Abstract
The Ras-Raf-MEK-ERK (ERK) pathway is a logical therapeutic target because it represents a common downstream pathway for several key growth factor tyrosine kinase receptors which are often mutated or overexpressed in human cancers. Although considered mainly growth-promoting, in certain contexts, this pathway also seems to be apoptosis-suppressing. Several novel agents targeting this pathway have now been developed and are in clinical trials. One of the most interesting new agents is BAY 43-9006. Although initially developed as a Raf kinase inhibitor, it can also target several other important tyrosine kinases including VEGFR-2, Flt-3, and c-Kit, which contributes to its antiproliferative and antiangiogenic properties. To date, encouraging results have been seen with BAY 43-9006, particularly in renal cell cancers which are highly vascular tumors. This review will provide an overview of the ERK signaling pathway in normal and neoplastic tissue, with a specific focus on novel therapies targeting the ERK pathway at the level of Raf kinase.
MeSH terms
-
Animals
-
Antineoplastic Agents / pharmacology*
-
Apoptosis
-
Benzenesulfonates / pharmacology
-
Carcinoma, Renal Cell / metabolism
-
Cell Line, Tumor
-
Cell Proliferation
-
Enzyme Activation
-
Enzyme Inhibitors / pharmacology*
-
Extracellular Signal-Regulated MAP Kinases / metabolism
-
Humans
-
Membrane Proteins / metabolism
-
Models, Biological
-
Neovascularization, Pathologic
-
Niacinamide / analogs & derivatives
-
Oligonucleotides, Antisense / pharmacology
-
Phenylurea Compounds
-
Phosphorylation
-
Protein Structure, Tertiary
-
Proto-Oncogene Proteins c-kit / metabolism
-
Proto-Oncogene Proteins c-raf / metabolism*
-
Pyridines / pharmacology
-
Signal Transduction
-
Sorafenib
-
Time Factors
-
Vascular Endothelial Growth Factor Receptor-2 / metabolism
Substances
-
Antineoplastic Agents
-
Benzenesulfonates
-
Enzyme Inhibitors
-
Membrane Proteins
-
Oligonucleotides, Antisense
-
Phenylurea Compounds
-
Pyridines
-
flt3 ligand protein
-
Niacinamide
-
Sorafenib
-
Proto-Oncogene Proteins c-kit
-
Vascular Endothelial Growth Factor Receptor-2
-
Proto-Oncogene Proteins c-raf
-
Extracellular Signal-Regulated MAP Kinases