Molecular mechanisms of drug resistance in tyrosine kinases cAbl and cKit
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Updated: Jun 2, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
1Infinity Pharmaceuticals, Cambridge, MA, USA.
Abstract:
The inhibition of protein kinases has gained general acceptance as an effective approach to treat a wide range of cancers. However, in many cases, prolonged administration of kinase inhibitors often leads to acquired resistance, and the therapeutic effect is subsequently diminished. The wealth of recent studies using biochemical, kinetic, and structural approaches have revealed the molecular basis for the clinically observed resistance. In this review, we highlight several of the most common molecular mechanisms that lead to acquired resistance to kinase inhibitors observed with the cAbl (cellular form of the Abelson leukemia virus tyrosine kinase) and the type III receptor tyrosine kinase cKit, including a newly identified mechanism resulting from accelerated kinase activation caused by mutations in the activation loop. Strategies to overcome the loss of drug sensitivity that represents a challenge currently facing the field and the emerging approaches to circumvent resistance are discussed.
Insights
Protein kinase inhibitors are vital cancer treatments, but acquired resistance limits their effectiveness. This review details common resistance mechanisms and strategies to overcome them.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Protein kinase inhibitors are a cornerstone of modern cancer therapy.
- Acquired resistance to these drugs diminishes therapeutic efficacy over time.
- Understanding resistance mechanisms is crucial for improving cancer treatment outcomes.
Purpose of the Study:
- To review common molecular mechanisms of acquired resistance to kinase inhibitors.
- To highlight resistance in cAbl and cKit kinases.
- To discuss strategies for overcoming drug resistance in cancer therapy.
Main Methods:
- Biochemical approaches
- Kinetic analyses
- Structural studies
- Literature review
Main Results:
- Identified common molecular mechanisms underlying acquired resistance to kinase inhibitors.
- Detailed resistance in cellular form of Abelson leukemia virus tyrosine kinase (cAbl) and cKit.
- Highlighted a novel mechanism involving accelerated kinase activation due to activation loop mutations.
Conclusions:
- Acquired resistance is a significant challenge in kinase inhibitor therapy.
- Novel strategies are emerging to circumvent resistance and restore drug sensitivity.
- Further research into resistance mechanisms will guide the development of more effective cancer treatments.
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