Genomic Biomarkers Predicting Response to Selective CDK4/6 Inhibition: Progress in an Elusive Search

Geoffrey I Shapiro1

  • 1Early Drug Development Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.

Cancer Cell
|December 13, 2017
PubMed

Insights

Researchers identified specific genomic features, termed D-cyclin activating features (DCAF), that make cancers vulnerable to the CDK4/6 inhibitor abemaciclib. This discovery aids in selecting patients for targeted cancer therapy development.

Area of Science:

  • Oncology
  • Pharmacology
  • Genomics

Background:

  • Cyclin-dependent kinases (CDKs) regulate the cell cycle.
  • CDK4 and CDK6 are key regulators of cell cycle progression.
  • Selective CDK4/6 inhibitors represent a targeted therapy approach in oncology.

Purpose of the Study:

  • To analyze the sensitivity of a large panel of cancer cell lines to the CDK4/6 inhibitor abemaciclib.
  • To identify genomic features associated with sensitivity to abemaciclib.
  • To define specific cancer vulnerabilities based on genomic profiles.

Main Methods:

  • Screening of 560 cancer cell lines for drug sensitivity.
  • Genomic profiling of cell lines.
  • Correlation analysis between genomic features and drug response.

Main Results:

  • Identification of specific genomic "D-cyclin activating features (DCAF)" linked to heightened sensitivity.
  • Abemaciclib demonstrated differential efficacy across cell lines based on DCAF status.
  • Defined a subset of cancers particularly vulnerable to CDK4/6 inhibition.

Conclusions:

  • Genomic DCAF status is a predictive biomarker for abemaciclib response.
  • These findings can guide patient stratification for abemaciclib treatment.
  • Facilitates the ongoing development of CDK4/6 inhibitors in cancer therapy.

Related Concept Videos

Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
6.0K
M-Cdk Drives Transition Into Mitosis02:15

M-Cdk Drives Transition Into Mitosis

Checkpoints throughout the cell cycle serve as safeguards and gatekeepers, allowing the cell cycle to progress in favorable conditions and slow or halt it in problematic ones. This regulation is known as the cell cycle control system.
Cyclin-dependent kinases, or Cdks, work in concert with cyclins to control cell cycle transitions. M-Cdk, a complex of Cdk1 bound to M cyclin, is a well-known example of this coordinated control that drives the transition from the G2 to the M phase.
M cyclin...
6.6K
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
9
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
15
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.0K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.2K