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New perspectives: role of sunitinib in breast cancer
M E Fratto1, M Imperatori, B Vincenzi
1Department of Medical Oncology, University Campus Bio-Medico, Rome, Italy.
Abstract:
Sunitinib malate (SU11248) is a multitarget oral tyrosine kinase receptor (RTKs) inhibitor which was approved by FDA in renal cells carcinoma (RCC) and imatinib-resistant or imatinib-intollerant gastrointestinal stromal tumour (GIST). Sunitinib is able to inhibit RTKs such as receptors for platelet-derived growth factor (PDGF-R alpha and beta) and for vascular endothelial growth factor (VEGFRs). It is able to inhibit KIT receptor, colony stimulating factor type 1 receptor (CSF- 1R), glial cell line neutrophic factor receptor (RET), fms-like tyrosine kinase receptor-3 (FLT-3 or CD135), signal transducer and activator of transcription 3 (STAT3) and AKT (protein kinase B) in tumour cells. Many sunitinib targets play important roles in growth and survival of human breast cancer (BC). The "rationale" of sunitinib in BC (with or without others antiagiogenetic therapy) is its ability to block simultaneously intracellular portion of RTKs inhibiting many downstream signals. We overviewed the most relevant studies concerning sunitinib in metastatic BC.
Insights
Sunitinib malate, a tyrosine kinase receptor inhibitor, shows potential in treating metastatic breast cancer by blocking key growth signals. Further studies are needed to confirm its efficacy in this patient population.
Area of Science:
- Oncology
- Pharmacology
Background:
- Sunitinib malate is an FDA-approved oral multitarget tyrosine kinase receptor (RTK) inhibitor.
- It is approved for renal cell carcinoma (RCC) and imatinib-resistant/intolerant gastrointestinal stromal tumors (GIST).
- Sunitinib targets multiple RTKs, including PDGF-R, VEGFRs, KIT, CSF-1R, RET, FLT-3, STAT3, and AKT.
Purpose of the Study:
- To review relevant studies on sunitinib's application in metastatic breast cancer (BC).
- To explore the rationale for using sunitinib in BC treatment, potentially combined with antiangiogenetic therapies.
Main Methods:
- Overview of existing literature on sunitinib in metastatic breast cancer.
- Analysis of sunitinib's inhibitory targets and their role in breast cancer cell growth and survival.
Main Results:
- Sunitinib inhibits multiple RTKs crucial for human breast cancer growth and survival.
- Its mechanism involves simultaneously blocking intracellular portions of RTKs, thereby inhibiting downstream signaling pathways.
Conclusions:
- Sunitinib's multitargeted inhibition of RTKs presents a rationale for its use in metastatic breast cancer.
- Further research is warranted to establish its efficacy and optimal use in breast cancer treatment regimens.
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