Protein kinase inhibitor

A protein kinase inhibitor is a type of enzyme inhibitor that specifically blocks the action of one or more protein kinases. Hence, they can be subdivided or characterised by the amino acids whose phosphorylation is inhibited: most kinases act on both serine and threonine, the tyrosine kinases act on tyrosine, and a number (dual-specificity kinases) act on all three. There are also protein kinases that phosphorylate other amino acids, including histidine kinases that phosphorylate histidine residues.

They can interfere with the repair of DNA double-strand breaks.[1]

Contents

Clinical use

Kinase inhibitors such as dasatinib are often used in the treatment of cancer and inflammation. The novel kinase inhibitor PLX5568 is currently in clinical trials for treatment of polycystic kidney disease as well as pain.[2]

Some of the kinase inhibitors used in treating cancer are inhibitors of tyrosine kinases.[3] The effectiveness of kinase inhibitors on various cancers can vary from patient to patient[4].

Examples

Currently there are several drugs launched or in development that target protein kinases and the receptors that activate them:

Name Target Company Class FDA approval
Afatinib EGFR/Erb2 Boehringer Ingelheim Small molecule Not yet
Bevacizumab VEGF Genentech Monoclonal antibody 2004 Colorectal
Cetuximab Erb1 Imclone/BMS Monoclonal antibody 2006 Mar (SCCHN)
Crizotinib ALK/Met Pfizer Small molecule 2011 Aug (NSCLC with Alk mutation)
Dasatinib multiple targets BMS Small molecule 2006
Erlotinib Erb1 Genentech/Roche Small molecule 2005 Nov ?
Fostamatinib Syk Rigel Pharmaceuticals/AstraZeneca Small molecule Not yet [1]
Gefitinib EGFR AstraZeneca Small molecule 2003
Imatinib Bcr-Abl Novartis Small molecule 2001 (CML)
Lapatinib Erb1/Erb2 GSK Small molecule 2007 (HER2+ Breast)
Lenvatinib VEGFR2/VEGFR2 Eisai Co. Small molecule Not yet
Mubritinib  ? Takeda Small molecule Not yet, possibly abandoned
Nilotinib Bcr-Abl Novartis Small molecule 2007
Panitumumab EGFR Amgen Monoclonal antibody 2006
Pazopanib VEGFR2/PDGFR/c-kit GlaxoSmithKline Small molecule 2009 (RCC)
Pegaptanib VEGF OSI/Pfizer RNA Aptamer 2004 (AMD)
Ranibizumab VEGF Genentech Monoclonal antibody 2006 (AMD)
Ruxolitinib JAK Incyte Small molecule 2011 (Myelofibrosis)
Sorafenib multiple targets Onyx/Bayer Small molecule 2005 Dec (kidney)
Sunitinib multiple targets SUGEN/Pfizer Small molecule 2006 Jan (RCC & GIST)
Trastuzumab Erb2 Genentech/Roche Monoclonal antibody 1998 (HER2+ breast cancer)
Vandetanib RET/VEGFR/EGFR AstraZeneca Small molecule No, submission withdrawn Oct09 [2]
Vemurafenib BRAF Roche Small molecule 2011 Aug (Melanoma)

See also

References

External links