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Updated: Jul 7, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
G2 checkpoint abrogation and checkpoint kinase-1 targeting in the treatment of cancer
1Division of Hematology and Oncology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Abstract:
Rigorous quality control steps, termed checkpoints, tightly regulate progression through the cell cycle. DNA-damaging chemotherapy and radiation activate functional cellular checkpoints. These checkpoints can facilitate DNA repair and promote cell death in unrepaired cells. There are at least three DNA damage checkpoints - at G1/S, S, and G2/M - as well as a mitotic spindle checkpoint. Most cancer cells harbour mutations in tumour suppressors and/or oncogenes, which impair certain cell checkpoints. Inhibiting the remaining cell checkpoints - particularly after exposure of cancer cells to chemotherapy and/or radiation - allows cell death, a strategy now being employed in cancer therapeutics. With our increasing knowledge of cell cycle regulation, many compounds have been developed to inhibit specific checkpoint components, particularly at the G2/M transition. One such target is checkpoint kinase-1 (Chk1). We review here the molecular framework of the cell cycle, the rationale for targeting Chk1, the preclinical concepts related to the development of Chk1 inhibitors, and the efficacy and safety results from Chk1 inhibitors now in phase I/II trials.
Insights
Cell cycle checkpoints regulate cell division. Inhibiting remaining checkpoints in cancer cells after DNA damage can promote cell death, a promising therapeutic strategy. Checkpoint kinase-1 (Chk1) inhibitors are a focus.
Area of Science:
- Molecular Biology
- Cell Biology
- Cancer Therapeutics
Background:
- Cell cycle progression is regulated by checkpoints, acting as quality control mechanisms.
- DNA damage from chemotherapy or radiation activates these checkpoints, promoting DNA repair or cell death.
- Cancer cells often have impaired checkpoints due to mutations, making them vulnerable to checkpoint inhibition.
Purpose of the Study:
- To review the molecular framework of cell cycle regulation.
- To discuss the rationale and preclinical development of Chk1 inhibitors.
- To present efficacy and safety data of Chk1 inhibitors in clinical trials.
Main Methods:
- Review of existing literature on cell cycle checkpoints and Chk1 inhibitors.
- Analysis of preclinical data supporting Chk1 inhibition.
- Summary of clinical trial results for Chk1 inhibitors.
Main Results:
- Checkpoint kinase-1 (Chk1) is a key target for inhibiting the G2/M cell cycle transition.
- Preclinical studies demonstrate the potential of Chk1 inhibitors to enhance cancer cell death.
- Phase I/II trials are evaluating the safety and efficacy of various Chk1 inhibitors.
Conclusions:
- Targeting Chk1 represents a viable strategy to exploit cancer cell vulnerabilities.
- Further clinical investigation is warranted to optimize Chk1 inhibitor therapy.
- Understanding cell cycle regulation is crucial for developing novel cancer treatments.
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