Selective inhibition of CDK4/6: A safe and effective strategy for developing anticancer drugs
Kai Yuan1,2, Xiao Wang1,2, Haojie Dong1,2
1State Key Laboratory of Natural Medicines and Jiangsu Key Laboratory of Drug Design and Optimization, China Pharmaceutical University, Nanjing 210009, China.
Abstract:
The sustained cell proliferation resulting from dysregulation of the cell cycle and activation of cyclin-dependent kinases (CDKs) is a hallmark of cancer. The inhibition of CDKs is a highly promising and attractive strategy for the development of anticancer drugs. In particular, third-generation CDK inhibitors can selectively inhibit CDK4/6 and regulate the cell cycle by suppressing the G1 to S phase transition, exhibiting a perfect balance between anticancer efficacy and general toxicity. To date, three selective CDK4/6 inhibitors have received approval from the U.S. Food and Drug Administration (FDA), and 15 CDK4/6 inhibitors are in clinical trials for the treatment of cancers. In this perspective, we discuss the crucial roles of CDK4/6 in regulating the cell cycle and cancer cells, analyze the rationale for selectively inhibiting CDK4/6 for cancer treatment, review the latest advances in highly selective CDK4/6 inhibitors with different chemical scaffolds, explain the mechanisms associated with CDK4/6 inhibitor resistance and describe solutions to overcome this issue, and briefly introduce proteolysis targeting chimera (PROTAC), a new and revolutionary technique used to degrade CDK4/6.
Insights
Targeting cyclin-dependent kinases 4/6 (CDK4/6) with inhibitors offers a promising cancer therapy strategy. These inhibitors selectively block cell cycle progression, balancing efficacy and toxicity for improved cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer is characterized by uncontrolled cell proliferation due to cell cycle dysregulation and cyclin-dependent kinases (CDKs) activation.
- Inhibiting CDKs presents a promising strategy for developing novel anticancer therapeutics.
- Selective CDK4/6 inhibition offers a balanced approach to anticancer efficacy and general toxicity.
Purpose of the Study:
- To discuss the critical roles of CDK4/6 in cell cycle regulation and cancer progression.
- To analyze the rationale behind selective CDK4/6 inhibition for cancer therapy.
- To review advancements in selective CDK4/6 inhibitors, resistance mechanisms, and emerging degradation techniques like PROTAC.
Main Methods:
- Literature review and analysis of current research on CDK4/6 inhibitors.
- Discussion of the cell cycle regulation by CDK4/6.
- Exploration of resistance mechanisms and potential solutions, including proteolysis targeting chimera (PROTAC).
Main Results:
- Three selective CDK4/6 inhibitors are FDA-approved; 15 are in clinical trials.
- Selective CDK4/6 inhibitors effectively regulate the cell cycle by suppressing the G1 to S phase transition.
- Understanding resistance mechanisms is crucial for optimizing therapeutic strategies.
Conclusions:
- Selective CDK4/6 inhibitors represent a significant advancement in cancer treatment, offering improved efficacy and reduced toxicity.
- Ongoing research into novel inhibitors, resistance circumvention, and degradation technologies like PROTAC promises further therapeutic breakthroughs.
- Targeted inhibition of CDK4/6 is a validated and expanding strategy in oncology.
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