Despite abundant evidence that aberrant Rho-family
GTPase activation contributes to most steps of
cancer initiation and progression, there is a dearth of inhibitors of their effectors (e.g.,
p21-activated kinases). Through high-throughput screening and structure-based design, we identify
PF-3758309, a potent (K(d) = 2.7 nM),
ATP-competitive, pyrrolopyrazole inhibitor of PAK4. In cells,
PF-3758309 inhibits phosphorylation of the PAK4 substrate GEF-H1 (IC(50) = 1.3 nM) and anchorage-independent growth of a panel of tumor cell lines (IC(50) = 4.7 +/- 3 nM). The molecular underpinnings of
PF-3758309 biological effects were characterized using an integration of traditional and emerging technologies. Crystallographic characterization of the
PF-3758309/PAK4 complex defined determinants of potency and
kinase selectivity. Global high-content cellular analysis confirms that
PF-3758309 modulates known PAK4-dependent signaling nodes and identifies unexpected links to additional pathways (e.g., p53). In
tumor models,
PF-3758309 inhibits PAK4-dependent pathways in proteomic studies and regulates functional activities related to cell proliferation and survival.
PF-3758309 blocks the growth of multiple human
tumor xenografts, with a plasma EC(50) value of 0.4 nM in the most sensitive model. This study defines PAK4-related pathways, provides additional support for PAK4 as a therapeutic target with a unique combination of functions (apoptotic, cytoskeletal, cell-cycle), and identifies a potent, orally available small-molecule PAK inhibitor with significant promise for the treatment of human
cancers.