A1 Refereed original research article in a scientific journal
Structural characterization of EGFR exon 19 deletion mutation using molecular dynamics simulation
Authors: Tamirat M., Koivu M., Elenius K., Johnson M.
Publisher: Public Library of Science
Publication year: 2019
Journal:PLoS ONE
Journal name in sourcePLoS ONE
Article number: e0222814
Volume: 14
Issue: 9
ISSN: 1932-6203
eISSN: 1932-6203
DOI: https://doi.org/10.1371/journal.pone.0222814
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/42804822
Epidermal growth factor receptor (EGFR) is a tyrosine kinase receptor 
important in diverse biological processes including cell proliferation 
and survival. Upregulation of EGFR activity due to over-expression or 
mutation is widely implicated in cancer. Activating somatic mutations of
 the EGFR kinase are postulated to affect the conformation and/or 
stability of the protein, shifting the EGFR inactive-active state 
equilibrium towards the activated state. Here, we examined a common EGFR
 deletion mutation, Δ746ELREA750, which is 
frequently observed in non-small cell lung cancer patients. By using 
molecular dynamics simulation, we investigated the structural effects of
 the mutation that lead to the experimentally reported increases in 
kinase activity. Simulations of the active form wild-type and ΔELREA 
EGFRs revealed the deletion stabilizes the αC helix of the kinase 
domain, which is located adjacent to the deletion site, by rigidifying 
the flexible β3-αC loop that accommodates the ELREA sequence. 
Consequently, the αC helix is stabilized in the “αC-in” active 
conformation that would prolong the time of the activated state. 
Moreover, in the mutant kinase, a salt bridge between E762 and K745, 
which is key for EGFR activity, was also stabilized during the 
simulation. Additionally, the interaction between EGFR and ATP was 
favored by ΔELREA EGFR over wild-type EGFR, as reflected by the number 
of hydrogen bonds formed and the free energy of binding. Simulation of 
inactive EGFR suggested the deletion would promote a shift from the 
inactive conformation towards active EGFR, which is supported by the 
inward movement of the αC helix. The MDS results also align with the 
effects of tyrosine kinase inhibitors on ΔELREA and wild-type EGFR lung 
cancer cell lines, where more pronounced inhibition was observed against
 ΔELREA than for wild-type EGFR by inhibitors recognizing the active 
kinase conformation.
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