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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Dual Kinase Targeting in Leukemia
Luca Mologni1, Giovanni Marzaro2, Sara Redaelli1
1Department of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Abstract:
Pharmacological cancer therapy is often based on the concurrent inhibition of different survival pathways to improve treatment outcomes and to reduce the risk of relapses. While this strategy is traditionally pursued only through the co-administration of several drugs, the recent development of multi-targeting drugs (i.e., compounds intrinsically able to simultaneously target several macromolecules involved in cancer onset) has had a dramatic impact on cancer treatment. This review focuses on the most recent developments in dual-kinase inhibitors used in acute myeloid leukemia (AML), chronic myelogenous leukemia (CML), and lymphoid tumors, giving details on preclinical studies as well as ongoing clinical trials. A brief overview of dual-targeting inhibitors (kinase/histone deacetylase (HDAC) and kinase/tubulin polymerization inhibitors) applied to leukemia is also given. Finally, the very recently developed Proteolysis Targeting Chimeras (PROTAC)-based kinase inhibitors are presented.
Insights
Multi-targeting drugs offer a new approach to cancer therapy by simultaneously inhibiting multiple survival pathways. This review highlights dual-kinase inhibitors and novel PROTACs for treating leukemias and lymphoid tumors.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Cancer treatment often involves inhibiting multiple survival pathways to improve outcomes and prevent relapse.
- Traditional combination therapy uses multiple drugs; however, multi-targeting drugs offer a more streamlined approach.
- Multi-targeting drugs, which inhibit several cancer-related macromolecules simultaneously, are revolutionizing cancer treatment.
Purpose of the Study:
- To review recent advancements in dual-kinase inhibitors for acute myeloid leukemia (AML), chronic myelogenous leukemia (CML), and lymphoid tumors.
- To provide an overview of preclinical studies and ongoing clinical trials involving these inhibitors.
- To discuss emerging dual-targeting strategies, including kinase/histone deacetylase (HDAC) and kinase/tubulin polymerization inhibitors, and Proteolysis Targeting Chimeras (PROTACs).
Main Methods:
- Literature review of preclinical studies and clinical trials.
- Focus on dual-kinase inhibitors and their application in specific hematological malignancies.
- Exploration of novel dual-targeting strategies and PROTAC technology.
Main Results:
- Dual-kinase inhibitors show significant promise in preclinical and clinical settings for AML, CML, and lymphoid tumors.
- Combination strategies involving kinase inhibitors with HDAC or tubulin polymerization inhibitors are being explored for leukemia.
- Proteolysis Targeting Chimeras (PROTACs) represent a new frontier in targeted cancer therapy.
Conclusions:
- Multi-targeting drugs, particularly dual-kinase inhibitors, are a significant advancement in cancer pharmacotherapy.
- Ongoing research into novel combinations and PROTACs holds great potential for improving cancer treatment efficacy.
- The development of targeted therapies continues to evolve, offering new hope for patients with hematological malignancies.
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