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SRC kinase inhibition: targeting bone metastases and tumor growth in prostate and breast cancer
1University of Montreal, CHU Montreal, 1560 Sherbrooke East, Montreal, Quebec, Canada. fred.saad@umontreal.ca
Abstract:
Prostate and breast cancer cells preferentially metastasize to bone, whereupon a complex interaction between metastatic tumor cells, osteoclasts, and osteoblasts results in the development of bone lesions that cause significant pain and patient morbidity. For patients with bone lesions, the goals of treatment are to decrease tumor growth, prevent further metastases, and inhibit tumor-associated bone pathology. Preclinical data suggest that SRC, a nonreceptor tyrosine kinase, is an important signaling molecule during the processes of osteoclast-mediated bone resorption, tumor growth, and metastasis, and that SRC has a role in hormone receptor signaling and resistance. As such, SRC represents a logical target for the treatment of advanced metastatic prostate or breast cancer. SRC-targeting agents, including dasatinib, saracatinib, and bosutinib, are currently in clinical development for patients with solid tumors. Preliminary data from phase 1/2 trials, including tumor responses and bone-specific activity in patients with prostate or breast cancer, demonstrate that SRC inhibitors have potential in the clinical setting. Data arising from ongoing and future clinical trials will confirm whether SRC inhibitors provide clinical benefits for patients with advanced disease.
Insights
SRC inhibitors show promise for treating bone metastases in advanced prostate and breast cancers. These targeted therapies may reduce tumor growth and bone pathology, offering new hope for patients.
Area of Science:
- Oncology
- Molecular Biology
- Bone Biology
Background:
- Prostate and breast cancers frequently metastasize to bone, leading to painful lesions and increased morbidity.
- Tumor cells interact with bone cells (osteoclasts, osteoblasts), driving lesion development and disease progression.
- SRC, a nonreceptor tyrosine kinase, is implicated in bone resorption, tumor growth, metastasis, and hormone resistance.
Purpose of the Study:
- To evaluate SRC as a therapeutic target for bone metastases in advanced prostate and breast cancers.
- To assess the potential of SRC-targeting agents in managing tumor-associated bone pathology.
Main Methods:
- Review of preclinical data implicating SRC in cancer metastasis and bone pathology.
- Analysis of preliminary data from Phase 1/2 clinical trials of SRC inhibitors (dasatinib, saracatinib, bosutinib) in solid tumors, including prostate and breast cancer patients with bone lesions.
Main Results:
- Preclinical studies support SRC's role in key processes of bone metastasis.
- Early clinical trial data indicate potential anti-tumor and bone-specific activity of SRC inhibitors in relevant patient populations.
- SRC inhibitors are under investigation for advanced prostate and breast cancer with bone metastases.
Conclusions:
- SRC is a rational therapeutic target for advanced prostate and breast cancers with bone metastases.
- SRC inhibitors demonstrate preliminary efficacy and warrant further investigation in clinical trials.
- Ongoing and future trials are crucial to confirm the clinical benefit of SRC inhibitors for patients with advanced disease.
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