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Multi-kinase targets (RAF, VEGFR, PDGFR, KIT, FLT3, and IGF-1R)

Molecular classification
Enzyme, Receptor, Kinase, Receptor tyrosine kinase, Serine/threonine-protein kinase
01

Overview

This target entry refers to a collection of signaling proteins inhibited by the drug sorafenib and the monoclonal antibody BIIB022. Sorafenib is a multi-kinase inhibitor that targets several receptor tyrosine kinases (RTKs) and serine/threonine kinases, including RAF-1, B-RAF, Vascular endothelial growth factor receptors (VEGFR-1, VEGFR-2, VEGFR-3), Platelet-derived growth factor receptor beta (PDGFR-beta), KIT, and FLT3 [1, 2, 6]. These proteins are critical components of the MAPK/ERK pathway and are essential for tumor angiogenesis and cell survival [1, 6]. BIIB022 is an investigational humanized monoclonal antibody that specifically targets the Insulin-like growth factor 1 receptor (IGF-1R) [3, 5]. IGF-1R is a transmembrane RTK that promotes cell growth and inhibits apoptosis, often being overexpressed in various solid tumors [5]. The combination of these targets represents a broad therapeutic strategy to disrupt multiple pathways necessary for oncogenesis and tumor maintenance [1, 4]. Clinically, drugs hitting these targets are used or studied for the treatment of hepatocellular carcinoma, renal cell carcinoma, and other advanced malignancies [2, 6]. Inhibition of these pathways can lead to significant therapeutic benefits but is also associated with specific toxicities such as hand-foot skin reaction and hypertension [6].

Other names
Sorafenib targetsBIIB022 targetInsulin-like growth factor 1 receptorVascular endothelial growth factor receptorRAF proto-oncogene serine/threonine-protein kinasePlatelet-derived growth factor receptorKIT proto-oncogene receptor tyrosine kinaseFms-like tyrosine kinase 3
02

Mechanism of action

Inhibition of multiple intracellular and receptor tyrosine kinases to block tumor cell signaling, proliferation, and angiogenesis.

03

Biological functions

Signal transductionCell proliferationAngiogenesisApoptosisCell survival
04

Disease associations

CancerHepatocellular carcinomaRenal cell carcinomaThyroid cancerSolid tumor
05

Safety considerations

Hand-foot skin reactionHypertensionFatigueDiarrheaCardiotoxicityHemorrhage
06

Interacting drugs

Sorafenib

1 more in the full profile.

07

Biomarkers

BRAF mutation statusVEGF expression levelsIGF-1R expressionCirculating endothelial cells

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