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Published on: May 14, 2016
New combination therapies with cell-cycle agents
1University of Colorado Denver, School of Pharmacy, Department of Pharmaceutical Sciences, East 4200 9th Street, Box C238, Denver, CO 80262, USA.
Abstract:
Cancer cells have deregulated cell-cycle progression with overexpression of positive regulators and inhibition of negative regulators, giving them unlimited replication potential. Therefore, development of agents targeting the deregulated cell cycle has been considered as an ideal strategy for cancer therapy. Cell-cycle-based agents have been categorized as cyclin-dependent kinase inhibitors, Cdc25 inhibitors, checkpoint inhibitors and mitotic inhibitors. These drugs have demonstrated preclinical efficacy, but their efficacy in the clinic has been modest and has been hampered by various side effects. Alternatively, their combination with chemotherapeutic drugs has been studied in different preclinical and clinical settings. Initial reports from these combination studies have been encouraging and suggest that combined drugs may be useful in lowering cancer burden.
Insights
Targeting cancer cell-cycle progression is crucial for therapy. While cell-cycle inhibitors show modest clinical efficacy, combining them with chemotherapy may improve cancer burden reduction.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Cancer cells exhibit deregulated cell-cycle progression, enabling unlimited replication.
- Targeting the cell cycle is a key strategy in cancer therapy.
- Existing cell-cycle-based agents include cyclin-dependent kinase inhibitors, Cdc25 inhibitors, checkpoint inhibitors, and mitotic inhibitors.
Purpose of the Study:
- To review the development and clinical efficacy of cell-cycle-based agents in cancer therapy.
- To explore the potential of combining cell-cycle inhibitors with traditional chemotherapeutic drugs.
Main Methods:
- Review of preclinical and clinical studies on cell-cycle inhibitors.
- Analysis of combination therapy approaches involving cell-cycle agents and chemotherapy.
Main Results:
- Cell-cycle inhibitors have shown preclinical efficacy but modest clinical success due to side effects.
- Combination studies suggest potential benefits in reducing cancer burden.
Conclusions:
- Despite modest clinical efficacy of monotherapy, cell-cycle inhibitors hold promise.
- Combining cell-cycle agents with chemotherapy presents an encouraging strategy for enhanced cancer treatment.
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