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. 2022 Jul 15;14(14):3452. doi: 10.3390/cancers14143452

Figure 5.

Figure 5

Combination of microtubule poisons and ALK inhibitors in EML4-ALK-driven NSCLC. Microtubules are dynamic structures and the balance between their polymerization and depolymerization determines microtubule stability. The microtubule poisons, vincristine and paclitaxel, promote the depolymerization and polymerization of microtubules, respectively. EML4-ALK V3 strongly stabilizes microtubules, whereas EML4-ALK V1 has a weak destabilizing effect. In combination with ALK TKIs, microtubule poisons that act in the same direction of microtubule stability could lead to enhanced loss of cell viability in EML4-ALK V1 and V3 patient tumours.