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Therapeutic targeting of the functionally elusive TAM receptor family
Yu Rebecca Miao1, Erinn B Rankin1, Amato J Giaccia2
1Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Abstract:
The TAM receptor family of TYRO3, AXL and MERTK regulates tissue and immune homeostasis. Aberrant TAM receptor signalling has been linked to a range of diseases, including cancer, fibrosis and viral infections. Specifically, the dysregulation of TAM receptors can enhance tumour growth and metastasis due to their involvement in multiple oncogenic pathways. For example, TAM receptors have been implicated in the epithelial-mesenchymal transition, maintaining the stem cell phenotype, immune modulation, proliferation, angiogenesis and resistance to conventional and targeted therapies. Therapeutically, multiple TAM receptor inhibitors are in preclinical and clinical development for cancers and other indications, with those targeting AXL being the most clinically advanced. Although there has been notable clinical advancement in recent years, challenges persist. This Review aims to provide both biological and clinical insights into the current therapeutic landscape of TAM receptor inhibitors, and evaluates their potential for the treatment of cancer and non-malignant diseases.
Insights
TAM receptor inhibitors targeting TYRO3, AXL, and MERTK show promise for cancer and other diseases. This review explores their therapeutic potential and current clinical challenges.
Area of Science:
- Molecular biology
- Immunology
- Oncology
Background:
- The TAM receptor tyrosine kinase family (TYRO3, AXL, MERTK) is crucial for tissue and immune homeostasis.
- Dysregulated TAM signaling is implicated in diseases like cancer, fibrosis, and viral infections, promoting tumor growth and metastasis.
- TAM receptors influence key oncogenic pathways including epithelial-mesenchymal transition, stemness, immune evasion, proliferation, angiogenesis, and therapy resistance.
Purpose of the Study:
- To provide biological and clinical insights into TAM receptor inhibitors.
- To evaluate the therapeutic potential of TAM receptor inhibitors for cancer and non-malignant diseases.
Main Methods:
- Review of preclinical and clinical data on TAM receptor inhibitors.
- Analysis of the role of TAM receptors in various disease pathologies.
- Evaluation of the clinical development status of TAM receptor inhibitors, particularly AXL inhibitors.
Main Results:
- Multiple TAM receptor inhibitors are in development, with AXL inhibitors being the most advanced clinically.
- TAM receptor dysregulation contributes to tumor progression and resistance to therapies.
- Inhibitors targeting TAM receptors offer potential therapeutic strategies for various cancers and non-malignant conditions.
Conclusions:
- TAM receptor inhibitors represent a promising therapeutic avenue for cancer and non-malignant diseases.
- Despite clinical advancements, challenges in the development and application of these inhibitors remain.
- Further research is needed to fully elucidate the therapeutic potential and optimize the use of TAM receptor inhibitors.
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