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脾酪氨酸激酶 (SYK) 抑制剂及其在急性髓系白血病中的可能应用。

Splenic tyrosine kinase (SYK) inhibitors and their possible use in acute myeloid leukemia.

机构信息

a Section for Hematology, Department of Clinical Science , University of Bergen , Bergen , Norway.

b Department of Medicine , Haraldsplass Deaconess Hospital , Bergen , Norway.

出版信息

Expert Opin Investig Drugs. 2018 Apr;27(4):377-387. doi: 10.1080/13543784.2018.1459562. Epub 2018 Apr 4.

Abstract

INTRODUCTION

Splenic tyrosine kinase (SYK) is a non-receptor tyrosine kinase. It is important for downstream signaling from several cell surface receptors, including Fc receptors, complement receptors and integrins. SYK can have either oncogenic or tumor suppressor activity in human malignancies. Recent studies suggest that SYK inhibition may have an antileukemic effect in human acute myeloid leukemia (AML).

AREAS COVERED

Relevant publications were identified through literature searches in the PubMed database. We searched for (i) original articles describing the results from clinical studies of SYK inhibition; (ii) published articles describing the importance of SYK in human malignancies, especially AML.

EXPERT OPINION

SYK is important for the downstream signaling from several cell surface receptors. There is also a crosstalk between SYK and signaling initiated through ligation of Toll like receptors, and SYK is thereby linked with the NFκB mediated transcriptional regulation. SYK activation will also influence PI3K-Akt-mTOR signaling. Several of these signaling events are important for survival and proliferation of primary human AML cells. In the present review we describe and discuss the role of SYK in human AML, and these data suggest that SYK inhibition is a possible therapeutic strategy in human AML.

摘要

简介

脾脏酪氨酸激酶(SYK)是一种非受体酪氨酸激酶。它对于几种细胞表面受体(包括 Fc 受体、补体受体和整合素)的下游信号传递非常重要。在人类恶性肿瘤中,SYK 可具有致癌或肿瘤抑制活性。最近的研究表明,SYK 抑制可能对人类急性髓系白血病(AML)具有抗白血病作用。

涵盖领域

通过在 PubMed 数据库中进行文献检索,确定了相关出版物。我们搜索了(i)描述 SYK 抑制的临床研究结果的原始文章;(ii)描述 SYK 在人类恶性肿瘤中的重要性,特别是 AML 的已发表文章。

专家意见

SYK 对于几种细胞表面受体的下游信号传递非常重要。SYK 还与通过 Toll 样受体的配体结合引发的信号之间存在串扰,并且 SYK 与 NFκB 介导的转录调节相关联。SYK 激活也会影响 PI3K-Akt-mTOR 信号传递。这些信号事件中的几个对于原发性人类 AML 细胞的存活和增殖非常重要。在本综述中,我们描述和讨论了 SYK 在人类 AML 中的作用,这些数据表明 SYK 抑制可能是人类 AML 的一种潜在治疗策略。

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