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.

Frontiers in Oncology
|September 28, 2020
PubMed

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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