Development of ERK1/2 inhibitors as a therapeutic strategy for tumour with MAPK upstream target mutations
1Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine, Institute of Radiation Medicine, Chinese Academy of Medical Science & Peking Union Medical College, Tianjin, China.
Abstract:
Extracellular signal-regulated kinases 1 and 2 (ERK1/2) phosphorylate a variety of substrates that play key roles in promoting cell survival and proliferation. Many inhibitors, acting on upstream of the ERK pathway, exhibit excellent antitumor activity. However, drug-resistant tumour cells invariably emerge after their use due to the reactivation of ERK1/2 signalling. ERK1/2 inhibitors have shown clinical efficacy as a therapeutic strategy for the treatment of tumours with mitogen-activated protein kinase (MAPK) upstream target mutations. These inhibitors may be effective against cancers with altered MAPK upstream pathway and may be used as a possible strategy to overcome acquired resistance to MAPK inhibitors. In this review, we describe the mechanism and types of ERK1/2 inhibitors, summarise the current development status of small-molecule ERK1/2 inhibitors, including the preclinical data and clinical study progress, and discuss the future research directions for the application of ERK1/2 inhibitors.
Insights
Extracellular signal-regulated kinases 1 and 2 (ERK1/2) inhibitors show promise against tumors, but resistance emerges. This review explores ERK1/2 inhibitors as a strategy to overcome resistance and treat cancers with MAPK pathway alterations.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Extracellular signal-regulated kinases 1 and 2 (ERK1/2) are crucial for cell survival and proliferation.
- Inhibitors targeting the ERK pathway demonstrate antitumor activity, but drug resistance is a significant challenge.
- Reactivation of ERK1/2 signaling is a common mechanism of acquired resistance to MAPK pathway inhibitors.
Purpose of the Study:
- To review the mechanisms and types of ERK1/2 inhibitors.
- To summarize the development status of small-molecule ERK1/2 inhibitors.
- To discuss future research directions for ERK1/2 inhibitors in cancer therapy.
Main Methods:
- Literature review of preclinical and clinical studies on ERK1/2 inhibitors.
- Analysis of drug resistance mechanisms related to ERK1/2 signaling.
- Exploration of therapeutic strategies involving ERK1/2 inhibition.
Main Results:
- ERK1/2 inhibitors are effective against tumors with specific MAPK pathway mutations.
- These inhibitors offer a potential strategy to overcome acquired resistance to other MAPK inhibitors.
- Ongoing clinical studies are evaluating the efficacy and safety of various small-molecule ERK1/2 inhibitors.
Conclusions:
- ERK1/2 inhibitors represent a promising therapeutic avenue for various cancers.
- Overcoming drug resistance through ERK1/2 inhibition requires further investigation.
- Targeting the ERK pathway holds potential for improved cancer treatment outcomes.
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