Klener P, Klener P
Interní klinika, klinika hematologie VFN a 1. LF UK v Praze.
Klin Onkol. 2010;23(4):203-9.
Non-receptor protein tyrosine kinases are responsible for signal transduction during many physiologic cellular processes, including cell growth and proliferation, apoptosis, differentiation, regulation of actin cytoskeleton, cell shape, adhesion, motility and migration. Aberrant activity of protein tyrosine kinases (acquired as a result of chromosomal translocation or point mutation) has been implicated in the stimulation of cancer growth and progression, the induction of drug-resistance, tumour neovascularization, tissue invasion, extravasation and the formation of metastases. Small molecule tyrosine kinase inhibitors interfere with these pathophysiological circuits by blocking the signalling cascades triggered by the aberrantly activated protein tyrosine kinases (e.g. BCR-ABL1, FIP1L1-PDGFRA or ETV6-PDGFRB).Tyrosine kinase inhibitors (imatinib, nilotinib, dasatinib) now belong to established anti-cancer agents with clinical activity in patients with CML, Ph+ ALL, and myeloid neoplasms with overexpression of PDGFRA, PDGFRB and wild-type KIT. New generation tyrosine kinase inhibitors (e.g. dasatinib) with extended activity against SRC and EPH kinases belong to promising anti-cancer agents with documented preclinical activity in several solid tumours (e.g. prostate cancer).
非受体蛋白酪氨酸激酶负责许多生理细胞过程中的信号转导,包括细胞生长和增殖、凋亡、分化、肌动蛋白细胞骨架调节、细胞形状、黏附、运动和迁移。蛋白酪氨酸激酶的异常活性(由于染色体易位或点突变导致)与癌症生长和进展的刺激、耐药性的诱导、肿瘤新生血管形成、组织侵袭、外渗和转移的形成有关。小分子酪氨酸激酶抑制剂通过阻断由异常激活的蛋白酪氨酸激酶(如BCR-ABL1、FIP1L1-PDGFRA或ETV6-PDGFRB)触发的信号级联反应来干扰这些病理生理途径。酪氨酸激酶抑制剂(伊马替尼、尼洛替尼、达沙替尼)现在属于已确立的抗癌药物,对慢性粒细胞白血病、Ph+急性淋巴细胞白血病以及血小板衍生生长因子受体α(PDGFRA)、血小板衍生生长因子受体β(PDGFRB)和野生型干细胞因子受体(KIT)过表达的髓系肿瘤患者具有临床活性。新一代酪氨酸激酶抑制剂(如达沙替尼)对SRC和EPH激酶具有扩展活性,属于有前景的抗癌药物,在几种实体瘤(如前列腺癌)中具有已记录的临床前活性。
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