Fight Against Angiogenesis-Related Blindness (FARB) Laboratory, Clinical Research Institute, Seoul National University Hospital, Seoul, 03080, Republic of Korea.
Tumor Microenvironment Research Center, Global Core Research Center, Seoul National University, Seoul, 08826, Republic of Korea.
Arch Pharm Res. 2019 Apr;42(4):305-318. doi: 10.1007/s12272-018-1094-3. Epub 2018 Nov 23.
Uveal melanoma is the most common intraocular primary malignant tumor in adults, and retinoblastoma is the one in children. Current mainstay treatment options include chemotherapy using conventional drugs and enucleation, the total removal of the eyeball. Targeted therapies based on profound understanding of molecular mechanisms of ocular tumors may increase the possibility of preserving the eyeball and the vision. Tyrosine kinases, which modulate signaling pathways regarding various cellular functions including proliferation, differentiation, and attachment, are one of the attractive targets for targeted therapies against uveal melanoma and retinoblastoma. In this review, the roles of both types of tyrosine kinases, receptor tyrosine kinases and non-receptor tyrosine kinases, were summarized in relation with ocular tumors. Although the conventional treatment options for uveal melanoma and retinoblastoma are radiotherapy and chemotherapy, respectively, specific tyrosine kinase inhibitors will enhance our armamentarium against them by controlling cancer-associated signaling pathways related to tyrosine kinases. This review can be a stepping stone for widening treatment options and realizing targeted therapies against uveal melanoma and retinoblastoma.
葡萄膜黑色素瘤是成年人中最常见的眼内原发性恶性肿瘤,而视网膜母细胞瘤是儿童中的一种。目前的主要治疗选择包括使用传统药物进行化疗和眼球摘除术,即眼球的全部切除。基于对眼肿瘤分子机制的深入了解而进行的靶向治疗可能会增加保留眼球和视力的可能性。酪氨酸激酶调节与增殖、分化和附着等各种细胞功能相关的信号通路,是针对葡萄膜黑色素瘤和视网膜母细胞瘤的靶向治疗的一个有吸引力的靶点。在这篇综述中,总结了受体酪氨酸激酶和非受体酪氨酸激酶这两种类型的酪氨酸激酶在眼肿瘤中的作用。虽然葡萄膜黑色素瘤和视网膜母细胞瘤的传统治疗选择分别是放疗和化疗,但特定的酪氨酸激酶抑制剂通过控制与酪氨酸激酶相关的癌症相关信号通路,将增强我们对抗它们的手段。这篇综述可以为拓宽治疗选择和实现针对葡萄膜黑色素瘤和视网膜母细胞瘤的靶向治疗铺平道路。