You never know: Cdk inhibitors as anti-cancer drugs
1Cancer Research UK, Clare Hall Laboratories, South Mimms, UK. tim.hunt@cancer.org.uk
Abstract:
Ever since it emerged that cyclin-dependent protein kinases catalyzed cell cycle transitions and with cancer seen as "a disease of the cell cycle," people have pursued the aim of testing kinase inhibitors as anti-cancer drugs. Quite early on, Laurent Meijer and his colleagues discovered roscovitine as a potent inhibitor of Cdk1 and the compound went into clinical trials (as CYC202 or Seliciclib) whose outcomes are awaited. It was never clear to me that cancer was really a disease of the cell cycle (strictly speaking--considering that cancer cells have no trouble dividing), or how inhibiting cell cycle progression could reveal a window of therapeutic advantage between normal and neoplastic cells. Everyone knows what happens if you permanently block cell division in humans: they die. Yet, at the same time as harboring doubts about the rationale for using anti-Cdk drugs for cancer therapy, I would also be the first to admit that our understanding of cell cycle control is so far from complete, that, given the relative ease of developing specific protein kinase inhibitors, it is not a bad idea to try and see if they have selective effects on tumors. You never know.
Insights
Researchers explored kinase inhibitors for cancer therapy, inspired by cyclin-dependent kinases (CDKs) role in cell division. While the rationale is debated, testing these CDK inhibitors on tumors remains a viable research avenue.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cyclin-dependent kinases (CDKs) regulate cell cycle transitions, leading to their investigation as anti-cancer drug targets.
- Roscovitine, a potent CDK inhibitor discovered by Laurent Meijer and colleagues, has entered clinical trials (CYC202/Seliciclib).
Discussion:
- The precise definition of cancer as a "disease of the cell cycle" and the therapeutic window for inhibiting cell division remain subjects of debate.
- Permanent cell division blockade in humans is generally lethal, raising questions about the safety and efficacy of anti-CDK drugs.
Key Insights:
- Despite uncertainties, the development of specific protein kinase inhibitors is relatively straightforward.
- Investigating the selective effects of CDK inhibitors on tumors is a pragmatic approach given the incomplete understanding of cell cycle control.
Outlook:
- Further research is needed to clarify the role of cell cycle dysregulation in cancer and to determine the potential of CDK inhibitors in cancer therapy.
- Clinical trial outcomes for roscovitine (CYC202/Seliciclib) will provide crucial data on the efficacy and safety of targeting CDKs in cancer treatment.
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