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Targeting SRC Family Kinases in Mesothelioma: Time to Upgrade
Paola Indovina1,2, Iris Maria Forte3, Francesca Pentimalli3
1Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA.
Abstract:
Abstract: Malignant mesothelioma (MM) is a deadly tumor mainly caused by exposure to asbestos. Unfortunately, no current treatment is able to change significantly the natural history of the disease, which has a poor prognosis in the majority of patients. The non-receptor tyrosine kinase SRC and other SRC family kinase (SFK) members are frequently hyperactivated in many cancer types, including MM. Several works have indeed suggested that SFKs underlie MM cell proliferation, survival, motility, and invasion, overall affecting multiple oncogenic pathways. Consistently, SFK inhibitors effectively counteracted MM cancerous features at the preclinical level. Dasatinib, a multi-kinase inhibitor targeting SFKs, was also assessed in clinical trials either as second-line treatment for patients with unresectable MM or, more recently, as a neoadjuvant agent in patients with resectable MM. Here, we provide an overview of the molecular mechanisms implicating SFKs in MM progression and discuss possible strategies for a more successful clinical application of SFK inhibitors. Our aim is to stimulate discussion and further consideration of these agents in better designed preclinical and clinical studies to make the most of another class of powerful antitumoral drugs, which too often are lost in translation when applied to MM.
Insights
SRC family kinases (SFKs) drive malignant mesothelioma (MM) progression. SFK inhibitors show promise in preclinical MM models, with some evaluated in clinical trials for this asbestos-related cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Malignant mesothelioma (MM) is an aggressive cancer with poor prognosis, primarily linked to asbestos exposure.
- Current treatments offer limited efficacy in altering the disease's natural course.
- SRC family kinases (SFKs) are frequently hyperactivated in MM and implicated in key oncogenic pathways.
Purpose of the Study:
- To review the molecular mechanisms of SFK involvement in MM progression.
- To discuss strategies for optimizing SFK inhibitor clinical application in MM.
- To encourage further research into SFK-targeted therapies for MM.
Main Methods:
- Literature review of studies on SFKs in MM.
- Analysis of preclinical data on SFK inhibitors in MM models.
- Examination of clinical trial data for SFK inhibitors in MM patients.
Main Results:
- SFKs regulate critical MM processes including proliferation, survival, motility, and invasion.
- SFK inhibitors have demonstrated efficacy in counteracting MM features in preclinical settings.
- Dasatinib, an SFK inhibitor, has been investigated in clinical trials for MM.
Conclusions:
- SFKs are crucial drivers of MM progression and represent a viable therapeutic target.
- Optimizing SFK inhibitor strategies is essential for successful clinical translation in MM.
- Further well-designed preclinical and clinical studies are needed to fully leverage SFK inhibitors for MM treatment.
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