Kelas : 3EB24
NPM: 29214956
Review Article 5
Bruton’s tyrosine kinase (BTK) as a promising target in solid tumors
Highlights
• BTK is a TEC-family kinases member, expressed in
lymphocytes and other cell subtypes.
• TEC kinases inhibition by Ibrutinib has promising
results in cancer cellular models.
• Ibrutinib is able to modify the tumor
microenvironment with therapeutic implications.
• BTK inhibitors may have synergistic effect with
other active drugs in solid tumors.
Abstract
Bruton's tyrosine kinase (BTK) is a non-receptor
intracellular kinase that belongs to the TEC-family tyrosine kinases together
with bone marrow-expressed kinase (BMX), redundant-resting lymphocyte kinase
(RLK), and IL-2 inducible T-Cell kinase (ITK). All these proteins play a key
role in the intracellular signaling of both B and T lymphocytes. Recently, some
preclinical data have demonstrated that BTK is present in certain tumor
subtypes and in other relevant cells that are contributing to the tumor
microenvironment such as dendritic cells, macrophages, myeloid derived
suppressor cells and endothelial cells. Ibrutinib (PCI-32765) is an orally
available small molecule that acts as an inhibitor of the BTK and is approved
for the treatment of patients with some hematological malignancies. It has been
suggested that ibrutinib may also have a potential antitumor activity in solid
neoplasms. In this sense, ibrutinib has the ability to revert polarization of
TCD4+ to Th1 lymphocytes to increase the cytotoxic ability of T CD8+ and to
regulate tumor-induced immune tolerance by acting over tumor infiltrating cells
activity and immunosuppressive cytokines release. Furthermore, based on its
molecular activity and safety, ibrutinib has been considered as a partner for
treatment combination with PI3K/AKT/mTOR inhibitors or with immune-checkpoint
inhibitors, inhibiting immunosuppressive signals from the tumor
microenvironment, and overcoming the immune resistance to current anti-PD1/PDL1
immunotherapeutic drugs by the CXCR4/CXCL2 pathway regulation. Currently, a
broad range of different studies are evaluating the activity of ibrutinib
either as single agent or in combination in patients with solid tumors.
Keywords
- Ibrutinib;
- Bruton tirosine kinase;
- Solid tumors;
- Checkpoint inhibitors;
- Tumor microenvironment;
- TEC kinases
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