Bruton tyrosine kinase inhibitors : can they be optimized for the treatment of neuroinflammatory disorders?

INTRODUCTION: Bruton's tyrosine kinase (BTK) is a multifaceted player of the immune system which has been involved in the survival of hematological malignancies but also in the pathogenesis of immune-mediated diseases. Oral BTK inhibitors (BTKi) have become a cornerstone for the treatment of patients with B-cell malignancies, and are under investigation for several immune-mediated diseases.

AREAS COVERED: We reviewed the biology of BTK and emerging data on BTKi in patients with neuroinflammatory disorders of both the peripheral and central nervous system.

EXPERT OPINION: We support the use of BTKi in relapsed/refractory patients with multiple sclerosis and anti-MAG antibody neuropathies. However, other immune-mediated neuroinflammatory disorders are likely to benefit from BTKi. Whether BTKi will improve the response rates than conventional therapies in previously untreated patients is unknown and will be assessed within future clinical trials. Furthermore, the availability of more selective BTKi, with less adverse events, will improve patients' tolerability and expand our treatment landscape.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Expert opinion on investigational drugs - 32(2023), 12 vom: 22. Juli, Seite 1105-1111

Sprache:

Englisch

Beteiligte Personen:

Visentin, Andrea [VerfasserIn]
Puthenparampil, Marco [VerfasserIn]
Briani, Chiara [VerfasserIn]

Links:

Volltext

Themen:

Agammaglobulinaemia Tyrosine Kinase
Anti-MAG antibody neuropathy
BTK
BTK inhibitors
EC 2.7.10.2
Journal Article
Multiple sclerosis
Neuropathies
Protein Kinase Inhibitors
Review
Tyrosine Kinase Inhibitors

Anmerkungen:

Date Completed 29.12.2023

Date Revised 29.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2023.2288076

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366437593