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AXL 受体酪氨酸激酶作为一种有前途的抗癌方法:功能、分子机制和临床应用。

AXL receptor tyrosine kinase as a promising anti-cancer approach: functions, molecular mechanisms and clinical applications.

机构信息

Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, No. 17, Block 3, Southern Renmin Road, Chengdu, Sichuan, 610041, People's Republic of China.

Department of Radiation Oncology, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, 42 Baiziting, Nanjing, 210009, Jiangsu, China.

出版信息

Mol Cancer. 2019 Nov 4;18(1):153. doi: 10.1186/s12943-019-1090-3.

Abstract

Molecular targeted therapy for cancer has been a research hotspot for decades. AXL is a member of the TAM family with the high-affinity ligand growth arrest-specific protein 6 (GAS6). The Gas6/AXL signalling pathway is associated with tumour cell growth, metastasis, invasion, epithelial-mesenchymal transition (EMT), angiogenesis, drug resistance, immune regulation and stem cell maintenance. Different therapeutic agents targeting AXL have been developed, typically including small molecule inhibitors, monoclonal antibodies (mAbs), nucleotide aptamers, soluble receptors, and several natural compounds. In this review, we first provide a comprehensive discussion of the structure, function, regulation, and signalling pathways of AXL. Then, we highlight recent strategies for targeting AXL in the treatment of cancer.AXL-targeted drugs, either as single agents or in combination with conventional chemotherapy or other small molecule inhibitors, are likely to improve the survival of many patients. However, future investigations into AXL molecular signalling networks and robust predictive biomarkers are warranted to select patients who could receive clinical benefit and to avoid potential toxicities.

摘要

癌症的分子靶向治疗已成为数十年的研究热点。AXL 是 TAM 家族的一员,其高亲和力配体是生长停滞特异性蛋白 6(GAS6)。Gas6/AXL 信号通路与肿瘤细胞生长、转移、侵袭、上皮间质转化(EMT)、血管生成、耐药性、免疫调节和干细胞维持有关。已经开发出针对 AXL 的不同治疗剂,通常包括小分子抑制剂、单克隆抗体(mAbs)、核苷酸适体、可溶性受体和几种天然化合物。在这篇综述中,我们首先全面讨论了 AXL 的结构、功能、调节和信号通路。然后,我们强调了最近针对 AXL 在癌症治疗中的靶向策略。AXL 靶向药物,无论是作为单一药物还是与常规化疗或其他小分子抑制剂联合使用,都可能改善许多患者的生存。然而,未来有必要对 AXL 分子信号网络和强大的预测性生物标志物进行研究,以选择可能受益于临床治疗并避免潜在毒性的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2519/6827209/14c6b7536d21/12943_2019_1090_Fig1_HTML.jpg

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