A protein kinase inhibitor is a type of enzyme inhibitor that specifically blocks the action of one or more protein kinases. Protein kinases are enzymes that add a phosphate (PO4) group to a proteins or other organic molecule, usually on the serine, threonine, or tyrosine amino acid. Hence, protein kinase inhibitors 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]
Phosphorylation is a necessary step in some cancers and inflammatory diseases. Inhibiting the protein kinases, and therefore the phosphorylation, can treat these diseases. Therefore, protein kinase inhibitors are used as drugs.
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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.[1]
Some of the kinase inhibitors used in treating cancer are inhibitors of tyrosine kinases.[2] The effectiveness of kinase inhibitors on various cancers can vary from patient to patient[3].
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 |
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