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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Tyrosine Kinase Inhibitors in Cancer: Breakthrough and Challenges of Targeted Therapy
Charles Pottier1,2, Margaux Fresnais3,4, Marie Gilon1
1Laboratory of Tumor and Development Biology, GIGA-Cancer and GIGA-I3, GIGA-Research, University Hospital of Liège, 4000 Liège, Belgium.
Abstract:
Receptor tyrosine kinases (RTKs) are key regulatory signaling proteins governing cancer cell growth and metastasis. During the last two decades, several molecules targeting RTKs were used in oncology as a first or second line therapy in different types of cancer. However, their effectiveness is limited by the appearance of resistance or adverse effects. In this review, we summarize the main features of RTKs and their inhibitors (RTKIs), their current use in oncology, and mechanisms of resistance. We also describe the technological advances of artificial intelligence, chemoproteomics, and microfluidics in elaborating powerful strategies that could be used in providing more efficient and selective small molecules inhibitors of RTKs. Finally, we discuss the interest of therapeutic combination of different RTKIs or with other molecules for personalized treatments, and the challenge for effective combination with less toxic and off-target effects.
Insights
Receptor tyrosine kinases (RTKs) are crucial in cancer, but inhibitors face resistance. New AI and chemoproteomics strategies aim for more effective, selective RTK inhibitors and personalized combination therapies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Receptor tyrosine kinases (RTKs) are critical regulators of cancer cell growth and metastasis.
- RTK inhibitors (RTKIs) are established cancer therapies, but limited by resistance and side effects.
Purpose of the Study:
- To review RTKIs, resistance mechanisms, and emerging technologies for improved cancer treatment.
- To explore advanced strategies for developing more effective and selective RTK inhibitors.
- To discuss personalized combination therapies involving RTKIs.
Main Methods:
- Literature review of RTKs, RTKIs, resistance mechanisms, and technological advancements.
- Analysis of artificial intelligence, chemoproteomics, and microfluidics in drug development.
- Discussion of therapeutic combinations and challenges in personalized oncology.
Main Results:
- RTKIs show promise but are hampered by resistance and toxicity.
- AI, chemoproteomics, and microfluidics offer new avenues for designing potent and selective RTKIs.
- Combination therapies hold potential for personalized cancer treatment but require careful management of toxicity.
Conclusions:
- Overcoming RTKI resistance and toxicity is essential for improving cancer outcomes.
- Technological innovations are paving the way for next-generation RTK-targeted therapies.
- Personalized combination strategies are key to maximizing therapeutic efficacy while minimizing adverse effects.
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