Regulation edit

The Receptor Tyrosine Kinase (RTK) pathway is carefully regulated by a variety of positive and negative feedback loops. Because RTKs coordinate a wide variety of cellular functions such as cell proliferation and differentiation, they must be regulated to prevent severe abnormalities in cellular functioning such as cancer and fibrosis. (Fawaz et al).[1]

Protein Tyrosine Phosphatases edit

Protein Tyrosine Phosphatase (PTPs) are a group of enzymes that possess a catalytic domain with phosphotyrosine-specific phosphohydrolase activity (Ostman et al). PTPs are capable of modifying the activity of receptor Tyrosine kinases in both a positive and negative manner.[2] PTPs can dephosphorylate the activated phosphorylated tyrosine residues on the RTKs (Kovalenko et al, 2000) which virtually leads to termination of the signal. Studies involving PTP1B, a widely known PTP involved in the regulation of the cell cycle and cytokine receptor signaling, has shown to dephosphorylate the epidermal growth factor receptor (Flint et al 1997) and the insulin receptor (Kenner, et al 1996). Some PTPs, on the other hand, are cell surface receptors that play a positive role in cell signaling proliferation. Cd45, a cell surface glycoprotein, plays a critical role in antigen-stimulated dephosphorylation of specific phosphotyrosines that inhibit the Src pathway.[3]

Herstatin edit

Herstatin, an autoinhibitor of the ErbB family[4] , which binds to RTKs and blocks receptor dimerization and tyrosine phosphorylation.[5] CHO cells transfected with herstatin resulted in reduced receptor oligomerization, clonal growth and receptor tyrosine phosphorylation in response to EGF.[6]

Receptor Endocytosis edit

Activated RTKs can undergo endocytosis resulting in down regulation of the receptor and eventually the signaling cascade. [7] The molecular mechanism involves the engulfing of the RTK by a clathrin-mediated endocytosis leading to intracellular degradation.[7]

Drug Therapy edit

RTKs have become an attractive target for drug therapy due to their implication in a variety of cellular abnormalities such as cancer, degenerative diseases and cardiovascular diseases. The United States Food and Drug Administration (FDA) has approved several anti-cancer drugs caused by activated RTKs. Drugs have been developed to target the extracellular domain or the catalytic domain, thus inhibiting ligand binding, receptor oligomerization.[8] Heceptin, a monoclonal antibody that is capable of binding to the extracellular domain of RTKs, has be used to treat HER2 overexpression in breast cancer. [9]

Small molecule inhibitors and monoclonal antibodies (approved by the US Food and Drug Administration) against RTKs for cancer therapy[10]
Small Molecule Target Disease Approval Year
Imatinib (Gleevec) PDGFR, KIT, Abl, Arg SML, GIST 2001
Gefitinib (Iressa) EGFR Esophageal cancer, Glioma 2003
Erlotinib (Tarceva) EGFR Esophageal cancer, Glioma 2004
Sorafenib (Nexavar) Raf, VEGFR, PDGFR, Flt3, KIT Renal cell carcinoma 2005
Sunitinib (Sutent) KIT, VEGFR, PDGFR, Flt3 Renal cell carcinoma, GIST, Endocrine pancreatic cancer 2006
Desatinib (Sprycel) Abl, Arg, KIT, PDGFR, Src Gleevec-resistant CML 2007
Nilotinib (Tasigna) Abl, Arg, KIT, PDGFR Gleevec-resistant CML 2007
Lapatinib (Tykerb) EGFR, ErbB2 Mammary carcinoma 2007
Trastuzumab (Herceptin) ErbB2 Mammary carcinoma 1998
Cetuximab (Erbitux) EGFR Colorectal cancer, Head and neck cancer 2004
Bevacizumab (Avastin) VEGF Lung cancer, Colorectal cancer 2004
Panitumumab (Vectibix) EGFR Colorectal cancer 2006

+ Table adapted fro "Cell signalling by recptor-tyrosine kinases," by Lemmon and Schlessinger's, 2010. Cell, 141, p. 1117–1134.

  1. ^ Haj, Fawaz G.; Markova, Boyka; Klaman, Lori D.; Bohmer, Frank D.; Neel, Benjamin G. (2003-01-10). "Regulation of Receptor Tyrosine Kinase Signaling by Protein Tyrosine Phosphatase-1B". Journal of Biological Chemistry. 278 (2): 739–744. doi:10.1074/jbc.M210194200. ISSN 0021-9258. PMID 12424235.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  2. ^ Volinsky, Natalia; Kholodenko, Boris N. (2017-03-15). "Complexity of Receptor Tyrosine Kinase Signal Processing". Cold Spring Harbor Perspectives in Biology. 5 (8). doi:10.1101/cshperspect.a009043. ISSN 1943-0264. PMC 3721286. PMID 23906711.
  3. ^ Hermiston, Michelle L.; Zikherman, Julie; Zhu, Jing W. (2017-03-15). "CD45, CD148, and Lyp/Pep: Critical Phosphatases Regulating Src Family Kinase Signaling Networks in Immune Cells". Immunological reviews. 228 (1): 288–311. doi:10.1111/j.1600-065X.2008.00752.x. ISSN 0105-2896. PMC 2739744. PMID 19290935.
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  5. ^ Ledda, Fernanda; Paratcha, Gustavo (2007-02-14). "Negative Regulation of Receptor Tyrosine Kinase (RTK) Signaling: A Developing Field". Biomarker Insights. 2: 45–58. ISSN 1177-2719. PMC 2717834. PMID 19662191.
  6. ^ Azios, N. G.; Romero, F. J.; Denton, M. C.; Doherty, J. K.; Clinton, G. M. (2001-08-23). "Expression of herstatin, an autoinhibitor of HER-2/neu, inhibits transactivation of HER-3 by HER-2 and blocks EGF activation of the EGF receptor". Oncogene. 20 (37): 5199–5209. doi:10.1038/sj.onc.1204555. ISSN 0950-9232. PMID 11526509.
  7. ^ a b Lemmon, Mark A.; Schlessinger, Joseph (2010-06-25). "Cell signaling by receptor tyrosine kinases". Cell. 141 (7): 1117–1134. doi:10.1016/j.cell.2010.06.011. ISSN 1097-4172. PMC 2914105. PMID 20602996.
  8. ^ Seshacharyulu, Parthasarathy; Ponnusamy, Moorthy P.; Haridas, Dhanya; Jain, Maneesh; Ganti, AparK.; Batra, Surinder K. (2017-03-15). "Targeting the EGFR signaling pathway in cancer therapy". Expert Opinion on Therapeutic Targets. 16 (1): 15–31. doi:10.1517/14728222.2011.648617. ISSN 1472-8222. PMC 3291787. PMID 22239438.
  9. ^ Carlsson, J; Nordgren, H; Sjöström, J; Wester, K; Villman, K; Bengtsson, N O; Ostenstad, B; Lundqvist, H; Blomqvist, C (2004-06-14). "HER2 expression in breast cancer primary tumours and corresponding metastases. Original data and literature review". British Journal of Cancer. 90 (12): 2344–2348. doi:10.1038/sj.bjc.6601881. ISSN 0007-0920. PMC 2409528. PMID 15150568.
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