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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Targeted inhibition of kinases in cancer therapy
Stacey J Baker1, E Premkumar Reddy
1Mount Sinai School of Medicine, New York, NY, USA.
Abstract:
With an understanding of the molecular changes that accompany cell transformation, cancer drug discovery has undergone a dramatic change in the past few years. Whereas most of the emphasis in the past has been placed on developing drugs that induce cell death based on mechanisms that do not discriminate between normal and tumor cells, recent strategies have emphasized targeting specific mechanisms that have gone awry in tumor cells. However, the identification of cancer-associated mutations in oncogenes and their amplification in tumors has suggested that inhibitors against such proteins might represent attractive substrates for targeted therapy. In the clinic, the success of imatinib (Gleevec®, STI571) and trastuzumab (Herceptin®), both firsts of their kind, spurred further development of new, second-generation drugs that target kinases in cancer. This review highlights a few important examples each of these types of therapies, along with some newer agents that are in various stages of development. Second-generation kinase inhibitors aimed at overriding emerging resistance to these therapies are also discussed.
Insights
Cancer drug discovery now targets specific molecular changes in tumor cells, moving beyond general cell death induction. This review covers targeted therapies, including kinase inhibitors and newer agents, addressing treatment resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer drug discovery has shifted from non-specific cell death induction to targeting specific molecular alterations in tumor cells.
- The identification of oncogene mutations and amplifications has driven the development of targeted therapies.
- Early successes like imatinib and trastuzumab have paved the way for novel cancer treatments.
Purpose of the Study:
- To review key examples of targeted cancer therapies, including kinase inhibitors.
- To highlight newer agents in development for cancer treatment.
- To discuss second-generation kinase inhibitors designed to overcome treatment resistance.
Main Methods:
- Literature review of targeted cancer therapies.
- Analysis of mechanisms of action for kinase inhibitors.
- Discussion of clinical development stages for novel agents.
Main Results:
- Several classes of targeted therapies have emerged, focusing on specific cancer-driving proteins.
- Newer agents targeting kinases are in various stages of clinical development.
- Second-generation kinase inhibitors show promise in addressing acquired resistance.
Conclusions:
- Targeted therapies represent a significant advancement in cancer treatment, offering more precise mechanisms of action.
- Ongoing research and development are crucial for overcoming resistance and improving patient outcomes.
- The future of cancer drug discovery lies in continued molecular understanding and targeted intervention.
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