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Published on: May 3, 2021
Receptor Tyrosine Kinases in Osteosarcoma Treatment: Which Is the Key Target?
Zhichao Tian1, Xiaohui Niu2, Weitao Yao1
1Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.
Abstract:
Recent clinical trials have shown several multi-target tyrosine kinase inhibitors (TKIs) to be effective in the treatment of osteosarcoma. However, these TKIs have a number of targets, and it is yet unclear which of these targets has a key role in osteosarcoma treatment. In this review, we first summarize the TKIs that were studied in clinical trials registered on ClinicalTrials.gov. Further, we compare and discuss the targets of these TKIs. We found that TKIs with promising therapeutic effect for osteosarcoma include apatinib, cabozantinib, lenvatinib, regorafenib, and sorafenib. The key targets for osteosarcoma treatment may include VEGFRs and RET. The receptor tyrosine kinases (RTKs) MET, IGF-1R, AXL, PDGFRs, KIT, and FGFRs might be relevant but unimportant targets for osteosarcoma treatment. Inhibition of one type of RTK for the treatment of osteosarcoma is not effective. It is necessary to inhibit several relevant RTKs simultaneously to achieve a breakthrough in osteosarcoma treatment. This review provides comprehensive information on TKI targets relevant in osteosarcoma treatment, and it will be useful for further research in this field.
Insights
Multi-target tyrosine kinase inhibitors (TKIs) show promise for osteosarcoma treatment. Simultaneous inhibition of key targets like VEGFRs and RET is crucial for therapeutic breakthroughs.
Area of Science:
- Oncology
- Pharmacology
Background:
- Multi-target tyrosine kinase inhibitors (TKIs) are increasingly studied for osteosarcoma treatment.
- The specific targets responsible for the therapeutic efficacy of these TKIs remain unclear.
Purpose of the Study:
- To review TKIs evaluated in clinical trials for osteosarcoma.
- To compare and discuss the targets of these TKIs to identify key therapeutic targets.
Main Methods:
- Systematic review of TKIs from clinical trials registered on ClinicalTrials.gov.
- Comparative analysis of TKI targets and their correlation with therapeutic effects.
Main Results:
- Apatinib, cabozantinib, lenvatinib, regorafenib, and sorafenib demonstrated promising therapeutic effects.
- Vascular Endothelial Growth Factor Receptors (VEGFRs) and RET emerged as potential key targets.
- Other receptor tyrosine kinases (RTKs) like MET, IGF-1R, AXL, PDGFRs, KIT, and FGFRs appear less critical.
Conclusions:
- Single RTK inhibition is insufficient for effective osteosarcoma treatment.
- Simultaneous inhibition of multiple relevant RTKs is necessary for therapeutic advancement.
- This review offers valuable insights into TKI targets for future osteosarcoma research.
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