Allostery: Allosteric Cancer Drivers and Innovative Allosteric Drugs
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Here, we discuss the principles of allosteric activating mutations, propagation downstream of the signals that they prompt, and allosteric drugs, with examples from the Ras signaling network. We focus on Abl kinase where mutations shift the landscape toward the active, imatinib binding-incompetent conformation, likely resulting in the high affinity ATP outcompeting drug binding. Recent pharmacological innovation extends to allosteric inhibitor (GNF-5)-linked PROTAC, targeting Bcr-Abl1 myristoylation site, and broadly, allosteric heterobifunctional degraders that destroy targets, rather than inhibiting them. Designed chemical linkers in bifunctional degraders can connect the allosteric ligand that binds the target protein and the E3 ubiquitin ligase warhead anchor. The physical properties and favored conformational state of the engineered linker can precisely coordinate the distance and orientation between the target and the recruited E3. Allosteric PROTACs, noncompetitive molecular glues, and bitopic ligands, with covalent links of allosteric ligands and orthosteric warheads, increase the effective local concentration of productively oriented and placed ligands. Through covalent chemical or peptide linkers, allosteric drugs can collaborate with competitive drugs, degrader anchors, or other molecules of choice, driving innovative drug discovery.
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Allosteric drugs have higher specificity and lower toxicity due to targeting nonconserved allosteric sites.
“Due to its higher specificity and consequently lower toxicity, which results from targeting nonconserved allosteric sites, allostery also increasingly features in allosteric drugs.”
From AlphaFold, Artificial Intelligence (AI), and Allostery (2022) · cites this paper as [121]
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The Different Ways through Which Specificity Works in Orthosteric and Allosteric Drugs
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The Design of Covalent Allosteric Drugs
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On the Allosteric Effect of nsSNPs and the Emerging Importance of Allosteric Polymorphism
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NMR studies of dynamic biomolecular conformational ensembles
Torchia, D. A. (2014) · Progress in Nuclear Magnetic Resonance Spectroscopy · doi:10.1016/j.pnmrs.2014.11.001 · Cited by 50 · see citing works
Stetz, G., Tse, A., & Verkhivker, G. M. (2018) · Scientific Reports · doi:10.1038/s41598-018-25329-4 · Cited by 50 · see citing works
Does Ras Activate Raf and PI3K Allosterically?
Nussinov, R., Tsai, C., & Jang, H. (2019) · Frontiers in Oncology · doi:10.3389/fonc.2019.01231 · Cited by 50 · see citing works
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AlphaFold, Artificial Intelligence (AI), and Allostery
Nussinov, R., Zhang, M., Liu, Y., & Jang, H. (2022) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.2c04346 · Cited by 190 · see citing works
Self-citationProtein conformational ensembles in function: roles and mechanisms
Nussinov, R., Liu, Y., Zhang, W., & Jang, H. (2023) · RSC Chemical Biology · doi:10.1039/d3cb00114h · Cited by 111 · see citing works
Self-citationLigand discovery by activity-based protein profiling
Niphakis, M. J., & Cravatt, B. F. (2024) · Cell chemical biology · doi:10.1016/j.chembiol.2024.08.006 · Cited by 90 · see citing works
Molecular glues and induced proximity: An evolution of tools and discovery
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Allosteric drugs: New principles and design approaches
Tee, W.-V., & Berezovsky, I. N. (2024) · Current Opinion in Structural Biology · doi:10.1016/j.sbi.2023.102758 · Cited by 53 · see citing works
Ginovska, B., Gutiérrez, O. Y., Karkamkar, A., Lee, M., Lercher, J. A., Liu, Y., Raugei, S., Rousseau, R. J., & Shaw, W. J. (2023) · ACS Catalysis · doi:10.1021/acscatal.3c00320 · Cited by 45 · see citing works
Self-citationMultiscale Allostery: Basic Mechanisms and Versatility in Diagnostics and Drug Design
Berezovsky, I. N., & Nussinov, R. (2022) · Journal of Molecular Biology · doi:10.1016/j.jmb.2022.167751 · Cited by 39 · see citing works
Self-citationZhang, W., Liu, Y., Jang, H., & Nussinov, R. (2024) · JACS Au · doi:10.1021/jacsau.4c00138 · Cited by 34 · see citing works
Self-citationAllosteric regulation of autoinhibition and activation of c-Abl
Liu, Y., Zhang, M., Tsai, C., Jang, H., & Nussinov, R. (2022) · Computational and Structural Biotechnology Journal · doi:10.1016/j.csbj.2022.08.014 · Cited by 33 · see citing works
Self-citationNussinov, R. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169044 · Cited by 33 · see citing works
Self-citationDeepAlloDriver: a deep learning-based strategy to predict cancer driver mutations
Song, Q., Li, M., Li, Q., Lu, X., Song, K., Zhang, Z., Wei, J., Zhang, L. N., Wei, J., Ye, Y., et al. (2023) · Nucleic Acids Research · doi:10.1093/nar/gkad295 · Cited by 28 · see citing works
Tan, Z. W., Tee, W.-V., Guarnera, E., & Berezovsky, I. N. (2023) · Nucleic Acids Research · doi:10.1093/nar/gkac828 · Cited by 28 · see citing works
The value of protein allostery in rational anticancer drug design: an update
Nussinov, R., & Jang, H. (2024) · Expert Opinion on Drug Discovery · doi:10.1080/17460441.2024.2384467 · Cited by 29 · see citing works
Self-citationAllostery Frustrates the Experimentalist
Gianni, S., & Jemth, P. (2022) · Journal of Molecular Biology · doi:10.1016/j.jmb.2022.167934 · Cited by 25 · see citing works
Colombo, G. (2023) · Current Opinion in Structural Biology · doi:10.1016/j.sbi.2023.102702 · Cited by 24 · see citing works
Higher‐order interactions of Bcr‐Abl can broaden chronic myeloid leukemia (CML) drug repertoire
Liu, Y., Zhang, M., Jang, H., & Nussinov, R. (2022) · Protein Science · doi:10.1002/pro.4504 · Cited by 20 · see citing works
Self-citationAllostery in Disease: Anticancer Drugs, Pockets, and the Tumor Heterogeneity Challenge
Nussinov, R., Yavuz, B. R., & Jang, H. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169050 · Cited by 19 · see citing works
Self-citationMontserrat‐Canals, M., Cordara, G., & Krengel, U. (2025) · Quarterly Reviews of Biophysics · doi:10.1017/s0033583524000209 · Cited by 18 · see citing works
Allosteric solution to the problems of undruggable targets, drug toxicity, and emerging resistance
Tee, W.-V., & Berezovsky, I. N. (2025) · Current Opinion in Structural Biology · doi:10.1016/j.sbi.2025.103172 · Cited by 16 · see citing works
Sequence-dependent model of allosteric communication
Guarnera, E., & Berezovsky, I. N. (2023) · The Journal of Chemical Physics · doi:10.1063/5.0139848 · Cited by 17 · see citing works
Designing drugs and chemical probes with the dualsteric approach
Zha, J., He, J., Wu, C., Zhang, M., Liu, X., & Zhang, J. (2023) · Chemical Society Reviews · doi:10.1039/d3cs00650f · Cited by 14 · see citing works
Self-citationBergman, M. T., Zhang, W., Liu, Y., Jang, H., & Nussinov, R. (2024) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.4c03243 · Cited by 13 · see citing works
Self-citationPathogenic mutation impairs functional dynamics of Hsp60 in mono- and oligomeric states
Torielli, L., Guarra, F., Shao, H., Gestwicki, J. E., Serapian, S. A., & Colombo, G. (2025) · Nature Communications · doi:10.1038/s41467-025-57958-5 · Cited by 13 · see citing works
Scrima, S., Lambrughi, M., Tiberti, M., Fadda, E., & Papaleo, E. (2024) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2024.167260 · Cited by 12 · see citing works
Berezovsky, I. N., & Nussinov, R. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169407 · Cited by 12 · see citing works
Self-citationLiu, X., Yang, B., Huang, X., Yan, W., Zhang, Y., & Hu, G. (2023) · Interdisciplinary Sciences Computational Life Sciences · doi:10.1007/s12539-023-00568-w · Cited by 11 · see citing works
ERK Allosteric Activation: The Importance of Two Ordered Phosphorylation Events
Regev, C., Jang, H., & Nussinov, R. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169130 · Cited by 11 · see citing works
Self-citationModulation of Allostery with Multiple Mechanisms by Hotspot Mutations in TetR
Deng, J., Yuan, Y., & Cui, Q. (2024) · Journal of the American Chemical Society · doi:10.1021/jacs.3c12494 · Cited by 10 · see citing works
Emerging approaches for antagonizing the aryl hydrocarbon receptor
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Allostery Illuminated: Harnessing AI and Machine Learning for Drug Discovery
Blanco, M.-J., Buskes, M. J., Govindaraj, R. G., Ipsaro, J. J., Prescott-Roy, J., & Padyana, A. K. (2024) · ACS Medicinal Chemistry Letters · doi:10.1021/acsmedchemlett.4c00260 · Cited by 9 · see citing works
Cui, Q. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.168998 · Cited by 9 · see citing works
Sequence and Structure at Play in Designing Allosteric Drugs and Alleviating the Drug Resistance
Tee, W.-V., Raechell, R., Guarnera, E., & Berezovsky, I. N. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169206 · Cited by 9 · see citing works
How residence time works in allosteric drugs
Nussinov, R., & Jang, H. (2025) · Current Opinion in Structural Biology · doi:10.1016/j.sbi.2025.103149 · Cited by 10 · see citing works
Self-citationSynthetic Biology for Designing Allostery and Its Potential Biomedical Applications
Plaper, T., Štibler, U., & Jerala, R. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169225 · Cited by 7 · see citing works
Myristoyl’s dual role in allosterically regulating and localizing Abl kinase
de Buhr, S., & Gräter, F. (2023) · eLife · doi:10.7554/elife.85216 · Cited by 7 · see citing works
İnan, T., Flinko, R., Lewis, G. K., MacKerell, A. D., & Kürkçüoğlu, Ö. (2024) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.4c00925 · Cited by 7 · see citing works
Network Analysis of Molecular Dynamics Sectors in the p53 Protein
Fabry, J. D., & Thayer, K. M. (2022) · ACS Omega · doi:10.1021/acsomega.2c05635 · Cited by 6 · see citing works
Exploiting allosteric modulation: a new frontier for precision medicine
Alum, E. U., Udechukwu, C. D., & Obasi, D. C. (2025) · Molecular Biology Reports · doi:10.1007/s11033-025-10650-9 · Cited by 5 · see citing works
Alexandar, S. P., Yennamalli, R. M., & Ulaganathan, V. (2022) · Computational Biology and Chemistry · doi:10.1016/j.compbiolchem.2022.107708 · Cited by 4 · see citing works
Resistance to Allosteric Inhibitors
Outhwaite, I. R., Kwan, I., Leyte-Vidal, A., Shah, N. P., Bahar, İ., & Seeliger, M. A. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169133 · Cited by 4 · see citing works
Tumors and their microenvironments: Learning from pediatric brain pathologies
Nussinov, R., Yavuz, B. R., & Jang, H. (2025) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2025.189328 · Cited by 6 · see citing works
Self-citationVariable Regions of p53 Isoforms Allosterically Hard Code DNA Interaction
Armour-Garb, I., Han, I. S. M., Cowan, B. S., & Thayer, K. M. (2022) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.2c06229 · Cited by 4 · see citing works
Lu, X., Lan, X., Lu, S., & Zhang, J. (2023) · Current Opinion in Structural Biology · doi:10.1016/j.sbi.2023.102701 · Cited by 5 · see citing works
Li, Z., Xi, Y., Tu, L., Zhang, X., Huang, Y., Nie, H., Peng, C., Chai, H., Zeng, S., Zheng, X., et al. (2024) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2024.116315 · Cited by 3 · see citing works
Deciphering Allosteric Disease Mutations Through Intrinsic Dynamics
Kaskaloglu, B., Duman, O., Kutlu, Y., & Haliloǧlu, T. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169326 · Cited by 3 · see citing works
Özdemir, E. S., & Nussinov, R. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1061595 · Cited by 3 · see citing works
Self-citationUzorka, A., Kibirige, D., & Makumbi, D. (2023) · Biophysical Reviews and Letters · doi:10.1142/s1793048023310021 · Cited by 3 · see citing works
Protein Allostery Study in Cells Using NMR Spectroscopy
Chen, X., Zhang, X., Qin, M., Chen, J., Wang, M., Liu, Z., An, L., Song, X., & Yao, L. (2024) · Analytical Chemistry · doi:10.1021/acs.analchem.4c00360 · Cited by 3 · see citing works
Ma, F., Chen, Y., Ni, Y., He, H., Ji, O., Quan, X., & Qi, B. (2025) · Journal of Molecular Structure · doi:10.1016/j.molstruc.2025.142985 · Cited by 2 · see citing works
Kong, X., Zou, Y., Cao, P., Dong, Y., Li, K.-C., Zhang, X., Liu, Y., Wu, S., Tian, S., Li, C., et al. (2025) · Journal of Chemical Information and Modeling · doi:10.1021/acs.jcim.5c01571 · Cited by 2 · see citing works
Self-citationBhunia, M., Misra, R., Maity, A., Mohid, S. A., Kundu, S., Bhunia, A., Maiti, N. C., & Pal, U. (2025) · PNAS Nexus · doi:10.1093/pnasnexus/pgaf276 · Cited by 2 · see citing works
Zhang, W., Bradburn, D. A., Liu, Y., Jang, H., Kõivomägi, M., & Nussinov, R. (2026) · Journal of Chemical Information and Modeling · doi:10.1021/acs.jcim.6c00279 · Cited by 2 · see citing works
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Yuce, M., & Kürkçüoğlu, Ö. (2026) · Proteins Structure Function and Bioinformatics · doi:10.1002/prot.70122 · Cited by 1 · see citing works
Tripathi, T., Uversky, V. N., & Giuliani, A. (2026) · FEBS Letters · doi:10.1002/1873-3468.70404 · Cited by 1 · see citing works
Gatlin, W., Ludwick, M., Turano, L., Foley, B., Riedlová, K., Škrhák, V., Novotný, M., Hoksza, D., & Verkhivker, G. M. (2026) · Protein Science · doi:10.1002/pro.70714 · Cited by 1 · see citing works
Application of DELs for E3 Ligase Ligand Discovery and Targeted Protein Degradation
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Gatlin, W., Ludwick, M., Turano, L., Foley, B., Riedlová, K., Škrhák, V., Novotný, M., Hoksza, D., & Verkhivker, G. M. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.03.21.713412
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Cortez-Romero, C. R., Bautista, N. M., Nisler, C. R., Muñiz-Trejo, R., Storz, J. F., & Thornton, J. W. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.05.25.727495
Shan, M., Liao, Y., Lin, Z., Song, L., Zhang, W., Jiang, R., Zhang, H., Guo, Y., & Su, F. (2026) · APOPTOSIS · doi:10.1007/s10495-026-02450-8
Yuce, M., Türkmenoğlu, İ., Kurtuluş, G., Sesal, N. C., Akten, E. D., & Kürkçüoğlu, Ö. (2026) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2026.154704
- Authors
- Nussinov, R., Zhang, M., Maloney, R., Liu, Y., Tsai, C.-J., & Jang, H.
- Affiliations
- Tel Aviv University (IL)
- Frederick National Laboratory for Cancer Research (US)
- Corresponding author
- Nussinov, Ruth
- Venue
- Journal of Molecular Biology
- Publisher
- Elsevier BV
- Published
- 2022-09
- Volume
- 434
- Issue
- 17
- Pages
- 167569
- ISSN
- 0022-2836 (ISSN-L)
- PMC
- PMC9398924
- OpenAlex
- W4220688241
- Cited by
- 66
- References
- 294
- Citations by year
- 2026: 12 · 2025: 22 · 2024: 12 · 2023: 11 · 2022: 9
- FWCI
- 1.43
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Molecular Biology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Frederick National Laboratory for Cancer Research
- National Institutes of Health (HHSN261201500003I)
- U.S. Department of Health and Human Services
- National Cancer Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
- Keywords
- Ras signaling, c-Abl, PROTACs, chemical linkers, E3 ubiquitin ligase, molecular glues, bitopic ligands, drug discovery
- MeSH terms
- Allosteric Regulation, Antineoplastic Agents, Humans, Ligands, Mutation, Neoplasms, Fusion Proteins, bcr-abl, Protein Kinase Inhibitors, Drug Discovery, Proteolysis
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