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AXL Inhibitors in Cancer: A Medicinal Chemistry Perspective
Samuel H Myers1, Valerie G Brunton1, Asier Unciti-Broceta1
1Edinburgh Cancer Research UK Centre, MRC Institute of Genetics and Molecular Medicine, University of Edinburgh , Crewe Road South, Edinburgh EH4 2XR, U.K.
Abstract:
Dysregulation of the AXL receptor tyrosine kinase has been associated with many types of cancer. It has not been until recently, however, that targeting AXL has come under the spotlight because of ever accumulating evidence of its strong correlation with poor prognosis and drug resistance. The entry of the first AXL-branded inhibitor in clinical trials in 2013 marked an important milestone for the clinical validation of AXL as an anticancer target. Nevertheless, to weigh the current contribution and potential future impact of AXL inhibition in the clinic, it is fundamental to recognize that several kinase inhibitors approved or in clinical development have AXL as either a prominent secondary or even the primary target. Through this review, the chemical and biological properties of the main inhibitors targeting AXL (either intentionally or unintentionally) will be discussed, along with the prospects and challenges to translate AXL inhibitors into a bona fide therapeutic option.
Insights
Targeting the AXL receptor tyrosine kinase is crucial for cancer treatment due to its link to poor prognosis and drug resistance. This review discusses AXL inhibitors and their therapeutic potential.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Dysregulation of the AXL receptor tyrosine kinase is implicated in various cancers.
- AXL signaling is increasingly recognized for its association with poor patient prognosis and resistance to cancer therapies.
- The development of AXL inhibitors represents a significant advancement in cancer treatment strategies.
Purpose of the Study:
- To review the chemical and biological properties of key AXL inhibitors.
- To evaluate the current clinical contribution and future potential of AXL inhibition in cancer therapy.
- To identify the prospects and challenges in translating AXL inhibitors into effective therapeutic options.
Main Methods:
- Literature review of AXL inhibitors in clinical trials and development.
- Analysis of chemical structures and biological activities of targeted and off-target AXL inhibitors.
- Evaluation of clinical data and preclinical studies related to AXL inhibition.
Main Results:
- Several kinase inhibitors, both approved and in development, target AXL, either primarily or secondarily.
- The first AXL-specific inhibitor entered clinical trials in 2013, marking a milestone in AXL-targeted therapy.
- Accumulating evidence highlights AXL's role in cancer progression and therapeutic resistance.
Conclusions:
- AXL inhibition holds significant promise as a therapeutic strategy in oncology.
- Understanding the properties of various AXL inhibitors is crucial for optimizing their clinical application.
- Overcoming challenges in AXL inhibitor development is essential for their successful translation into bona fide cancer treatments.
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