Bruton's Tyrosine Kinase Inhibitors (BTKIs): Review of Preclinical Studies and Evaluation of Clinical Trials.
Dariusz RozkiewiczJustyna Magdalena HermanowiczIwona KwiatkowskaAnna KrupaDariusz PawlakPublished in: Molecules (Basel, Switzerland) (2023)
In the last few decades, there has been a growing interest in Bruton's tyrosine kinase (BTK) and the compounds that target it. BTK is a downstream mediator of the B-cell receptor (BCR) signaling pathway and affects B-cell proliferation and differentiation. Evidence demonstrating the expression of BTK on the majority of hematological cells has led to the hypothesis that BTK inhibitors (BTKIs) such as ibrutinib can be an effective treatment for leukemias and lymphomas. However, a growing body of experimental and clinical data has demonstrated the significance of BTK, not just in B-cell malignancies, but also in solid tumors, such as breast, ovarian, colorectal, and prostate cancers. In addition, enhanced BTK activity is correlated with autoimmune disease. This gave rise to the hypothesis that BTK inhibitors can be beneficial in the therapy of rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), multiple sclerosis (MS), Sjögren's syndrome (SS), allergies, and asthma. In this review article, we summarize the most recent findings regarding this kinase as well as the most advanced BTK inhibitors that have been developed to date and their clinical applications mainly in cancer and chronic inflammatory disease patients.
Keyphrases
- tyrosine kinase
- epidermal growth factor receptor
- multiple sclerosis
- systemic lupus erythematosus
- rheumatoid arthritis
- disease activity
- cell proliferation
- signaling pathway
- end stage renal disease
- prostate cancer
- induced apoptosis
- chronic kidney disease
- poor prognosis
- ms ms
- newly diagnosed
- pi k akt
- mass spectrometry
- stem cells
- ejection fraction
- binding protein
- cystic fibrosis
- case report
- electronic health record
- idiopathic pulmonary fibrosis
- randomized controlled trial
- smoking cessation
- systemic sclerosis
- artificial intelligence
- deep learning
- phase iii
- combination therapy
- endoplasmic reticulum stress
- allergic rhinitis