Protein kinase inhibitor

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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.[citation needed]

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

Contents

[edit] Clinical use

Kinase inhibitors such as dasatinib are often used in the treatment of cancer and inflammation.[citation needed] 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].

[edit] 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/ErbB2 Boehringer Ingelheim Small molecule Not yet
Axitinib VEGFR1/VEGFR2/VEGFR3/PDGFRB/c-KIT Pfizer Small molecule 2012 Renal cell carcinoma
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

[edit] See also

[edit] References

[edit] External links


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