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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Mechanisms of resistance to BCR-ABL and other kinase inhibitors
Allan Joaquim Lamontanara1, Emel Basak Gencer, Orest Kuzyk
1École polytechnique fédérale de Lausanne EPFL, School of Life Sciences, Swiss Institute for Experimental Cancer Research ISREC, Lausanne, Switzerland.
Abstract:
In this article, we are reviewing the molecular mechanisms that lead to kinase inhibitor resistance. As the oncogenic BCR-ABL kinase is the target of the first approved small-molecule kinase inhibitor imatinib, we will first focus on the structural and mechanistic basis for imatinib resistance. We will then show ways how next generations of BCR-ABL inhibitors and alternative targeting strategies have helped to offer effective treatment options for imatinib-resistant patients. Based on these insights, we discuss commonalities and further mechanisms that lead to resistance to other kinase inhibitors in solid tumors. This article is part of a Special Issue entitled: Inhibitors of Protein Kinases (2012).
Insights
This review explores molecular mechanisms of kinase inhibitor resistance, focusing on BCR-ABL inhibitors like imatinib. It discusses next-generation drugs and alternative strategies for treating resistant cancers.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- Kinase inhibitors are crucial in cancer therapy.
- Resistance to targeted therapies like imatinib is a significant clinical challenge.
- Understanding resistance mechanisms is key to developing effective treatments.
Purpose of the Study:
- To review the molecular mechanisms of kinase inhibitor resistance.
- To discuss imatinib resistance in BCR-ABL kinase.
- To explore strategies for overcoming resistance in solid tumors.
Main Methods:
- Literature review of molecular mechanisms.
- Analysis of structural and mechanistic basis of imatinib resistance.
- Discussion of next-generation inhibitors and alternative strategies.
Main Results:
- BCR-ABL kinase is a primary target for imatinib.
- Mutations in BCR-ABL lead to imatinib resistance.
- Next-generation inhibitors and alternative strategies show promise.
Conclusions:
- Molecular mechanisms of resistance vary but share commonalities.
- Targeting resistance pathways is essential for durable cancer treatment.
- Further research into resistance mechanisms will improve kinase inhibitor therapies.
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