Varkaris Andreas, Katsiampoura Anastasia D, Araujo John C, Gallick Gary E, Corn Paul G
Department of Genitourinary Medical Oncology, The University of Texas, M.D. Anderson Cancer Center, Unit 1374 1155 Pressler St, Houston, TX, 77030, USA.
Cancer Metastasis Rev. 2014 Sep;33(2-3):595-606. doi: 10.1007/s10555-013-9481-1.
Knowledge of the molecular events that contribute to prostate cancer progression has created opportunities to develop novel therapy strategies. It is now well established that c-Src, a non-receptor tyrosine kinase, regulates a complex signaling network that drives the development of castrate-resistance and bone metastases, events that signal the lethal phenotype of advanced disease. Preclinical studies have established a role for c-Src and Src Family Kinases (SFKs) in proliferation, angiogenesis, invasion and bone metabolism, thus implicating Src signaling in both epithelial and stromal mechanisms of disease progression. A number of small molecule inhibitors of SFK now exist, many of which have demonstrated efficacy in preclinical models and several that have been tested in patients with metastatic castrate-resistant prostate cancer. These agents have demonstrated provocative clinic activity, particularly in modulating the bone microenvironment in a therapeutically favorable manner. Here, we review the discovery and basic biology of c-Src and further discuss the role of SFK inhibitors in the treatment of advanced prostate cancer.
对促成前列腺癌进展的分子事件的了解为开发新的治疗策略创造了机会。现已明确,非受体酪氨酸激酶c-Src调节一个复杂的信号网络,该网络驱动去势抵抗和骨转移的发展,而这些事件标志着晚期疾病的致死表型。临床前研究已证实c-Src和Src家族激酶(SFK)在增殖、血管生成、侵袭和骨代谢中发挥作用,从而表明Src信号传导参与疾病进展的上皮和基质机制。目前有多种SFK小分子抑制剂,其中许多已在临床前模型中显示出疗效,还有几种已在转移性去势抵抗性前列腺癌患者中进行了测试。这些药物已显示出令人鼓舞的临床活性,特别是在以治疗有利的方式调节骨微环境方面。在此,我们回顾c-Src的发现和基础生物学,并进一步讨论SFK抑制剂在晚期前列腺癌治疗中的作用。