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Src and Abl as Therapeutic Targets in Lung Cancer: Opportunities for Drug Repurposing
Raquel Ramos1,2,3, Carlos Sousa1,3, Nuno Vale1,2,4
1PerMed Research Group, RISE-Health, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Abstract:
Personalized medicine has gained an important relevance over the years with the development of targeted therapies, especially in cancer, adapted to the individual molecular tumour profiles. Accordingly, drug repurposing arises as a powerful strategy to identify and use drugs already approved for other conditions, offering advantages in terms of cost, development time, and safety. Src and Abl tyrosine kinases have been investigated as potential targets in oncology, being frequently implicated in tumour development and progression by promoting cell proliferation, migration, and angiogenesis. This review aims to provide a comprehensive overview of five tyrosine kinase inhibitors-saracatinib, imatinib, PP2, nilotinib and, tirbanibulin-that act on Src and/or Abl. Their mechanisms of action, original therapeutic indications, and potential for repurposing in other diseases, such as lung cancer, will be discussed. Although clinical data for these drugs in lung cancer remain limited, preclinical and clinical studies suggest promising therapeutic potential, particularly in specific molecular subtypes. Overall, this review highlights the therapeutic potential of Src and Abl inhibitors beyond their original contexts and supports their possible role in lung cancer therapy, considering the disease's high heterogeneity and the growing applicability of personalized medicine.
Insights
Drug repurposing offers a cost-effective strategy for cancer therapy. This review explores five tyrosine kinase inhibitors targeting Src and Abl, highlighting their potential for treating lung cancer and other diseases.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Personalized medicine and targeted therapies are crucial in cancer treatment.
- Drug repurposing is an efficient strategy, leveraging existing approved drugs for new indications.
- Src and Abl tyrosine kinases are key players in tumor development, proliferation, migration, and angiogenesis.
Purpose of the Study:
- To review five tyrosine kinase inhibitors (saracatinib, imatinib, PP2, nilotinib, tirbanibulin) targeting Src and/or Abl.
- To discuss their mechanisms of action, original indications, and repurposing potential, particularly in lung cancer.
- To highlight the therapeutic promise of these inhibitors in heterogeneous diseases like lung cancer within personalized medicine.
Main Methods:
- Comprehensive literature review of existing preclinical and clinical studies.
- Analysis of the molecular targets (Src and Abl tyrosine kinases) of selected inhibitors.
- Evaluation of drug repurposing potential based on efficacy and safety data.
Main Results:
- Five tyrosine kinase inhibitors (saracatinib, imatinib, PP2, nilotinib, tirbanibulin) targeting Src and/or Abl were identified.
- These inhibitors show potential for repurposing beyond their original indications.
- Preclinical and clinical data suggest promising therapeutic roles in specific lung cancer subtypes.
Conclusions:
- Src and Abl inhibitors possess significant therapeutic potential beyond their initial uses.
- These drugs may play a role in future lung cancer therapy, especially within personalized medicine approaches.
- Further research is warranted to fully elucidate the efficacy and safety of these repurposed drugs in lung cancer.
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