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Stem cell factor receptor (c-Kit) and Platelet-derived growth factor receptor alpha (PDGFRα) (c-Kit; PDGFRα)

Target
c-Kit; PDGFRα
Molecular classification
Receptor tyrosine kinase, Enzyme, Receptor
01

Overview

c-Kit (stem cell receptor, CD117) and PDGFRα (platelet-derived growth factor receptor alpha, CD140a) are closely related transmembrane receptor tyrosine kinases within the type III subclass and structurally characterized by five extracellular immunoglobulin-like domains, a single transmembrane region, and an intracellular split kinase domain[1][3][2][6]. Both receptors regulate key cellular processes such as proliferation, differentiation, and survival by activating downstream signal transduction pathways upon ligand-mediated dimerization and autophosphorylation. Mutations or aberrant activation of c-Kit or PDGFRα play an oncogenic role in multiple tumor types, most notably in gastrointestinal stromal tumors (GISTs), where these mutations are frequently used as diagnostic and predictive biomarkers[7][5]. Inhibitors targeting their kinase activity (e.g., imatinib, avapritinib, ripretinib) are established therapies, but resistance due to secondary mutations remains a major clinical challenge. c-Kit also plays essential roles in normal hematopoiesis, melanogenesis, gametogenesis, and mast cell function, while PDGFRα is fundamental for stromal and mesenchymal cell development, and the maintenance of certain interstitial cell networks[1][3][6].

Other names
CD117KITStem cell factor receptorSCFRPDGF receptor alphaCD140a
02

Mechanism of action

Inhibition of kinase activity, preventing downstream signal transduction (competitive ATP binding site inhibitors); Prevention of receptor autophosphorylation and dimerization, blocking activation; Inhibition leads to reduced cell proliferation and increased apoptosis in tumors dependent on these pathways

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalHematopoiesisDevelopment of interstitial cellsRegulation of smooth muscle motilityImmune responseMelanogenesisGamete formation
04

Disease associations

CancerFibrosisCardiovascular diseaseOther proliferative disordersDevelopmental disorders
05

Safety considerations

MyelosuppressionHepatotoxicityCardiotoxicitySkin depigmentation (due to melanogenesis role, c-Kit)EdemaSecondary resistance mutations leading to relapseOff-target kinase inhibition/broad kinase inhibitor toxicity
06

Interacting drugs

7 more in the full profile.

07

Biomarkers

Mutations in KIT (c-Kit) or PDGFRA (especially in exon 11, 13, 17 for c-Kit and exon 12, 18 for PDGFRA in GIST)Expression of CD117 (by immunohistochemistry, c-Kit)PDGFRA mutation/genotyping

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