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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Targeting protein kinases benefits cancer immunotherapy
Zhengkun Zhang1, Lang Bu2, Junhang Luo3
1Department of Urology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China; Institute of Precision Medicine, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Abstract:
Small-molecule kinase inhibitors have been well established and successfully developed in the last decades for cancer target therapies. However, intrinsic or acquired drug resistance is becoming the major barrier for their clinical application. With the development of immunotherapies, in particular the discovery of immune checkpoint inhibitors (ICIs), the combination of ICIs with other therapies have recently been extensively explored, among which combination of ICIs with kinase inhibitors achieves promising clinical outcome in a plethora of cancer types. Here we comprehensively summarize the potent roles of protein kinases in modulating immune checkpoints both in tumor and immune cells, and reshaping tumor immune microenvironments by evoking innate immune response and neoantigen generation or presentation. Moreover, the clinical trial and approval of combined administration of kinase inhibitors with ICIs are collected, highlighting the precise strategies to benefit cancer immune therapies.
Insights
Combining kinase inhibitors with immune checkpoint inhibitors (ICIs) shows promise for cancer therapy. This approach targets drug resistance and enhances anti-tumor immunity by modulating the tumor microenvironment.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Small-molecule kinase inhibitors are established cancer therapies.
- Drug resistance limits the clinical efficacy of kinase inhibitors.
- Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment.
Purpose of the Study:
- To summarize the role of protein kinases in immune checkpoint regulation.
- To explore the combination of kinase inhibitors and ICIs for cancer therapy.
- To highlight strategies for improving cancer immunotherapy.
Main Methods:
- Comprehensive review of scientific literature.
- Analysis of clinical trial data for combined therapies.
- Evaluation of kinase roles in immune modulation and tumor microenvironment.
Main Results:
- Protein kinases significantly influence immune checkpoints on tumor and immune cells.
- Combined kinase inhibitor and ICI therapy demonstrates promising clinical outcomes across various cancers.
- This combination strategy can evoke innate immune responses and enhance neoantigen presentation.
Conclusions:
- Kinase inhibitors can overcome resistance to immunotherapy.
- Targeting protein kinases enhances the efficacy of immune checkpoint inhibitors.
- Combined therapies offer a promising strategy to improve cancer treatment outcomes.
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