Abnormal function of Syk has been implicated in several instances of hematopoietic malignancies including translocations involving
Itk and
Tel. Constitutive Syk activity can transform B cells. Several transforming viruses contain "
Immunoreceptor Tyrosine Activation Motifs" (ITAMs) which lead to activation of Syk including
Epstein–Barr virus,
bovine leukemia virus, and
mouse mammary tumor virus.
SYK inhibition Given the central role of SYK in transmission of activating signals within B-cells, a suppression of this tyrosine kinase might aid in the treatment of B cell malignancies and
autoimmune diseases. Syk inhibition has been proposed as a therapy for both
lymphoma and
chronic lymphocytic leukemia. Syk inhibitors are in clinical development, including
cerdulatinib and
entospletinib. Other inhibitors of
B-cell receptor (BCR) signaling including
ibrutinib (PCI-32765) which inhibits BTK, and
idelalisib (PI3K inhibitor - CAL-101 / GS-1101) showed activity in the diseases as well. The orally active SYK inhibitor
fostamatinib (R788) in the treatment of
immune thrombocytopenia. The Syk inhibitor
nilvadipine has been shown to regulate amyloid-β production and
Tau phosphorylation and hence has been proposed as a treatment for
Alzheimer's disease and has entered phase III clinical trials.
Epithelial malignancies The role of Syk in epithelial malignancies is controversial. Several authors have suggested that abnormal Syk function facilitates transformation in
nasopharyngeal carcinoma and
head and neck cancer while other authors have suggested a tumor suppressor role in
breast and
gastric cancer. Without Syk, the protein it makes, and genetic disruption in a panel of 55 genes thought also to be controlled by Syk,
breast ductal carcinoma in situ (breast DCIS, which can become invasive), it is believed that the cancer has a markedly increased tendency to invade and metastasize. == Interactions ==