Inhibitors targeting CDK4/6, PARP and PI3K in breast cancer: a review

Siti Muhamad Nur Husna1, Hern-Tze Tina Tan1, Rohimah Mohamud1

  • 1Department of Immunology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Insights

Small molecule inhibitors targeting cyclin-dependent kinase 4 and 6 (CDK4/6), poly (adenosine diphosphate-ribose) polymerase (PARP), and phosphoinositide 3-kinase (PI3K) show promise for breast cancer treatment. This review details eight SMIs, their clinical trials, and limitations to guide future breast cancer therapies.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • Breast cancer remains a leading cause of cancer-related death in women globally.
  • Small molecule inhibitors (SMIs) represent a promising therapeutic strategy, with significant progress in clinical trials.
  • Key protein targets for SMIs in breast cancer include CDK4/6, PARP, and PI3K.

Purpose of the Study:

  • To review recently approved and novel SMIs targeting CDK4/6, PARP, and PI3K for breast cancer treatment.
  • To analyze the mechanisms of action, clinical trial data, and limitations of these inhibitors.
  • To inform future development of targeted therapies and treatment regimens for breast cancer patients.

Main Methods:

  • Literature review of approved and novel small molecule inhibitors.
  • Analysis of clinical trial outcomes and limitations for selected inhibitors.
  • Discussion of the molecular targets and mechanisms of action for each SMI.

Main Results:

  • Eight SMIs targeting CDK4/6 (palbociclib, ribociclib, abemaciclib), PARP (olaparib, veliparib, talazoparib), and PI3K (buparlisib, alpelisib) are discussed.
  • These inhibitors have shown varying degrees of success in clinical trials, with some approved for patient treatment.
  • Limitations and challenges associated with each inhibitor class are identified.

Conclusions:

  • SMIs targeting CDK4/6, PARP, and PI3K are vital in advancing breast cancer treatment.
  • Understanding the clinical trial data and limitations of current SMIs is crucial for optimizing future therapeutic strategies.
  • Further research and development are needed to overcome limitations and improve outcomes for breast cancer patients.

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