Speaker Short Biography
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Andy Huang
CSO
Prelon Therapeutics
Short Biography
Dr. Andy Huang is the Chief Scientific Officer (CSO) of Prelon Therapeutics, where he oversees the whole drug discovery pipeline development from hit generation to candidate nomination, IND filing, and clinical development. Before Prelon, Dr. Huang spent 15 years across roles of increasing responsibility of oncology research at Genentech and AbbVie. He was the leader of the drug resistance research at AbbVie, and spearheaded the development of Genentech’s degrader platform, including both molecular glues and PROTACs. His research has led to multiple high impact manuscripts on protein degradation and cancer signaling pathways, published in Nature, Science, and Molecular Cell. Dr. Huang earned his Ph.D. in cancer biology from the University of California San Diego (UCSD) and holds a bachelor’s degree in chemistry from Beijing Normal University.
Presentation Topic: Kinase-deficient BTK mutants confer ibrutinib resistance through their scaffolding function
• The Bruton’s tyrosine kinase (BTK) inhibitor ibrutinib irreversibly binds BTK at Cys481, inhibiting its kinase activity and thus blocking transduction of B cell receptor (BCR) signaling. Although ibrutinib is durably effective in patients with B cell malignancies, many patients still develop ibrutinib-resistant disease.
• Here, we characterized the mechanism by which two BTK mutations, C481F and C481Y, may lead to ibrutinib resistance. Both mutants lacked detectable kinase activity in in vitro kinase assays. Structural modeling suggested that bulky Phe and Tyr side chains at position 481 sterically hinder access to the ATP-binding pocket in BTK, contributing to loss of kinase activity. Nonetheless, BCR signaling still propagated through BTK C481F and C481Y mutants to downstream effectors, the phospholipase PLCγ2 and the transcription factor NF-κB.
• This maintenance of BCR signaling was partially achieved through the physical recruitment and kinase-independent activation of hematopoietic cell kinase (HCK). Upon BCR activation, BTK C481F or C481Y was phosphorylated by Src family kinases at Tyr551, which then bound to the SH2 domain of HCK. Modeling suggested that this binding disrupted an intramolecular autoinhibitory interaction in HCK. Activated HCK subsequently phosphorylated PLCγ2, which propagated BCR signaling and promoted clonogenic cell proliferation.
• This kinase-independent mechanism could inform therapeutic approaches to CLL bearing either the C481F or C481Y BTK mutants.


















