Targeting Kinases in Cancer Therapies: Adverse Effects on Blood Platelets

Marie Levade, Sonia Severin, Marie-Pierre Gratacap

  • 1Inserm U1048, I2MC, 1 Avenue Jean Poulhès, BP 84225, 31432 Toulouse Cedex 04, France. bernard.payrastre@inserm.fr.

Insights

Kinase inhibitors, used in cancer therapy, can impact blood platelet function, increasing bleeding risk. This review examines these side effects and their clinical implications, especially for patients on antithrombotic drugs.

Area of Science:

  • Oncology
  • Hematology
  • Pharmacology

Background:

  • Targeted therapy, particularly kinase inhibitors, is a rapidly advancing field in cancer treatment.
  • These drugs offer efficacy in various malignancies with fewer side effects than traditional chemotherapy.
  • However, kinase inhibitors can affect normal physiological functions due to shared kinase targets.

Purpose of the Study:

  • To review the side effects of kinase inhibitors on blood platelet function.
  • To discuss the impact on hemostasis and bleeding risk.
  • To explore implications for patients on antithrombotic medications.

Main Methods:

  • Literature review focusing on kinase inhibitors and their effects on platelet activation.
  • Analysis of reported clinical data and preclinical studies.
  • Discussion of known and emerging kinase inhibitors impacting platelet function.

Main Results:

  • Several kinase inhibitors, such as dasatinib and ibrutinib, are known to impair platelet activation.
  • These effects can lead to an increased risk of bleeding.
  • The clinical significance is heightened in patients concurrently using antithrombotic agents.

Conclusions:

  • Kinase inhibitors can interfere with critical platelet functions, including adhesion and aggregation.
  • Understanding these side effects is crucial for managing patient safety and optimizing treatment strategies.
  • Further research is needed for kinase inhibitors in development that may also affect platelet hemostatic functions.

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