4.5 Review

Recent Advances in the Discovery of Multitargeted Tyrosine Kinase Inhibitors as Anticancer Agents

Journal

CHEMMEDCHEM
Volume 16, Issue 4, Pages 600-620

Publisher

WILEY-V C H VERLAG GMBH
DOI: 10.1002/cmdc.202000658

Keywords

anticancer agents; antitumor activity; kinase inhibition activity; multitargeted drugs; tyrosine kinase inhibitors

Funding

  1. National Natural Science Foundation of China [81973179, 81673284]
  2. Key Research and Development Project of Shandong Province [2017CXGC1401]
  3. China-Australia Centre for Health Sciences Research [2019GJ05]

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The treatment of cancer faces challenges with currently approved tyrosine kinase inhibitors, as they are becoming less effective in complex cancers and contributing to chemotherapy resistance. Multitargeted tyrosine kinase inhibitors are more advantageous in therapeutic effects and have become a hotspot in antitumor drug research.
The treatment of cancer has been one of the most significant challenges for the medical field. Further research on the signal transduction pathway of tumor cells is driving the rapid development of antitumor agents targeting tyrosine kinases. However, most of the currently approved tyrosine kinase inhibitors based on the single target/single drug design are becoming less and less effective in the treatment of complex, heterogeneous, and multigenic cancers; this also results in resistance to chemotherapy. In contrast, multitargeted tyrosine kinase inhibitors (MT-TKIs) can effectively block multiple pathways of intracellular signal transduction. Therefore, they have therapeutic advantages over single-targeted inhibitors and have become a hotspot in antitumor drug research in recent years. This minireview summarizes recent advances in the discovery of MT-TKIs based on their chemical structures. In particular, we describe the kinase inhibitory and antitumor activity of promising compounds, as well as their structure - activity relationships (SARs).

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