Restoring order at the cell cycle border: Co-targeting CDK4/6 and CDK2

Rinath Jeselsohn1, Rachel Schiff2, Albert Grinshpun3

  • 1Breast Oncology Center, Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, USA; Division of Molecular and Cellular Oncology, Dana Farber Cancer Institute, Boston, MA, USA; Center for Functional Cancer Epigenetics, Dana Farber Cancer Institute, Boston, MA, USA.

Cancer Cell
|September 10, 2021
PubMed

Insights

Resistance to CDK4/6 inhibitors is a challenge. A new study identifies cyclin E-CDK2 and Myc signaling as key resistance pathways and introduces a novel CDK2/4/6 inhibitor.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Cyclin-dependent kinase (CDK) 4/6 inhibitors are crucial in cancer therapy.
  • Acquired resistance limits the long-term efficacy of CDK4/6 inhibitors.
  • Understanding resistance mechanisms is vital for developing next-generation therapies.

Purpose of the Study:

  • To elucidate the molecular mechanisms driving resistance to CDK4/6 inhibitors.
  • To identify novel therapeutic targets for overcoming treatment resistance.
  • To develop a new inhibitor targeting key resistance pathways.

Main Methods:

  • Utilized a CRISPR activation (CRISPRa) screen to identify genes conferring resistance.
  • Analyzed the role of identified pathways in CDK4/6 inhibitor resistance.
  • Developed and characterized a novel selective inhibitor of CDK2, CDK4, and CDK6.

Main Results:

  • Identified the cyclin E-CDK2 axis as a critical mediator of resistance.
  • Uncovered the involvement of Myc signaling in acquired resistance.
  • Developed PF-06873600, a potent and selective inhibitor targeting CDK2/4/6.

Conclusions:

  • The cyclin E-CDK2 axis and Myc signaling are key drivers of resistance to CDK4/6 inhibitors.
  • Targeting CDK2 in combination with CDK4/6 inhibition may overcome resistance.
  • PF-06873600 represents a promising therapeutic strategy for resistant cancers.

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
Positive Regulator Molecules02:39

Positive Regulator Molecules

Mitotic cell division results in daughter cells that exactly resemble the parent cell. However, errors in the DNA replication or distribution of genetic material may lead to genetic mutations that may be passed down to every new cell formed from the resulting abnormal cell. Propagation of such mutant cells is restricted through checkpoint mechanisms present at different stages of the cell cycle. These checkpoints involve regulator molecules that either promote or demote cell cycle events.
5.8K
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
The Cell Cycle Control System01:28

The Cell Cycle Control System

The cell cycle regulation directs how a cell proceeds from one phase to the next and begins mitosis. The cell cycle control system includes intracellular regulatory molecules and external triggers. They provide "stop" or "advance" signals and operate at specific cell cycle stages termed checkpoints to ensure that a particular process is completed before the cell advances to the next phase.
Cyclins and cyclin-dependent kinases (Cdks) are the primary cell cycle regulators and...
4.1K
Negative Regulator Molecules01:23

Negative Regulator Molecules

Positive regulators allow a cell to advance through cell cycle checkpoints. Negative regulators have an equally important role as they terminate a cell’s progression through the cell cycle—or pause it—until the cell meets specific criteria.
36.7K
DNA Damage can Stall the Cell Cycle02:37

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
9.6K