Abstract:Receptor tyrosine kinases (RTKs) are cell surface transmembrane proteins responsible for intracellular signal transduction. They are expressed in several cell types and, after activation by growth factor binding, trigger a series of intracellular pathways, leading to a wide variety of cell responses (e.g., differentiation, proliferation, migration and invasion, angiogenesis, survival). Over-expression and/or structural alteration of RTKs family members are often associated to human cancers and tumor cells are known to use RTK transduction pathways to achieve tumor growth, angiogenesis and metastasis. Therefore, RTKs represent pivotal target in approaches of cancer therapy. A number of small molecules acting as RTK inhibitors have been synthesized by pharmaceutical companies and are under clinical trials, are being analyzed in animal models or have been successfully marketed. Liganddependent downregulation of RTKs is a critical step for modulating their activity and the adaptor Cbl has been indicated as the key protein involved in negative regulation of RTKs, such as EGF and HGF receptors. These data suggest novel potential pharmacological targets for the treatment of human malignancies associated to oncogenic activation of RTKs.Keywords: Growth Factor Receptor -Tyrosine kinase -Tyrosine kinase Inhibitor -Signal transduction -CancerDownregulation
RECEPTOR TYROSINE KINASES (RTKS)Growth factors are extracellular signals that regulate cell proliferation and differentiation. The vast majority of them, such as Platelet-Derived Growth Factor (PDGF), Epidermal Growth Factor (EGF), Fibroblast Growth Factor (FGF), Vascular Endothelial Growth Factor (VEGF), Hepatocyte Growth Factor (HGF) and others, bind to receptors with tyrosine kinase activity (RTKs), which have been often involved in human cancers. RTKs consist of an extracellular ligand binding domain, usually glycosylated, connected to the cytoplasmic domain by a single transmembrane helix. The intracellular domain contains a conserved protein tyrosine kinase core and additional regulatory sequences that undergo phosphorylation. The extracellular domain displays different structural elements, such as one or more copies of Immunoglobulin-like domains, fibronectin type III-like repeats, EGF-like domains, cysteine-rich regions and other features [1].Based on their structural extracellular characteristics, RTKs can be classified into approximately twenty families. Some examples of receptors altered in human cancer are listed here: family I, EGF receptor and its homologs, with two cysteine-rich domains; family III, PDGF receptors, with five Immunoglobulin-like domains; family IV, FGF receptors, with three Immunoglobulin-like domains; family *Address corresponding to this author at the University of Piemonte Orientale "A.Avogadro", Department of Medical Sciences, via Solaroli, 17, 28100 Novara, Italy; Email: giovanni.gaudino@unipmn.it V, VEGF receptors with seven immunoglobulin domains; family VI, the HGF receptor and its homologs, that have a heterodimeric struct...