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.
Abstract:
Breast cancer is the global leading cause of cancer-related death in women and it represents a major health burden worldwide. One of the promising breast cancer therapeutic avenues is through small molecule inhibitors (SMIs) which have undergone rapid progress with successful clinical trials. Recently, three emerging and vital groups of proteins are targeted by SMIs for breast cancer treatment, namely cyclin-dependent kinase 4 and 6 (CDK4/6), poly (adenosine diphosphate-ribose) polymerase (PARP) and phosphoinositide 3-kinase (PI3K). Several of these inhibitors have been approved for the treatment of breast cancer patients or progressed into late-stage clinical trials. Thus, modeling from these successful clinical trials, as well as their limitations, is pivotal for future development and trials of other inhibitors or therapeutic regimens targeting breast cancer patients. In this review, we discuss eight recently approved or novel SMIs against CDK4/6 (palbociclib, ribociclib and abemaciclib), PARP (olaparib, veliparib and talazoparib), and PI3K (buparlisib and alpelisib). The mechanisms of action, series of clinical trials and limitations are described for each inhibitor.
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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