Protein phosphorylation is the major post translational modification used b
y eukaryotic cells to control cellular signaling. Protein kinases have emer
ged as attractive drug targets because heightened protein kinase activity h
as been associated with several proliferative diseases, most notably cancer
and restenosis. Until now, it has been very difficult to confirm the utili
ty of protein kinases as inhibitor targets because very few small molecules
that selectively inhibit one particular kinase are known. Discovery of hig
hly specific kinase inhibitors has been slow because the protein family con
tains approximately 2000 members, all of which share a conserved active sit
e fold. Recent work in several laboratories has sought to circumvent the pr
oblem of kinase structural degeneracy by engineering drug sensitivity into
Src family tyrosine kinases and mitogen activated protein kinases through s
ite-directed mutagenesis. By introducing a unique non-naturally occurring a
mino acid into a conserved region of the enzyme's binding site, a target pr
otein kinase can be rapidly sensitized to a small molecule. Introduction of
the engineered kinase into a cell line or animal model should greatly expe
dite the investigation of protein kinase inhibition as a viable drug treatm
ent. The purpose of this review is to summarize these recent advances in pr
otein kinase drug sensitization. (C) 1999 Elsevier Science Inc. All rights
reserved.