Table 1. Chemotherapeutic agents associated with CIHF and their molecular targets, modified from (3).
Class | Agent | Molecular mechanism | Incidence of CIHF in % |
---|---|---|---|
TKIs based on monoclonal antibodies | Bevacizumab | VEGF-A inhibition | 2–4 |
Trastuzumab | Inhibition of HER2/HER2 dimerization by binding of extracellular subdomain IV | Up to 27 when combined with anthracyclines | |
Ado-trastuzumab emtansine | Trastuzumab conjugated to cytotoxic tubulin inhibitor emtansine | 1.8 | |
Pertuzumab | Inhibition of HER2/HER3 dimerization by binding of extracellular subdomain II | 4.5–14.5 | |
Small molecule TKIs | Sunitinib | Several VEGFR, PDGF-R, GCSF-R, c-KIT, RET, FLT3, AMPK | 1–27 |
Sorafenib | VEGFR-2 and -3, PDGF-R, c-Kit, Raf kinase family | 1.9–11 | |
Lapatinib | HER2 and HER1/EGFR | 0.9–4.9 | |
Dasatinib | Bcr-abl, c-KIT, Src, ephrins | 8–9 | |
Dabrafenib | B-Raf | Up to 10 | |
Imatinib | Bcr-abl, PDGF-R, M-CSF-R | <1 | |
Nilotinib | Bcr-abl, c-KIT | <1 | |
Ponatinib | BCR-abl, FGF-R, VEGFR-2, PDGF-R, FLT3 | 3–15 | |
Trametinib | MEK1 and MEK2 | Up to 10 | |
Proteasome inhibitors | Bortezomib | Reversible inhibition of the 20S proteasome | 2–5 |
Carfilzomib | Irreversible inhibition of the 20S proteasome | 7 |
PDGF-R, platelet-derived growth factor receptor; GCSF-R, granulocyte colony-stimulating factor receptor; c-KIT, mast/stem cell growth factor receptor; FGF-R, fibroblast growth factor receptor; FLT3, Fms like tyrosine kinase 3; AMPK, adenosine monophosphate-activated protein kinase; Src, proto-oncogene tyrosine-protein kinase; Ephrins, Eph family receptor ligands; Bcr-abl, kinase product of the Philadelphia translocation; MEK, mitogen-activated protein kinase; M-CSF-R, macrophage colony-stimulating factor receptor.