Acta Pharmaceutica Sinica B
|
2026, 16(7): 4196-4232
• Reviews •
Drugging non-canonical kinases in cancer therapeutics: Molecular targets, underlying mechanisms and small-molecule inhibitors
Full
Xuelan Ma1,2, Zhifeng Wen3, Zhiwen Wang1, Zhiqi Peng1, Dongbo Wu1, Jun Wang3, Bo Liu1,2
Affiliations
1 Center of Infectious Diseases, Department of Biotherapy, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, China;
2 Institute of Precision Drug Innovation and Cancer Center, Second Affiliated Hospital of Dalian Medical University, Dalian 116023, China;
3 Department of Neurosurgery, The First Hospital of China Medical University, Shenyang 110001, China
doi: 10.1016/j.apsb.2026.03.047
Outline
Non-canonical kinases (NCKs) are emerging as druggable targets in oncology, yet a comprehensive map linking their molecular mechanisms and targeting strategies to small-molecule modulators is lacking. Based on the hallmarks of cancer, we explain how NCKs buffer replication stress to preserve genome integrity, reprogram metabolic and stress pathways, coordinate angiogenesis and invasion, and support durable remodeling of the immune-tumor microenvironment. We review preclinical progress from hit identification to lead optimization, highlighting exploitable ATP-site and allosteric pockets, targeted protein degradation, and rational dual-node designs, all supported by structural insights and phenotypic discovery. Early clinical signals from mTOR, ATR, and DNA-PKcs inhibitors, along with late-preclinical programs targeting eEF2K, TBK1, FAM20C, TRPM7, and WNKs, reveal context-dependent NCK vulnerabilities. With further exploration of NCK functions and structures, additional targeted drugs are likely to be developed, potentially transforming non-canonical kinase biology into durable precision oncology.
Atypical protein kinase
/
Eukaryotic protein kinases
/
Kinase inhibitor
/
Targeted therapy
/
Cancer hallmark
Xuelan Ma, Zhifeng Wen, Zhiwen Wang, Zhiqi Peng, Dongbo Wu, Jun Wang, Bo Liu.
Drugging non-canonical kinases in cancer therapeutics: Molecular targets, underlying mechanisms and small-molecule inhibitors[J].
Acta Pharmaceutica Sinica B,
2026
, 16
(7)
: 4196
-4232
.
DOI: 10.1016/j.apsb.2026.03.047
Year 2026 volume 16 Issue 7
PDF
6
4
Cite this Article
BibTeX
Article Info
doi: 10.1016/j.apsb.2026.03.047
- Receive Date:2025-10-28
- Online Date:2026-09-17