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Stemness serine-threonine kinases

Molecular classification
Enzyme, Kinase, Serine/threonine protein kinase
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Overview

Stemness serine-threonine kinases represent a functional group of enzymes that are critical for the maintenance, self-renewal, and survival of cancer stem cells (CSCs). This group includes several distinct kinases such as STK33, STK17A, NEK2, HASPIN, DYRK1A, DYRK1B, AURKA, AURKB, and PLK1, which collectively modulate the activity of master pluripotency transcription factors, most notably Nanog, Oct4, and Sox2. By phosphorylating these factors or their upstream regulators, such as beta-catenin, these kinases promote a stem-like phenotype that allows cancer cells to resist standard chemotherapy and radiation, undergo epithelial-mesenchymal transition (EMT), and drive tumor recurrence and metastasis. Targeting this group of kinases is a therapeutic strategy aimed at eradicating the CSC population, which is often the root cause of treatment failure in advanced malignancies. Amcasertib (BBI-503) is the lead clinical-stage small molecule inhibitor designed to target these kinases, demonstrating the potential to disrupt the survival pathways of tumor-initiating cells across various solid tumors.

Other names
Cancer stemness kinasesStemness kinasesCSC kinasesCancer stem cell kinases
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Mechanism of action

Inhibition of multiple serine-threonine kinases that regulate the expression, stability, and transcriptional activity of cancer stem cell pluripotency factors such as Nanog, Oct4, and Sox2.

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Biological functions

Cell self-renewalStemness maintenanceCell cycle regulationSignal transductionEpithelial-mesenchymal transition (EMT)Pluripotency regulation
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Disease associations

CancerColorectal cancerOvarian cancerHepatocellular carcinomaGastrointestinal stromal tumor (GIST)Head and neck squamous cell carcinoma
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Safety considerations

Gastrointestinal toxicity (diarrhea, nausea, vomiting)FatigueAnorexiaAbdominal painPotential for off-target effects due to multi-kinase inhibition
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Interacting drugs

Amcasertib (BBI-503)
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Biomarkers

Nanog expressionOct4 expressionSox2 expressionPhospho-beta-catenin (Ser675)STK33 expressionPhospho-Nanog

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