRKPQVLAEASASQASCFSDGYPLPSWTWKKCSDKSPNCTEEITEGVWNRKANRK

    VFGQWVSSSTLNMSEAIKGFLVKCCAYNSLGTSCETILLNSPGPFPFIQDNISFYATIGVCLLFIVVLTL

    LICHKYKKQFRYESQLQMVQVTGSSDNEYFYVDFREYEYDLKWEFPRENLEFGKVLGSGAFGKVMNATAY

    GISKTGVSIQVAVKMLKEKADSSEREALMSELKMMTQLGSHENIVNLLGACTLSGPIYLIFEYCCYGDLL

    NYLRSKREKFHRTWTEIFKEHNFSFYPTFQSHPNSSMPGSREVQIHPDSDQISGLHGNSFHSEDEIEYEN

    QKRLEEEEDLNVLTFEDLLCFAYQVAKGMEFLEFKSCVHRDLAARNVLVTHGKVVKICDFGLARDIMSDS

    NYVVRGNARLPVKWMAPESLFEGIYTIKSDVWSYGILLWEIFSLGVNPYPGIPVDANFYKLIQNGFKMDQ

    PFYATEEIYIIMQSCWAFDSRKRPSFPNLTSFLGCQLADAEEAMYQNVDGRVSECPHTYQNRRPFSREMD

    LGLLSPQAQVEDS

    Retrieval of structure of FLT3 protein.

    414

  • 8/8/2019 Leukemia Project

    42/62

    BLAST Result:-

    Distribution of 174 Blast Hits on the Query Sequence

    424

    http://www.ncbi.nlm.nih.gov/blast/newoptions.html#graphical-overviewhttp://www.ncbi.nlm.nih.gov/blast/newoptions.html#graphical-overview
  • 8/8/2019 Leukemia Project

    43/62

    Fig4.1: BLAST RESULT

    ClustalW Results:

    Results of search

    Number of sequences 4

    434

    http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#6435671http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#6435671http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#119389607http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#119389607http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158431054http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158431054http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126030689http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126030689http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#88192844http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#88192844http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#109157762http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#109157762http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#30749935http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#30749935http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#93279684http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#93279684http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126030685http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126030685http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#30749934http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#30749934http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126030694http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126030694http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#149241245http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#149241245http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794378http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794378http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158431485http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158431485http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#109157754http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#109157754http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158430354http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158430354http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#10835731http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#10835731http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#30750130http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#17943043http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#146386625http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#20663951http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#28373614http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794791http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794791http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#34811267http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#40889699http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794793http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794793http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#2780855http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794789http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#114794789http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#157831492http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#13399500http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#145580114http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#15988250http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429514http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429514http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#22218646http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#22218646http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429549http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429549http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429593http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429593http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429562http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429562http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429508http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429587http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429510http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429233http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429233http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429585http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#50513700http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#50513700http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#50513701http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#50513701http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#34810084http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#34810084http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#119390020http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#119390020http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126031591http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#126031591http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#2392334http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#158429479http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#7546569http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#75765648http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#145580440http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#145580439http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#71041982http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#119390010http://www.ncbi.nlm.nih.gov/blast/Blast.cgi#42543565
  • 8/8/2019 Leukemia Project

    44/62

  • 8/8/2019 Leukemia Project

    45/62

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| QTPQTTLPQLFLKVGEPLWIRCKAVHVNHGFGLTWELENKALEEGNYFEM 300

    gi|42543565|pdb|1RJB|A --------------------------------------------------

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| STYSTNRTMIRILFAFVSSVARNDTGYYTCSSSKHPSQSALVTIVEKGFI 350

    gi|42543565|pdb|1RJB|A --------------------------------------------------

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| NATNSSEDYEIDQYEEFCFSVRFKAYPQIRCTWTFSRKSFPCEQKGLDNG 400

    gi|42543565|pdb|1RJB|A --------------------------------------------------

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| YSISKFCNHKHQPGEYIFHAENDDAQFTKMFTLNIRRKPQVLAEASASQA 450

    gi|42543565|pdb|1RJB|A --------------------------------------------------

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| SCFSDGYPLPSWTWKKCSDKSPNCTEEITEGVWNRKANRKVFGQWVSSST 500

    gi|42543565|pdb|1RJB|A --------------------------------------------------

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| LNMSEAIKGFLVKCCAYNSLGTSCETILLNSPGPFPFIQDNISFYATIGV 550

    gi|42543565|pdb|1RJB|A --------------------------------------------------

    gi|119390010|pdb|2I0V|A --------------------------------------------------

    gi|71041982|pdb|1Y6A|A --------------------------------------------------

    gi|406323|emb|CAA81393.1| CLLFIVVLTLLICHKYKKQFRYESQLQMVQVTGSSDNEYFYVDFREYEYD 600

    gi|42543565|pdb|1RJB|A -------------HKYKKQFRYESQLQMVQVTGSSDNEYFYVDFREYEYD 37

    gi|119390010|pdb|2I0V|A ----------GVDYKYKQKPKYQVRWKIIESYEG--NSYTFIDPTQLPYN 38gi|71041982|pdb|1Y6A|A --------------MDPDELPLDEHCERLPYDAS---------------- 20

    .: : : : : .

    gi|406323|emb|CAA81393.1| LKWEFPRENLEFGKVLGSGAFGKVMNATAYGISKTGVSIQVAVKMLKEKA 650

    gi|42543565|pdb|1RJB|A LKWEFPRENLEFGKVLGSGAFGKVMNATAYGISKTGVSIQVAVKMLKEKA 87

    gi|119390010|pdb|2I0V|A EKWEFPRNNLQFGKTLGAGAFGKVVEATAFGLGKEDAVLKVAVKMLKSTA 88

    gi|71041982|pdb|1Y6A|A -KWEFPRDRLKLGKPLGRGAFGQVIEADAFGIDKTATCRTVAVKMLKEGA 69

    ******:.*::** ** ****:*::* *:*:.* . *******. *

    gi|406323|emb|CAA81393.1| DSSEREALMSELKMMTQLGSHENIVNLLGACT-LSGPIYLIFEYCCYGDL 699

    gi|42543565|pdb|1RJB|A DSSEREALMSELKMMTQLGSHENIVNLLGACT-LSGPIYLIFEYCCYGDL 136

    gi|119390010|pdb|2I0V|A HADEKEALMSELKIMSHLGQHENIVNLLGACT-HGGPVLVITEYCCYGDL 137

    gi|71041982|pdb|1Y6A|A THSEHRALMSELKILIHIGHHLNVVNLLGACTKPGGPLMVIVEFCKFGNL 119

    .*:.*******:: ::* * *:******** .**: :* *:* :*:*

    gi|406323|emb|CAA81393.1| LNYLRSKREKFHRTWTEIFKEHNFSFYPTFQSHPNSSMPGSREVQIHPDS 749

    gi|42543565|pdb|1RJB|A LNYLRSKREKFS-------------------------------------- 148gi|119390010|pdb|2I0V|A LNFLRRKR------------------------------------------ 145

    gi|71041982|pdb|1Y6A|A STYLRSKRNEFVPYKTKGARFRQGKDYVGAIPVDLKRRLDSITSSQSSAS 169

    .:** **

    gi|406323|emb|CAA81393.1| DQISGLHGNSFHSEDEIEYENQKRLEEEEDLNVLTFEDLLCFAYQVAKGM 799

    gi|42543565|pdb|1RJB|A -------------EDEIEYENQKRLEEEEDLNVLTFEDLLCFAYQVAKGM 185

    gi|119390010|pdb|2I0V|A -------------PPGLEYSYNPSHNPEE---QLSSRDLLHFSSQVAQGM 179

    gi|71041982|pdb|1Y6A|A SG--------FVEEKSLSDVEEEEAPEDLYKDFLTLEHLICYSFQVAKGM 211

    :. : : *: ..*: :: ***:**

    gi|406323|emb|CAA81393.1| EFLEFKSCVHRDLAARNVLVTHGKVVKICDFGLARDIMSDSNYVVRGNAR 849

    454

  • 8/8/2019 Leukemia Project

    46/62

    gi|42543565|pdb|1RJB|A EFLEFKSCVHRDLAARNVLVTHGKVVKICDFGLARDIMSDSNYVVRGNAR 235

    gi|119390010|pdb|2I0V|A AFLASKNCIHRDVAARNVLLTNGHVAKIGDFGLARDIMNDSNYIVKGNAR 229

    gi|71041982|pdb|1Y6A|A EFLASRKCIHRDLAARNILLSEKNVVKICDFGLARDIYKDPDYVRKGDAR 261

    ** :.*:***:****:*::. :*.** ******** .*.:*: :*:**

    gi|406323|emb|CAA81393.1| LPVKWMAPESLFEGIYTIKSDVWSYGILLWEIFSLGVNPYPGIPVDANFY 899

    gi|42543565|pdb|1RJB|A LPVKWMAPESLFEGIYTIKSDVWSYGILLWEIFSLGVNPYPGIPVDANFY 285

    gi|119390010|pdb|2I0V|A LPVKWMAPESIFDCVYTVQSDVWSYGILLWEIFSLGLNPYPGILVNSKFY 279

    gi|71041982|pdb|1Y6A|A LPLKWMAPETIFDRVYTIQSDVWSFGVLLWEIFSLGASPYPGVKIDEEFC 311

    **:******::*: :**::*****:*:********* .****: :: :*

    gi|406323|emb|CAA81393.1| KLIQNGFKMDQPFYATEEIYIIMQSCWAFDSRKRPSFPNLTSFLGCQLAD 949

    gi|42543565|pdb|1RJB|A KLIQNGFKMDQPFYATEEIYIIMQSCWAFDSRKRPSFPNLTSFLGCQLAD 335

    gi|119390010|pdb|2I0V|A KLVKDGYQMAQPAFAPKNIYSIMQACWALEPTHRPTFQQICSFLQEQAQE 329

    gi|71041982|pdb|1Y6A|A RRLKEGTRMRAPDYTTPEMYQTMLDCWHGEPSQRPTFSELVEHLGNLLQA 361

    : :::* :* * ::. ::* * ** :. :**:* :: ..*

    gi|406323|emb|CAA81393.1| AEEAMYQNVDGRVSECPHTYQNRRPFSREMDLGLLSPQAQVEDS 993

    gi|42543565|pdb|1RJB|A AEEAMYQNV----------------------------------- 344

    gi|119390010|pdb|2I0V|A DRRERD-------------------------------------- 335

    gi|71041982|pdb|1Y6A|A NAQQD--------------------------------------- 366

    SWISS MODEL Result: _________________

    CLUSTAL W(1.81) multiple sequence alignment

    Target/1-495 MRGARGAWDFLCVLLLLLRVQTGSSQPSVSPGEPSPPSIHPGKSDLIVRVGDEIRLLCTD

    Template/1-495 ------------------------------------------------------------

    Target/1-495 PGFVKWTFEILDETNENKQNEWITEKAEATNTGKYTCTNKHGLSNSIYVFVRDPAKLFLV

    Template/1-495 ---------------------------------------YESQLQMVQVTGSSDNEYFYV

    .. : : * . : * *

    Target/1-495 DRSLYGKEDNDTLVRCPLTDPEVTNYSLKGCQGKPLPKDLRFIPDPKAGIMIKSVKRAYH

    Template/1-495 DFREYEYDLKWEFPRENLEFGKVLGSGAFGKVMNATAYGISKTGVSIQVAVKMLKER---

    * * : : : * * :* . . * :. . .: . : :*

    Target/1-495 RLCLHCSVDQEGKSVLSEKFILKVRPAFKAVPVVS-VSKASYLLREGEEFTVTCTIKDVS

    Template/1-495 ---EALMSELKMMTQLGSHENIVN-----------LLGACTLSGPIYLIFEYCCYGDLLN

    : : : *..: : :. .: * * . :.

    Target/1-495 SSVYSTWKRENSQTKLQEKYNSWHHGDFNYERQATLTISSARVNDSGVFMCYANNTFGSA

    Template/1-495 YLRSKREKFL---------------------TFEDLLCFAYQVAKGMEFLEFKS--CVHR

    . * * : :* .. *: : .

    Target/1-495 NVTTTLEVVDKGFINIFPMINTTVFVNDGENVDLIVEYEAFPKPEHQQWIYMNRTFTDKW

    Template/1-495 DLAARNVLVTHGKVVKICDFGLARDIMS-DSNYVVRGNARLPVKWMAPESLFEGIYTIKS

    :::: :* :* : : :. : : . :. :: :* :: :* *

    Target/1-495 EDYPKSENESNIRYVSELHLTRLKGTEGGTYTFLVSNSDVNAAIAFNVYVNTKPEILTYD

    Template/1-495 DVWSYG---------------------------------ILLWEIFSLGVNPYP------

    : :. . : *.: **. *

    Target/1-495 RLVNGMLQCVAAGFPEPTIDWYFCPGTEQRCSASVLPVDVQTLNSSGPPFGKLVVQSSID

    464

  • 8/8/2019 Leukemia Project

    47/62

  • 8/8/2019 Leukemia Project

    48/62

    TARGET 398 DVNAAIAFNV YVNTKPEILT YDRLVNGMLQ CVAAGFPEPT IDWYFCPGTE

    1rjbA 876 -illweifsl gvnpyp---- ---------- ----gipvda nfykliqngf

    TARGET hhhhh sss sss hhhhh

    1rjbA hhhhhhh hhhhhhhh

    TARGET 448 QRCSASVLPV DVQTLNSSGP PFGKLVVQSS IDSSAFKHNG TVECKAY

    1rjbA 907 kmdqpfyate eiyiimqscw afdsrkrpsf pnltsflg-- ----cql-

    TARGET h hhhhhhhh h hhhhhhh

    1rjbA h hhhhhhhhh h hhhhhhhh hh

    INHIBITOR TABLE:

    Table 4.1 : List of inhibitors against Flt3 protein

    484

  • 8/8/2019 Leukemia Project

    49/62

    Inhibi

    torname

    Chemical

    formula

    Molecul

    arweight

    Chemical structure IUPAC

    name

    Ag1296

    C16H14N2O2 266.29456g/mol

    6,7-dimethoxy-2-phenylquinoxaline

    Cep701

    C26H21N3O4 439.46264g/mol

    Cep701.

    Mln518

    C31H42N6O4 562.70298g/mol

    4-(6-methoxy-7-(3-piperidin-1-ylpropoxy)quinazolin-4-yl)piperazine-1-carboxylic acid(4-isopropoxyphenyl)amide

    494

    http://%20void%20window.open%28%27../image/structurefly.cgi?cid=3038522&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=126565&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=2049&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)
  • 8/8/2019 Leukemia Project

    50/62

    Pkc412

    C35H30N4O4

    570.637g/mol

    Pkc412

    Su5614

    C15H13ClN2O 272.72952

    g/mol

    5-Chloro-3-[(3,5-

    dimethylpyrrol-2-yl)methylene]-2-

    indolinone

    Sui C21H20NO6+

    382.3866

    g/mol

    6-(6,6-

    dimethyl-7,8-dihydro-5H-[1,3]dioxolo[4,5-g]isoquinolin-6-ium-5-yl)-6H-furo[4,3-g][1,3]benzodioxol-8-one

    Table4.4 shows the chemical formula, molecular weight, chemical structure and IUPAC

    name of different inhibitors which show interaction with Flt3 protein. The IUPAC name

    of the inhibitor is further used in making pdb file of that inhibitor.

    Docking of Ligand to Receptor

    505

    http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=1248&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=6536806&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)http://%20void%20window.open%28%27../image/structurefly.cgi?cid=9829523&width=400&height=400%27,%20%27StructureFly%27,%20%27resizable=yes,%20scrollbars=yes,%20WIDTH=620,%20HEIGHT%20=%20620%27)
  • 8/8/2019 Leukemia Project

    51/62

  • 8/8/2019 Leukemia Project

    52/62

    Fig :Docking result Between Flt3 Proteins Active Site and Inhibitor AG1296

    Python Molecular Viewer (PMV) Results:

    525

  • 8/8/2019 Leukemia Project

    53/62

    Fig :Docking result Between Flt3 Proteins Active Site and Inhibitor CEP701

    Python Molecular Viewer (PMV) Results:

    535

  • 8/8/2019 Leukemia Project

    54/62

    Fig : Docking result Between Flt3 Proteins Active Site and Inhibitor MLN518

    Python Molecular Viewer (PMV) Results:

    545

  • 8/8/2019 Leukemia Project

    55/62

    Fig4:Docking result Between Flt3 Proteins Active Site and Inhibitor PKC412.

    Python Molecular Viewer (PMV) Results:

    555

  • 8/8/2019 Leukemia Project

    56/62

    Fig:Docking result Between Flt3 Proteins Active Site and Inhibitor Su5614.

    Python Molecular Viewer (PMV) Results:

    565

  • 8/8/2019 Leukemia Project

    57/62

  • 8/8/2019 Leukemia Project

    58/62

    Rational Drug Designing Strategies reduce a lot of time, money and energy

    as compared to other hit and trial methods.According to recent trends

    mathematical modelling has become very valuable.The use of sophasticated

    softwares and tools greatly help in this process, helping furthur development

    in research and development in this field. The main concern in AutoDock is

    computation of docking energy, which essentially should be less than

    zero.The more negative the docking energy, the better it is.

    Graphical Representation of Autodoc Result

    Fig : Shows the relative docked energies of various inhibitors with the target protein.

    From the figure we can conclude that Su5614 has the minimum docked energy,hence

    the best inhibitor.

    585

  • 8/8/2019 Leukemia Project

    59/62

    CONCLUSION

    After the project work on rational drug design for flt3,the conclusion is that

    out of all the inhibitors chosen for the docking,su5614 emerged to be be the

    best inhibitor for the protein flt3.The precise reason for it was its docking

    energy which was the lowest(docked energy=-14.74),among all other

    inhibitors used.Hence the conclusion is that su5614 is the best inhibitor,for

    flt3.Hence the task was completed successfully.

    Cancer is a major threat to the worlds health. There are many reasons and

    factors responsible for induction of cancer. flt3 is also one of those factors

    responsible for the induction of cancer.Basically flt3 is an enzyme present inour body which is an integral part of the inflamatory responses of our

    immune system.If due to any reason the secretion of this enzyme crosses a

    perticular threshold,it can cause tumor formation.This tumor may under the

    influence of mitogens and other carcinogens can cause cancer.The threat if

    cancer being cause by flt3 has spread globally and many bio-pharma giants

    have launched several medicines eg: Standard induction therapy for acute

    myeloid leukemia includes two drugs: An anthracycline (such as daunorubicin

    or idarubicin) in combination with the nucleoside analogue, cytosine

    arabinoside. The main concern is to reduce the over-expression of flt3 and

    not to terminate its secretion completely.There are many inhibitors which are

    used for the inhibition of over secretion of flt3.Out of many inhibitors,some

    are rejected due to their side effects,as the chemotherapy drugs(such as

    daunorubicin or idarubicin) will kill normal bone marrow and leukemic cells

    equally, so the most significant side effects besides nausea and vomiting are

    a temporary reduction of normal white blood cells, red blood cells, and

    platelets. The lack of white cells results in lowered immunity and a high

    likelihood of infections. A low platelet count may result in easy bruisability

    and spontaneous bleeding. A decrease in the red cell count, termed anemia,

    may result in fatigue, shortness of breath, and lack of energy.However there

    is no inhibihitor which is fully perfect and without any

    595

  • 8/8/2019 Leukemia Project

    60/62

    sideeffects.Nevertheless we try to reduce the burden on the general health of

    the patient to the maximum extent possible.Hence ,newer drugs are required

    which have the same efficacy as the older one but are having fewer side

    effects.The intial phase of discovering a new drug nowadays is by using

    CADD.This method has greately reduced the time ,energy and money

    involved in the traditional methods.After a drug has been designined in-

    silico,its furthur verification is done,as stated earlier in laoratories.This

    method of using computer to design the drugs has indeed hastened the

    process of drug discovery.

    Rational Drug Designing Strategies reduce a lot of time ,money and energy

    as compared to other hit and trial methods.According to recent trends

    mathematical modelling has become very valuable recently.The use of

    sophasticated softwares and tools greatly help in this process,helping furthur

    development in research and development in this field.

    In my project I found su5614 (docking energy= -14.74) as to be the best