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Resistance to ALK inhibitors: Pharmacokinetics, mutations or bypass signaling?

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The approval of multitargeted anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) has been a success story for the management of advanced non-small-cell lung cancers (NSCLCs) over the last half… Click to show full abstract

The approval of multitargeted anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) has been a success story for the management of advanced non-small-cell lung cancers (NSCLCs) over the last half a decade, with the 1st generation TKI crizotinib approved in 2011 and 2nd generation ALK TKIs approved (ceritinib in 2014 and alectinib in 2016) for crizotinib-resistant disease. ALK rearrangements are present in 5% of NSCLCs and these fusion proteins act as driver oncogenes in those tumors; engaging pro-survival and anti-apoptotic signals through downstream signals including the phosphatidylinositol-3-kinase (PI3K), mitogen-activated protein kinase (MAPK) and signal transducer and activator of

Keywords: alk inhibitors; resistance alk; alk; kinase; inhibitors pharmacokinetics; pharmacokinetics mutations

Journal Title: Cell Cycle
Year Published: 2017

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