CDK4/6 Inhibitors in Melanoma: A Comprehensive Review

Mattia Garutti1, Giada Targato2, Silvia Buriolla2

  • 1CRO Aviano National Cancer Institute IRCCS, 33081 Aviano, Italy.

Cells
|June 2, 2021
PubMed

Insights

Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors show promise for melanoma treatment. This review explores their potential, preclinical data, and ongoing clinical trials for this challenging cancer.

Area of Science:

  • Oncology
  • Dermatology
  • Pharmacology

Background:

  • Metastatic melanoma historically had a poor prognosis.
  • Recent advances include BRAF/MEK inhibitors and anti-PD1 antibodies, revolutionizing treatment.
  • However, not all patients benefit from current therapies, necessitating novel approaches.

Purpose of the Study:

  • To review the current literature on Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors in melanoma treatment.
  • To present the molecular and genetic rationale for using CDK4/6 inhibitors in melanoma.
  • To summarize preclinical and clinical data, and ongoing trials for CDK4/6 inhibitors in melanoma.

Main Methods:

  • Comprehensive literature review of preclinical and clinical studies.
  • Analysis of molecular and genetic data relevant to CDK4/6 inhibition in melanoma.
  • Summary of ongoing clinical trials investigating CDK4/6 inhibitors.

Main Results:

  • Preliminary evidence suggests promising activity of CDK4/6 inhibitors in melanoma.
  • CDK4/6 inhibitors are already approved for other cancers, indicating a potential therapeutic window.
  • Ongoing clinical trials are evaluating their efficacy and safety in various melanoma settings.

Conclusions:

  • CDK4/6 inhibitors represent a promising new therapeutic strategy for melanoma.
  • Further clinical investigation is warranted to establish their role in melanoma management.
  • These agents may offer benefit to patients who do not respond to or progress on existing treatments.

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...
5.1K
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...
5.8K
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
5.0K
Cancer-Critical Genes II: Tumor Suppressor Genes01:05

Cancer-Critical Genes II: Tumor Suppressor Genes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
8.5K
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...
8.0K
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
595