Synthetic routes and clinical application of Small-Molecule HER2 inhibitors for cancer therapy

He-Nan Liu1, Ying Zhu2, Yuan Chi3

  • 1Department of Ophthalmology, Shengjing Hospital of China Medical University, Shenyang, China.

Bioorganic Chemistry
|July 18, 2024
PubMed

Insights

This review details small-molecule tyrosine kinase inhibitors (TKIs) targeting human epidermal growth factor receptor 2 (HER2) for cancer therapy. It covers synthesis, clinical uses of lapatinib, neratinib, and tucatinib, and future research directions.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Pharmacology

Background:

  • Human epidermal growth factor receptor 2 (HER2) is a key driver in various cancers.
  • Small-molecule tyrosine kinase inhibitors (TKIs) offer targeted therapeutic strategies.
  • HER2-positive malignancies, including breast and gastric cancers, require effective treatment options.

Purpose of the Study:

  • To comprehensively review the synthesis and clinical applications of HER2-targeted small-molecule TKIs.
  • To highlight the advancements and challenges in developing these targeted therapies.
  • To provide insights for pharmaceutical scientists in the field of HER2-targeted drug development.

Main Methods:

  • Literature review focusing on small-molecule TKIs targeting HER2.
  • Analysis of synthesis strategies and structural complexities of key inhibitors.
  • Evaluation of clinical data for lapatinib, neratinib, and tucatinib in HER2-positive cancers.

Main Results:

  • Detailed examination of synthesis pathways for lapatinib, neratinib, and tucatinib.
  • Demonstrated clinical efficacy of these TKIs in HER2-positive breast and gastric cancers.
  • Tucatinib's ability to cross the blood-brain barrier offers new hope for metastatic disease.

Conclusions:

  • HER2 TKIs represent significant progress in cancer therapeutics, particularly for HER2-positive cancers.
  • Overcoming resistance mechanisms and off-target effects remains a critical area for ongoing research.
  • Development of next-generation HER2 TKIs is essential for improved patient outcomes.

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