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Bruton酪氨酸激酶BTK及其抑制剂的研究进展

Progress of Bruton′s tyrosine kinase(BTK)and its inhibitors

  • 摘要: Bruton酪氨酸激酶(BTK)是B细胞抗原受体(BCR)信号转导通路中的关键激酶,目前已成为治疗血液恶性肿瘤和自身免疫失调疾病的热门靶标。BTK有多个抑制剂已进入临床研究,表现出较好的开发前景,其代表性药物依鲁替尼(ibrutinib)在临床试验中对于套细胞淋巴瘤和慢性淋巴细胞白血病显示出突出的治疗活性,已被批准上市。本文对BTK的结构功能以及在研的BTK抑制剂临床研究进展进行了综述。

     

    Abstract: Bruton′s tyrosine kinase(BTK), a crucial terminal kinase enzyme in the B-cell antigen receptor(BCR)signaling pathway, has emerged as an attractive target for therapeutic intervention in human malignancies and autoimmune disorders. A number of BTK inhibitors have progressed through advanced preclinical development to clinical trials. Among them, ibrutinib(PCI-32765, brand name: Imbruvica)demonstrated high clinical activity in B-cell malignancies, especially in patients with chronic lymphocytic leukemia(CLL), mantle cell lymphoma(MCL), and was recently approved by the U. S. Food and Drug Administration. In this paper, the structure and function of BTK are reviewed; preclinical and clinical development of ibrutinib and other novel BTK inhibitors are summarized.

     

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