布鲁顿酪氨酸激酶抑制剂在非血液肿瘤中的应用进展

Progress in the application of Bruton's tyrosine kinase inhibitors for non-hematological tumors

  • 摘要: 布鲁顿酪氨酸激酶抑制剂(Bruton's tyrosine kinase inhibitor,BTKi)是被批准用于治疗B细胞相关血液系统恶性肿瘤患者的一类药物,通过阻断B细胞的信号传递进而影响B细胞相关肿瘤的发育和增殖。研究发现,布鲁顿酪氨酸激酶(Bruton's tyrosine kinase,BTK)也表达于其他细胞中,包括肥大细胞、树突状细胞、粒细胞、血小板和巨噬细胞等;此外,BTK的下游信号通路如磷脂酶Cγ2(phospholipase C gamma 2,PLCγ2)的激活、Fc受体信号通路、Toll样受体信号通路等与多种疾病相关。上述机制为BTKi治疗B细胞相关肿瘤之外的其他疾病提供了理论基础。本文针对BTKi在非B细胞肿瘤中的应用进展予以综述。

     

    Abstract: Bruton's tyrosine kinase inhibitors (BTKi) are a class of drugs approved for treating patients with B cell-related hematologic malignancies. They function by blocking B cell signaling, thereby affecting the development and proliferation of B cell-related tumors. Research has revealed that Bruton's tyrosine kinase (BTK) is also expressed in other cells, including mast cells, dendritic cells, granulocytes, platelets, and macrophages. Furthermore, BTK's downstream signaling pathways, such as the activation of phospholipase C gamma 2 (PLCγ2), Fc receptor signaling path ways, and Toll-like receptor signaling pathways, are associated with various diseases. These mechanisms provide a theoretical foundation for using BTK in treating diseases other than B cell-related tumors. This article reviews the progress in the application of BTK for non-B-cell malignancies.

     

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