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Updated: Sep 23, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Transcription associated cyclin-dependent kinases as therapeutic targets for prostate cancer
Theodora A Constantin1, Kyle K Greenland1, Anabel Varela-Carver1
1Imperial Centre for Translational and Experimental Medicine, Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Abstract:
Transcriptional deregulation has emerged as a hallmark of several cancer types. In metastatic castration-resistant prostate cancer, a stage in which systemic androgen deprivation therapies fail to show clinical benefit, transcriptional addiction to the androgen receptor is maintained in most patients. This has led to increased efforts to find novel therapies that prevent oncogenic transactivation of the androgen receptor. In this context, a group of druggable protein kinases, known as transcription associated cyclin-dependent kinases (tCDKs), show great potential as therapeutic targets. Despite initial reservations about targeting tCDKs due to their ubiquitous and prerequisite nature, preclinical studies showed that selectively inhibiting such kinases could provide sufficient therapeutic window to exert antitumour effects in the absence of systemic toxicity. As a result, several highly specific inhibitors are currently being trialled in solid tumours, including prostate cancer. This article summarises the roles of tCDKs in regulating gene transcription and highlights rationales for their targeting in prostate cancer. It provides an overview of the most recent developments in this therapeutic area, including the most recent clinical advances, and discusses the utility of tCDK inhibitors in combination with established cancer agents.
Insights
Transcription-associated cyclin-dependent kinases (tCDKs) are key targets in prostate cancer therapy. Inhibiting tCDKs shows promise for treating metastatic castration-resistant prostate cancer by blocking oncogenic gene transcription.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Transcriptional deregulation is a key feature in many cancers, including prostate cancer.
- Metastatic castration-resistant prostate cancer (mCRPC) often maintains dependence on androgen receptor signaling.
- Current therapies for mCRPC face limitations, necessitating novel treatment strategies.
Purpose of the Study:
- To summarize the role of transcription-associated cyclin-dependent kinases (tCDKs) in gene transcription.
- To highlight the rationale for targeting tCDKs in prostate cancer treatment.
- To review recent clinical advances and combination strategies involving tCDK inhibitors.
Main Methods:
- Review of preclinical studies on tCDK function and inhibition.
- Analysis of the therapeutic potential of selective tCDK inhibitors.
- Overview of current clinical trials and combination therapies in prostate cancer.
Main Results:
- Transcription-associated cyclin-dependent kinases (tCDKs) are identified as druggable targets.
- Selective inhibition of tCDKs demonstrates potential for anti-tumor effects with a therapeutic window.
- Several specific tCDK inhibitors are undergoing clinical trials for solid tumors, including prostate cancer.
Conclusions:
- Targeting tCDKs offers a promising therapeutic strategy for prostate cancer, particularly mCRPC.
- tCDK inhibitors may provide anti-tumor effects without significant systemic toxicity.
- Combination therapies involving tCDK inhibitors and established agents warrant further investigation.
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