Pulmonary complications of Bcr-Abl tyrosine kinase inhibitors
Tyrosine kinase inhibitors (TKIs) targeting the Bcr-Abl oncoprotein revolutionised the treatment of chronic myelogenous leukaemia. Following the success of imatinib, second- and third-generation molecules were developed. Different profiles of kinase inhibition and off-target effects vary between TKI...
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Veröffentlicht in: | The European respiratory journal 2020-10, Vol.56 (4), p.2000279 |
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description | Tyrosine kinase inhibitors (TKIs) targeting the Bcr-Abl oncoprotein revolutionised the treatment of chronic myelogenous leukaemia. Following the success of imatinib, second- and third-generation molecules were developed. Different profiles of kinase inhibition and off-target effects vary between TKIs, which leads to a broad spectrum of potential toxicities.Pulmonary complications are most frequently observed with dasatinib but all other Bcr-Abl TKIs have been implicated. Pleural effusions are the most frequent pulmonary complication of TKIs, usually associated with dasatinib and bosutinib. Pulmonary arterial hypertension is an uncommon but serious complication of dasatinib, which is often reversible upon discontinuation. Bosutinib and ponatinib have also been associated with pulmonary arterial hypertension, while imatinib has not. Rarely, interstitial lung disease has been associated with TKIs, predominantly with imatinib.Mechanistically, dasatinib affects maintenance of normal pulmonary endothelial integrity by generating mitochondrial oxidative stress, inducing endothelial apoptosis and impairing vascular permeability in a dose-dependent manner. The mechanisms underlying other TKI-related complications are largely unknown. Awareness and early diagnosis of the pulmonary complications of Bcr-Abl TKIs is essential given their seriousness, potential reversibility, and impact on future treatment options for the underlying chronic myelogenous leukaemia. |
doi_str_mv | 10.1183/13993003.00279-2020 |
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Following the success of imatinib, second- and third-generation molecules were developed. Different profiles of kinase inhibition and off-target effects vary between TKIs, which leads to a broad spectrum of potential toxicities.Pulmonary complications are most frequently observed with dasatinib but all other Bcr-Abl TKIs have been implicated. Pleural effusions are the most frequent pulmonary complication of TKIs, usually associated with dasatinib and bosutinib. Pulmonary arterial hypertension is an uncommon but serious complication of dasatinib, which is often reversible upon discontinuation. Bosutinib and ponatinib have also been associated with pulmonary arterial hypertension, while imatinib has not. Rarely, interstitial lung disease has been associated with TKIs, predominantly with imatinib.Mechanistically, dasatinib affects maintenance of normal pulmonary endothelial integrity by generating mitochondrial oxidative stress, inducing endothelial apoptosis and impairing vascular permeability in a dose-dependent manner. The mechanisms underlying other TKI-related complications are largely unknown. Awareness and early diagnosis of the pulmonary complications of Bcr-Abl TKIs is essential given their seriousness, potential reversibility, and impact on future treatment options for the underlying chronic myelogenous leukaemia.</description><identifier>ISSN: 0903-1936</identifier><identifier>EISSN: 1399-3003</identifier><identifier>DOI: 10.1183/13993003.00279-2020</identifier><identifier>PMID: 32527740</identifier><language>eng</language><publisher>England: European Respiratory Society</publisher><subject>Life Sciences</subject><ispartof>The European respiratory journal, 2020-10, Vol.56 (4), p.2000279</ispartof><rights>Copyright ©ERS 2020.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-ec048a5ea781b84d645aadfddfd83ca481bb50d56ecd5f19c8f228059569f93e3</citedby><cites>FETCH-LOGICAL-c384t-ec048a5ea781b84d645aadfddfd83ca481bb50d56ecd5f19c8f228059569f93e3</cites><orcidid>0000-0002-6862-8975 ; 0000-0002-8545-4452 ; 0000-0003-0703-2892 ; 0000-0002-1942-1951 ; 0000-0002-9358-6922 ; 0000-0002-0615-4575</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32527740$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04526808$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Weatherald, Jason</creatorcontrib><creatorcontrib>Bondeelle, Louise</creatorcontrib><creatorcontrib>Chaumais, Marie-Camille</creatorcontrib><creatorcontrib>Guignabert, Christophe</creatorcontrib><creatorcontrib>Savale, Laurent</creatorcontrib><creatorcontrib>Jaïs, Xavier</creatorcontrib><creatorcontrib>Sitbon, Olivier</creatorcontrib><creatorcontrib>Rousselot, Philippe</creatorcontrib><creatorcontrib>Humbert, Marc</creatorcontrib><creatorcontrib>Bergeron, Anne</creatorcontrib><creatorcontrib>Montani, David</creatorcontrib><title>Pulmonary complications of Bcr-Abl tyrosine kinase inhibitors</title><title>The European respiratory journal</title><addtitle>Eur Respir J</addtitle><description>Tyrosine kinase inhibitors (TKIs) targeting the Bcr-Abl oncoprotein revolutionised the treatment of chronic myelogenous leukaemia. Following the success of imatinib, second- and third-generation molecules were developed. Different profiles of kinase inhibition and off-target effects vary between TKIs, which leads to a broad spectrum of potential toxicities.Pulmonary complications are most frequently observed with dasatinib but all other Bcr-Abl TKIs have been implicated. Pleural effusions are the most frequent pulmonary complication of TKIs, usually associated with dasatinib and bosutinib. Pulmonary arterial hypertension is an uncommon but serious complication of dasatinib, which is often reversible upon discontinuation. Bosutinib and ponatinib have also been associated with pulmonary arterial hypertension, while imatinib has not. Rarely, interstitial lung disease has been associated with TKIs, predominantly with imatinib.Mechanistically, dasatinib affects maintenance of normal pulmonary endothelial integrity by generating mitochondrial oxidative stress, inducing endothelial apoptosis and impairing vascular permeability in a dose-dependent manner. The mechanisms underlying other TKI-related complications are largely unknown. 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Following the success of imatinib, second- and third-generation molecules were developed. Different profiles of kinase inhibition and off-target effects vary between TKIs, which leads to a broad spectrum of potential toxicities.Pulmonary complications are most frequently observed with dasatinib but all other Bcr-Abl TKIs have been implicated. Pleural effusions are the most frequent pulmonary complication of TKIs, usually associated with dasatinib and bosutinib. Pulmonary arterial hypertension is an uncommon but serious complication of dasatinib, which is often reversible upon discontinuation. Bosutinib and ponatinib have also been associated with pulmonary arterial hypertension, while imatinib has not. Rarely, interstitial lung disease has been associated with TKIs, predominantly with imatinib.Mechanistically, dasatinib affects maintenance of normal pulmonary endothelial integrity by generating mitochondrial oxidative stress, inducing endothelial apoptosis and impairing vascular permeability in a dose-dependent manner. The mechanisms underlying other TKI-related complications are largely unknown. Awareness and early diagnosis of the pulmonary complications of Bcr-Abl TKIs is essential given their seriousness, potential reversibility, and impact on future treatment options for the underlying chronic myelogenous leukaemia.</abstract><cop>England</cop><pub>European Respiratory Society</pub><pmid>32527740</pmid><doi>10.1183/13993003.00279-2020</doi><orcidid>https://orcid.org/0000-0002-6862-8975</orcidid><orcidid>https://orcid.org/0000-0002-8545-4452</orcidid><orcidid>https://orcid.org/0000-0003-0703-2892</orcidid><orcidid>https://orcid.org/0000-0002-1942-1951</orcidid><orcidid>https://orcid.org/0000-0002-9358-6922</orcidid><orcidid>https://orcid.org/0000-0002-0615-4575</orcidid><oa>free_for_read</oa></addata></record> |
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title | Pulmonary complications of Bcr-Abl tyrosine kinase inhibitors |
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