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Published on: May 16, 2020
Oncogenic fusion tyrosine kinases as molecular targets for anti-cancer therapy
Rosalind H Gunby1, Elisa Sala, Carmen J Tartari
1Department of Clinical Medicine, University of Milano-Bicocca, Monz, Italy. rosalind.gunby@unimib.it
Abstract:
Deregulated activation of protein tyrosine kinases (PTKs) is a frequent event underlying malignant transformation in many types of cancer. The formation of oncogenic fusion tyrosine kinases (FTKs) resulting from genomic rearrangements, represents a common mechanism by which kinases escape the strict controls that normally regulate their expression and activation. FTKs are typically composed of an N-terminal dimerisation domain, provided by the fusion partner protein, fused to the kinase domain of receptor or non-receptor tyrosine kinases (non-RTKs). Since FTKs do not contain extracellular domains, they share many characteristics with non-RTKs in terms of their properties and approaches for therapeutic targeting. FTKs are cytoplasmic or sometimes nuclear proteins, depending on the normal distribution of their fusion partner. FTKs no longer respond to ligand and are instead constitutively activated by dimerisation induced by the fusion partner. Unlike RTKs, FTKs cannot be targeted by therapeutic antibodies, instead they require agents that can cross the cell membrane as with non-RTKs. Here we review the PTKs known to be expressed as FTKs in cancer and the strategies for molecularly targeting these FTKs in anti-cancer therapy.
Insights
Oncogenic fusion tyrosine kinases (FTKs) drive cancer by escaping normal controls. This review covers FTKs and strategies for targeting these kinases in anti-cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Deregulated protein tyrosine kinases (PTKs) are key drivers of cancer.
- Genomic rearrangements create oncogenic fusion tyrosine kinases (FTKs), bypassing normal regulatory mechanisms.
- FTKs, lacking extracellular domains, resemble non-receptor tyrosine kinases (non-RTKs) in function and therapeutic targeting.
Purpose of the Study:
- To review known PTKs expressed as FTKs in various cancers.
- To outline current and emerging strategies for molecularly targeting FTKs in anti-cancer therapies.
Main Methods:
- Literature review of PTKs involved in FTK formation.
- Analysis of FTK characteristics and their implications for drug development.
- Survey of therapeutic strategies targeting FTKs.
Main Results:
- FTKs are constitutively activated through dimerization, independent of ligand binding.
- Unlike receptor tyrosine kinases (RTKs), FTKs are not amenable to antibody-based therapies.
- Targeting FTKs requires cell-permeable agents, similar to non-RTKs.
Conclusions:
- FTKs represent a significant class of oncogenic drivers in cancer.
- Effective anti-cancer strategies must consider the unique properties of FTKs for successful molecular targeting.
- Further research into novel therapeutic approaches is crucial for combating FTK-driven malignancies.
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