College of Integrated Traditional Chinese and Western Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, China.
Central Laboratory of Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China.
Curr Med Chem. 2024;31(29):4657-4686. doi: 10.2174/0109298673277543231205072556.
FMS-like tyrosine kinase 3 (FLT3) is a commonly mutated gene in acute myeloid leukemia. As a receptor tyrosine kinase (RTK), FLT3 plays a role in the proliferation and differentiation of hematopoietic stem cells. As the most frequent molecular alteration in AML, FLT3 has drawn the attention of many researchers, and a lot of small molecule inhibitors targeting FLT3 have been intensively investigated as potential drugs for AML therapy.
In this paper, PubMed and SciFinder were used as a tool; the publications about "FLT3 inhibitor" and "Acute myeloid leukemia" were surveyed from 2014 to the present with an exclusion of those published as patents.
In this study, the structural characterization and biological activities of representative FLT3 inhibitors were summarized. The major challenges and future directions for further research are discussed.
Recently, numerous FLT3 inhibitors have been discovered and employed in FLT3-mutated AML treatment. In order to overcome the drug resistance caused by FLT3 mutations, screening multitargets FLT3 inhibitors has become the main research direction. In addition, the emergence of irreversible FLT3 inhibitors also provides new ideas for discovering new FLT3 inhibitors.
FMS 样酪氨酸激酶 3(FLT3)是急性髓系白血病中常见的突变基因。作为受体酪氨酸激酶(RTK),FLT3 在造血干细胞的增殖和分化中发挥作用。作为 AML 中最常见的分子改变,FLT3 引起了许多研究人员的关注,许多针对 FLT3 的小分子抑制剂已被作为 AML 治疗的潜在药物进行了深入研究。
本文以 PubMed 和 SciFinder 为工具,检索了 2014 年至今发表的关于“FLT3 抑制剂”和“急性髓系白血病”的出版物,排除了已作为专利发表的出版物。
本研究总结了代表性 FLT3 抑制剂的结构特征和生物学活性。讨论了主要的挑战和进一步研究的未来方向。
最近,已经发现了许多 FLT3 抑制剂,并用于治疗 FLT3 突变的 AML。为了克服由 FLT3 突变引起的耐药性,筛选多靶点 FLT3 抑制剂已成为主要的研究方向。此外,不可逆 FLT3 抑制剂的出现也为发现新的 FLT3 抑制剂提供了新的思路。