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Updated: Dec 9, 2025

Through the Looking Glass: Time-lapse Microscopy and Longitudinal Tracking of Single Cells to Study Anti-cancer Therapeutics
Published on: May 14, 2016
Targeting Cell Cycle in Breast Cancer: CDK4/6 Inhibitors
Michela Piezzo1, Stefania Cocco1, Roberta Caputo1
1Department of Breast and Thoracic Oncology, Division of Breast Medical Oncology, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", 80131 Naples, Italy.
Abstract:
Deregulation of cell cycle, via cyclin D/CDK/pRb pathway, is frequently observed in breast cancer lending support to the development of drugs targeting the cell cycle control machinery, like the inhibitors of the cycline-dependent kinases (CDK) 4 and 6. Up to now, three CDK4/6 inhibitors have been approved by FDA for the treatment of hormone receptor-positive (HR+), HER2-negative metastatic breast cancer. These agents have been effective in improving the clinical outcomes, but the development of intrinsic or acquired resistance can limit the efficacy of these treatments. Clinical and translational research is now focused on investigation of the mechanism of sensitivity/resistance to CDK4/6 inhibition and novel therapeutic strategies aimed to improve clinical outcomes. This review summarizes the available knowledge regarding CDK4/6 inhibitor, the discovery of new biomarkers of response, and the biological rationale for new combination strategies of treatment.
Insights
CDK4/6 inhibitors improve outcomes in metastatic breast cancer but resistance is a challenge. Research focuses on understanding resistance mechanisms and developing new combination therapies for better patient results.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cell cycle deregulation via the cyclin D/CDK/pRb pathway is common in breast cancer.
- Cyclin-dependent kinase (CDK) 4 and 6 inhibitors target this pathway.
- Three CDK4/6 inhibitors are FDA-approved for hormone receptor-positive (HR+), HER2-negative metastatic breast cancer.
Purpose of the Study:
- To review current knowledge on CDK4/6 inhibitors in breast cancer.
- To discuss biomarkers for predicting response to CDK4/6 inhibitors.
- To explore novel combination treatment strategies.
Main Methods:
- Literature review of clinical and translational research.
- Analysis of mechanisms of sensitivity and resistance to CDK4/6 inhibition.
- Synthesis of data on biomarker discovery and combination therapies.
Main Results:
- CDK4/6 inhibitors have improved clinical outcomes in HR+, HER2- metastatic breast cancer.
- Intrinsic and acquired resistance limit treatment efficacy.
- Ongoing research aims to identify new biomarkers and effective combination strategies.
Conclusions:
- Understanding CDK4/6 inhibitor resistance is crucial for improving breast cancer treatment.
- Biomarker discovery and novel combination therapies hold promise for overcoming resistance.
- Further research is needed to optimize therapeutic strategies and patient outcomes.
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