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小分子 VEGFR 抑制剂在肿瘤学中的最新进展及未来方向。

Recent advances and future directions on small molecule VEGFR inhibitors in oncological conditions.

机构信息

School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei 110031, Taiwan.

School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, India.

出版信息

Eur J Med Chem. 2024 Jun 5;272:116472. doi: 10.1016/j.ejmech.2024.116472. Epub 2024 May 6.

Abstract

"A journey of mixed emotions" is a quote that best describes the progress chart of vascular endothelial growth factor receptor (VEGFR) inhibitors as cancer therapeutics in the last decade. Exhilarated with the Food and Drug Administration (FDA) approvals of numerous VEGFR inhibitors coupled with the annoyance of encountering the complications associated with their use, drug discovery enthusiasts are on their toes with an unswerving determination to enhance the rate of translation of VEGFR inhibitors from preclinical to clinical stage. The recently crafted armory of VEGFR inhibitors is a testament to their growing dominance over other antiangiogenic therapies for cancer treatment. This review perspicuously underscores the earnest attempts of the researchers to extract the antiproliferative potential of VEGFR inhibitors through the design of mechanistically diverse structural assemblages. Moreover, this review encompasses sections on structural/molecular properties and physiological functions of VEGFR, FDA-approved VEGFR inhibitors, and hurdles restricting the activity range/clinical applicability of VEGFR targeting antitumor agents. In addition, tactics to overcome the limitations of VEGFR inhibitors are discussed. A clear-cut viewpoint transmitted through this compilation can provide practical directions to push the cart of VEGFR inhibitors to advanced-stage clinical investigations in diverse malignancies.

摘要

“一段五味杂陈的历程”是形容过去十年血管内皮生长因子受体(VEGFR)抑制剂作为癌症治疗药物的进展情况的最佳写照。欣喜于美国食品和药物管理局(FDA)批准了众多 VEGFR 抑制剂,同时也懊恼于它们在使用过程中产生的各种并发症,药物研发人员毫不气馁,坚定地决心提高 VEGFR 抑制剂从临床前到临床阶段的转化率。最近开发的 VEGFR 抑制剂武器库证明了它们在癌症治疗的其他抗血管生成疗法中的主导地位日益增强。这篇综述清楚地强调了研究人员通过设计具有不同机制的结构组合来挖掘 VEGFR 抑制剂的抗增殖潜力的认真尝试。此外,这篇综述还涵盖了 VEGFR 的结构/分子特性和生理功能、FDA 批准的 VEGFR 抑制剂以及限制 VEGFR 靶向抗肿瘤药物活性范围/临床适用性的障碍等部分。此外,还讨论了克服 VEGFR 抑制剂局限性的策略。通过这篇综述传达的清晰观点,可以为推动 VEGFR 抑制剂在多种恶性肿瘤的高级别临床研究提供实用的指导方向。

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