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Multiple kinases including BRAF, CRAF, VEGFR2, VEGFR3, PDGFR-β, FLT3, KIT, RET

Molecular classification
Protein kinase, Receptor tyrosine kinase (RTK), Serine/threonine protein kinase, Enzyme
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Overview

The entry "Multiple kinases including BRAF, CRAF, VEGFR2, VEGFR3, PDGFR-β, FLT3, KIT, RET" covers a group of structurally and functionally related kinases that are central regulators of cell growth, survival, angiogenesis, and differentiation. These targets are either serine/threonine kinases (BRAF, CRAF/RAF1) or receptor tyrosine kinases (VEGFR2, VEGFR3, PDGFR-β, FLT3, KIT, RET). Mutations or dysregulation in these kinases are common in many cancers (such as melanoma, renal cell carcinoma, gastrointestinal stromal tumors, thyroid cancers, and some leukemias), making them prime therapeutic targets. Drugs that inhibit several of these kinases simultaneously (multikinase inhibitors) are broadly used in oncology and have demonstrated clinical benefit, but present significant safety challenges due to their broad activity spectrum.

Other names
multikinase targetsB-Rafv-Raf murine sarcoma viral oncogene homolog B1RAF1c-RafKDRFLK-1FLT4Platelet-derived growth factor receptor betaFms-like tyrosine kinase 3c-KitCD117Proto-oncogene tyrosine-protein kinase Ret
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Mechanism of action

Inhibition of kinase activity by ATP-competitive binding, leading to blockade of downstream signaling pathways (MAPK, PI3K/Akt, PLCγ, etc.), ultimately resulting in decreased cell proliferation, angiogenesis, and survival.

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Biological functions

Signal transductionCell proliferationAngiogenesisCell migrationCell survivalApoptosis
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Disease associations

Cancer (oncogenesis and tumor progression)InflammationCardiovascular diseaseNeurodevelopmental and neurodegenerative disease
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Safety considerations

Off-target toxicities due to broad kinase inhibitionHypertension (common with VEGFR inhibitors)Cardiac toxicityHand-foot skin reactionIncreased risk of bleedingGastrointestinal side effectsCytopenias (especially with FLT3 inhibitors in AML)Risk of secondary malignancies
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Interacting drugs

Sorafenib

15 more in the full profile.

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Biomarkers

Mutations (e.g., BRAF V600E, FLT3-ITD, KIT exon mutations, RET fusions)Protein/phosphorylation expression levels (e.g., phosphorylated VEGFR2, FLT3)Genetic rearrangements (RET, ALK, etc.)

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