New approaches to therapy for mastocytosis. A case for treatment with kit kinase inhibitors

Hematol Oncol Clin North Am. 2000 Jun;14(3):689-95. doi: 10.1016/s0889-8588(05)70302-6.

Abstract

Some forms of mastocytosis are caused by c-kit mutations which cause constitutive activation of kit kinase. Compounds that inhibit kit kinase, such as indolinones, are therefore attractive as potential therapeutic agents. A hierarchy exists in the ability of compounds to inhibit kit kinase effectively. Some compounds can inhibit ligand-induced activation of wild-type receptor but are ineffective against constitutively activated mutants. Other compounds can inhibit ligand-induced activation of wild-type kit and ligand-independent activation by juxtamembrane domain mutations but not activation by activation loop mutations. Still others effectively inhibit wild-type kit and constitutively activated kit bearing either juxtamembrane or kinase domain mutations and kill the neoplastic mast cells expressing these mutants. No therapy currently exists that specifically targets a cause of mastocytosis, but there are good reasons to believe that kit kinase inhibitors may fulfill that role someday.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Amino Acid Substitution
  • Combined Modality Therapy
  • Drug Design
  • Enzyme Activation / drug effects
  • Enzyme Inhibitors / pharmacology
  • Enzyme Inhibitors / therapeutic use*
  • Feasibility Studies
  • Humans
  • Indoles / therapeutic use
  • Ligands
  • Mast Cells / drug effects
  • Mast Cells / enzymology*
  • Mastocytosis / drug therapy*
  • Mastocytosis / enzymology
  • Mastocytosis / therapy
  • Piperazines / therapeutic use
  • Point Mutation
  • Proto-Oncogene Proteins c-kit / drug effects*
  • Proto-Oncogene Proteins c-kit / genetics
  • Proto-Oncogene Proteins c-kit / physiology
  • Proto-Oncogenes
  • Pyrroles / therapeutic use
  • Stem Cell Factor / physiology

Substances

  • Enzyme Inhibitors
  • Indoles
  • Ligands
  • Piperazines
  • Pyrroles
  • SU 4984
  • SU 5402
  • SU 5614
  • SU 6577
  • SU 6663
  • Stem Cell Factor
  • Proto-Oncogene Proteins c-kit