CDK4/6 inhibitors: A potential therapeutic approach for triple negative breast cancer
Lubaid Saleh1, Caroline Wilson2, Ingunn Holen1
1Department of Oncology and Metabolism Medical School University of Sheffield Sheffield UK.
Abstract:
Triple negative breast cancer (TNBC) cells lack expression of the estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor-2 (HER-2). Thus, TNBC does not respond to hormone-based therapy. TNBC is also an aggressive subtype associated with poorer prognoses compared to other breast cancers. Conventional chemotherapeutics are used to manage TNBC although systemic relapse is common with limited benefits being reported as well as adverse events being documented. Here, we discuss current therapies for TNBC in the neo- and adjuvant settings, as well as recent advancements in the targeting of PD-L1-positive tumors and inclusion of PARP inhibitors for TNBC patients with BRCA mutations. The recent development of cyclin-dependent kinase (CDK) 4/6 inhibitors in ER-positive breast cancers has demonstrated significant improvements in progression free survival in patients. Here, we review preclinical data of CDK 4/6 inhibitors and describe current clinical trials assessing these in TNBC disease.
Insights
Triple negative breast cancer (TNBC) is an aggressive cancer subtype. This review discusses current TNBC therapies and explores the potential of cyclin-dependent kinase (CDK) 4/6 inhibitors for treating this challenging disease.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Triple negative breast cancer (TNBC) lacks estrogen receptor (ER), progesterone receptor (PR), and HER-2 expression, rendering it unresponsive to hormone therapies.
- TNBC is an aggressive breast cancer subtype with poorer prognoses and frequent systemic relapse despite conventional chemotherapy.
- Current treatment strategies for TNBC include neoadjuvant and adjuvant therapies, with emerging options targeting PD-L1-positive tumors and PARP inhibitors for BRCA-mutated cases.
Purpose of the Study:
- To review current therapeutic approaches for triple negative breast cancer (TNBC).
- To discuss recent advancements in TNBC treatment, including immunotherapy and targeted therapies.
- To evaluate the preclinical data and ongoing clinical trials of cyclin-dependent kinase (CDK) 4/6 inhibitors in TNBC.
Main Methods:
- Review of preclinical data on CDK 4/6 inhibitors.
- Analysis of current clinical trials investigating CDK 4/6 inhibitors in TNBC.
- Discussion of existing TNBC treatment modalities and novel therapeutic targets.
Main Results:
- CDK 4/6 inhibitors have shown significant improvements in progression-free survival in ER-positive breast cancers.
- Preclinical data suggests potential efficacy of CDK 4/6 inhibitors in TNBC.
- Ongoing clinical trials are actively assessing the role of CDK 4/6 inhibitors in TNBC treatment.
Conclusions:
- Novel therapeutic strategies are urgently needed for triple negative breast cancer (TNBC).
- CDK 4/6 inhibitors represent a promising targeted therapy for TNBC, with ongoing research evaluating their clinical utility.
- The integration of CDK 4/6 inhibitors could potentially improve outcomes for TNBC patients.
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