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Updated: Jul 17, 2025

Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
The action and resistance mechanisms of Lenvatinib in liver cancer
Anna Buttell1,2, Wei Qiu1,2
1Departments of Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, USA.
Abstract:
Lenvatinib is a tyrosine kinase inhibitor that prevents the formation of new blood vessels namely by inhibiting tyrosine kinase enzymes as the name suggests. Specifically, Lenvatinib acts on vascular endothelial growth factor receptors 1-3 (VEGFR1-3), fibroblast growth factor receptors 1-4 (FGFR1-4), platelet-derived growth factor receptor-alpha (PDGFRα), tyrosine-kinase receptor (KIT), and rearranged during transfection receptor (RET). Inhibition of these receptors works to inhibit tumor proliferation. It is through these inhibition mechanisms that Lenvatinib was tested to be noninferior to Sorafenib. However, resistance to Lenvatinib is common, making the positive effects of Lenvatinib on a patient's survival null after resistance is acquired. Therefore, it is crucial to understand mechanisms related to Lenvatinib resistance. This review aims to piece together various mechanisms involved in Lenvatinib resistance and summarizes the research done so far investigating it.
Insights
Lenvatinib, a tyrosine kinase inhibitor, combats cancer by blocking new blood vessel growth. Understanding Lenvatinib resistance mechanisms is crucial as resistance can negate its survival benefits.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Lenvatinib is a multi-targeted tyrosine kinase inhibitor used in cancer therapy.
- It functions by inhibiting key receptors like VEGFRs and FGFRs, crucial for tumor growth and angiogenesis.
- Despite its efficacy, acquired resistance limits Lenvatinib's long-term clinical benefit.
Purpose of the Study:
- To review and synthesize the known mechanisms of Lenvatinib resistance.
- To consolidate current research on how cancer cells evade Lenvatinib treatment.
- To highlight the clinical importance of understanding resistance for improved patient outcomes.
Main Methods:
- Literature review of preclinical and clinical studies on Lenvatinib resistance.
- Analysis of molecular pathways and genetic alterations associated with resistance.
- Synthesis of data from various research methodologies investigating resistance mechanisms.
Main Results:
- Multiple mechanisms contribute to Lenvatinib resistance, including alterations in target receptor signaling and activation of bypass pathways.
- Upregulation of alternative angiogenic pathways and changes in the tumor microenvironment are implicated.
- Genetic mutations and epigenetic modifications play a significant role in developing resistance.
Conclusions:
- Understanding Lenvatinib resistance is critical for developing strategies to overcome or prevent it.
- Further research into resistance mechanisms may lead to novel therapeutic combinations or sequential treatments.
- Addressing Lenvatinib resistance is essential for improving and prolonging patient survival in various cancers.
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