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在癌症治疗中靶向作用于细胞外信号调节激酶(ERK)——丝裂原活化蛋白激酶(MAPK)通路的致命弱点。

Targeting ERK, an Achilles' Heel of the MAPK pathway, in cancer therapy.

作者信息

Liu Feifei, Yang Xiaotong, Geng Meiyu, Huang Min

机构信息

Division of Antitumor Pharmacology, State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.

出版信息

Acta Pharm Sin B. 2018 Jul;8(4):552-562. doi: 10.1016/j.apsb.2018.01.008. Epub 2018 Feb 16.

Abstract

The mitogen-activated protein kinases (MAPK) pathway, often known as the RAS-RAF-MEK-ERK signal cascade, functions to transmit upstream signals to its downstream effectors to regulate physiological process such as cell proliferation, differentiation, survival and death. As the most frequently mutated signaling pathway in human cancer, targeting the MAPK pathway has long been considered a promising strategy for cancer therapy. Substantial efforts in the past decades have led to the clinical success of BRAF and MEK inhibitors. However, the clinical benefits of these inhibitors are compromised by the frequently occurring acquired resistance due to cancer heterogeneity and genomic instability. This review briefly introduces the key protein kinases involved in this pathway as well as their activation mechanisms. We also generalize the correlations between mutations of MAPK members and human cancers, followed by a summarization of progress made on the development of small molecule MAPK kinases inhibitors. In particular, this review highlights the potential advantages of ERK inhibitors in overcoming resistance to upstream targets and proposes that targeting ERK kinase may hold a promising prospect for cancer therapy.

摘要

丝裂原活化蛋白激酶(MAPK)通路,通常被称为RAS-RAF-MEK-ERK信号级联,其功能是将上游信号传递给下游效应器,以调节细胞增殖、分化、存活和死亡等生理过程。作为人类癌症中最常发生突变的信号通路,靶向MAPK通路长期以来一直被认为是一种有前景的癌症治疗策略。在过去几十年中,大量的努力已经带来了BRAF和MEK抑制剂的临床成功。然而,由于癌症异质性和基因组不稳定性,这些抑制剂频繁出现的获得性耐药性损害了其临床益处。本综述简要介绍了该通路中涉及的关键蛋白激酶及其激活机制。我们还归纳了MAPK成员突变与人类癌症之间的相关性,随后总结了小分子MAPK激酶抑制剂开发方面取得的进展。特别是,本综述强调了ERK抑制剂在克服对上游靶点耐药性方面的潜在优势,并提出靶向ERK激酶可能为癌症治疗带来有前景的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d72/6089851/60497c29e568/fx1.jpg

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