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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Change or die: targeting adaptive signaling to kinase inhibition in cancer cells
Vito W Rebecca1, Keiran S M Smalley2
1The Department of Molecular Oncology, The Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, United States.
Abstract:
Small molecule kinase inhibitors have proven enormously successful at delivering impressive responses in patients with cancers as diverse as chronic myeloid-leukemia, melanoma, breast cancer and small cell lung cancer. Despite this, resistance is commonplace and most patients ultimately fail therapy. One emerging observation is the rapid rewiring of signaling that occurs across multiple cancer types when driver oncogene function is inhibited. These adaptive signaling changes seem critical in delivering some of the earliest survival signals that allow small numbers of cells to evade therapy. In this commentary we review the mechanisms that contribute to the robustness of signaling networks within cancer cells and suggest new therapeutic strategies to limit treatment failure.
Insights
Small molecule kinase inhibitors are effective cancer treatments, but resistance is common. Cancer cells adapt signaling pathways to evade therapy, leading to treatment failure.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- Small molecule kinase inhibitors show success in diverse cancers.
- Therapeutic resistance and treatment failure are significant challenges.
- Adaptive signaling rewiring is observed in cancers upon oncogene inhibition.
Purpose of the Study:
- To review mechanisms of signaling network robustness in cancer cells.
- To suggest novel therapeutic strategies to overcome treatment failure.
Main Methods:
- Review of current literature on cancer signaling and resistance.
- Analysis of adaptive signaling changes in response to kinase inhibitors.
Main Results:
- Kinase inhibitor resistance is often mediated by rapid adaptive signaling.
- Signaling network robustness allows cancer cells to evade therapy.
- Early survival signals emerge from rewiring of cellular pathways.
Conclusions:
- Understanding adaptive signaling is crucial for improving cancer therapy.
- New strategies targeting signaling robustness may limit treatment failure.
- Targeting adaptive resistance mechanisms can enhance kinase inhibitor efficacy.
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