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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
MicroRNAs as Sensitizers of Tyrosine Kinase Inhibitor Resistance in Cancer: Small Molecule Partnerships
Alma D Campos-Parra1, David Sánchez-Marín2, Víctor Acevedo-Sánchez1
1Instituto de Salud Pública, Universidad Veracruzana (UV), Xalapa 91190, Mexico.
Abstract:
Tyrosine kinase inhibitors (TKIs) have revolutionized cancer treatments by being less toxic and improving the survival of cancer patients. The greatest challenge to their success is the resistance exhibited by cancer patients. However, the potential of microRNAs (miRNAs) for sensitizing molecules to TKIs has been well recognized, with several reports publishing promising results. Nonetheless, this therapeutic window faces challenges and several often-overlooked limitations. One of the most fundamental challenges is selecting the optimal miRNA candidates for clinical trials, as miRNAs are promiscuous and regulate hundreds of targets. In this review, we describe how miRNAs enhance sensitivity to TKIs across various types of cancer. We highlight several challenges and limitations in achieving a successful collaboration between small molecules (TKIs-miRNAs). Our focus is on proposing a workflow to select the most suitable miRNA candidate, recommending several available bioinformatics tools to develop a successful therapeutic partnership between TKIs and miRNAs. We hope that this initial proposal will provide valuable support for future research.
Insights
MicroRNAs (miRNAs) can enhance cancer patients' sensitivity to tyrosine kinase inhibitors (TKIs). This review proposes a workflow to select optimal miRNA candidates, overcoming challenges in TKI-miRNA combination therapies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Tyrosine kinase inhibitors (TKIs) have improved cancer patient survival but face resistance.
- MicroRNAs (miRNAs) show potential in overcoming TKI resistance.
- Selecting optimal miRNAs for clinical use is a significant challenge due to their broad targeting.
Purpose of the Study:
- To review how miRNAs enhance TKI sensitivity in various cancers.
- To highlight challenges and limitations in TKI-miRNA combination therapies.
- To propose a workflow for selecting suitable miRNA candidates for clinical trials.
Main Methods:
- Literature review on miRNA-mediated TKI sensitization.
- Analysis of challenges in miRNA-TKI therapeutic strategies.
- Proposal of a bioinformatics-guided workflow for miRNA candidate selection.
Main Results:
- miRNAs can re-sensitize cancer cells to TKIs across different cancer types.
- Significant challenges exist in selecting specific miRNAs for effective combination therapy.
- Bioinformatics tools can aid in identifying optimal miRNA candidates.
Conclusions:
- A systematic approach is needed to select miRNAs for TKI combination therapy.
- The proposed workflow aims to facilitate the development of successful TKI-miRNA therapeutics.
- Further research is supported by this proposal for clinical translation.
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