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Discoidin domain receptors are transmembrane receptor tyrosine kinases comprised of DDR1 and DDR2, distinguished by their extracellular discoidin homology domain that binds collagens in the native triple-helical form[1][3][8]. Upon ligand binding, DDRs exhibit slow and sustained autophosphorylation and activate intracellular signaling cascades including SRC, MAPK, integrin, TGF-β, and Notch pathways[1][9]. DDRs regulate diverse biological processes such as cell adhesion, migration, proliferation, differentiation, ECM remodeling, and immune responses in both normal and pathological contexts[1][4][8][9]. Dysregulation and aberrant expression of DDRs are implicated in tumorigenesis, metastasis, fibrotic disease, arthritis, and neurodegenerative conditions[1][2][3][5][8]. DDRs are recognized as therapeutic targets, with several kinase inhibitors (e.g., nilotinib) under investigation for cancer and neurological disorders[2][5][8]. DDR1 expression serves as a biomarker in several malignancies. While DDR inhibitors show promise, broad suppression of DDR pathways presents safety challenges related to normal tissue homeostasis and potential immunomodulation[2][8].
Inhibition of kinase activity by blocking ATP-binding site of DDRs, leading to: - Reduced DDR phosphorylation and downstream MAPK, SRC, and other signal pathway activation - Regulation of autophagy - Reduction in neurotoxic protein levels - Suppression of cancer cell proliferation, invasion, and remodeling
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