Secondary Resistant Mutations to Small Molecule Inhibitors in Cancer Cells.

Autor: Hamid AB; Department of Molecular Genetics, The Ohio State University, Marion, OH 43302, USA., Petreaca RC; Department of Molecular Genetics, The Ohio State University, Marion, OH 43302, USA.
Jazyk: angličtina
Zdroj: Cancers [Cancers (Basel)] 2020 Apr 09; Vol. 12 (4). Date of Electronic Publication: 2020 Apr 09.
DOI: 10.3390/cancers12040927
Abstrakt: Secondary resistant mutations in cancer cells arise in response to certain small molecule inhibitors. These mutations inevitably cause recurrence and often progression to a more aggressive form. Resistant mutations may manifest in various forms. For example, some mutations decrease or abrogate the affinity of the drug for the protein. Others restore the function of the enzyme even in the presence of the inhibitor. In some cases, resistance is acquired through activation of a parallel pathway which bypasses the function of the drug targeted pathway. The Catalogue of Somatic Mutations in Cancer (COSMIC) produced a compendium of resistant mutations to small molecule inhibitors reported in the literature. Here, we build on these data and provide a comprehensive review of resistant mutations in cancers. We also discuss mechanistic parallels of resistance.
Databáze: MEDLINE
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