Nilotinib is an analog of imatinib with similar multiple kinase targets, but without inhibition of the Src gene. (This gene regulates tyrosine kinase proteins that in turn affect whether cells multiply or die.) Tyrosine kinase inhibitors interfere with cell communication and growth. They have been of great interest to scientists in recent years who hope to use them as an option to treat cancer.
Nilotinib is used for leukemia, There was interest in using it to treat gastrointestinal stromal tumors and formal clinical trials were conducted in this area, but the nilitonib did not prove effective. While nilotinib may replace imatinib in leukemia treatment, imatininib is still preferred in GIST therapy.
The "binding mode" of nilotinib is energetically more favorable than that of imatinib. This results in a more selective targeting of the malignancy. Nilotinib has been shown to have an approximately 20-fold increased potency in kinase and proliferation assays compared to imatinib. This is especially important for older patients and they tend to have trouble tolerating imatinib treatment. The higher dosages required for imatinib make it tough; nilotinib is hoped to alleviate the side effects but still be effective.
Researchers have been interested in aurora kinases as targets for cancer therapy and seveal drugs are in development. Oncogenic BCR-ABL tyrosine kinase, which is deregulated in as many as 95% of chronic myeloid leukemia (CML) patients and in ~20% of adult Philadelphia-positive (Ph+) acute lymphoblastic leukemia (ALL) patients. ABL kinase domain mutations have been implicated in the resistance to imatinib mesylate of Philadelphia-positive (Ph+) leukemia patients.
Mast cells in tumors are affected by the new class of anti-cancer agents called kinase inhibitors, which includes nilotinib. Inside the body, mast cells regulate t-cells, promote blood clots, and enable the growth of blood vessels. The kinase inhibitors are considered a form or "targeted cancer therapy" because they are selective in the type of cells they affect.
Researchers are looking at nilotinib as a treatment for Alzheimer's disease. Long thought to be caused by amyloid-beta plaques in the brain, some scientists are speculating that a protein called tau And a nilotinib is thought to be a potential way to lower tau levels. If the tau triggers the death of brain cells and nilotinib, a kinase inhibitor, can clear malfunctioning tau from tiny crevices in the brain, we will not only have learned something about this form of dementia, but we will have a valuable treatment. Research continues.
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