Structure-guided design and development of cyclin-dependent kinase 4/6 inhibitors: A review on therapeutic
Mohd Yousuf1, Manzar Alam2, Anas Shamsi2
1Department of Biosciences, Jamia Millia Islamia, Jamia Nagar, New Delhi, India.
Abstract:
Cyclin-dependent kinase 6 (EC 2.7.11.22) play significant roles in numerous biological processes and triggers cell cycle events. CDK6 controlled the transcriptional regulation. A dysregulated function of CDK6 is linked with the development of progression of multiple tumor types. Thus, it is considered as an effective drug target for cancer therapy. Based on the direct roles of CDK4/6 in tumor development, numerous inhibitors developed as promising anti-cancer agents. CDK4/6 inhibitors regulate the G1 to S transition by preventing Rb phosphorylation and E2F liberation, showing potent anti-cancer activity in several tumors, including HR+/HER2- breast cancer. CDK4/6 inhibitors such as abemaciclib, palbociclib, and ribociclib, control cell cycle, provoke cell senescence, and induces tumor cell disturbance in pre-clinical studies. Here, we discuss the roles of CDK6 in cancer along with the present status of CDK4/6 inhibitors in cancer therapy. We further discussed, how structural features of CDK4/6 could be implicated in the design and development of potential anti-cancer agents. In addition, the therapeutic potential and limitations of available CDK4/6 inhibitors are described in detail. Recent pre-clinical and clinical information for CDK4/6 inhibitors are highlighted. In addition, combination of CDK4/6 inhibitors with other drugs for the therapeutic management of cancer are discussed.
Insights
Cyclin-dependent kinase 6 (CDK6) is crucial for cell cycle progression and is implicated in various cancers. CDK4/6 inhibitors show promise as anti-cancer agents by targeting cell cycle regulation, with ongoing research exploring their therapeutic potential and combinations.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- Cyclin-dependent kinase 6 (CDK6) regulates cell cycle events and transcriptional processes.
- Dysregulated CDK6 function is associated with the development and progression of multiple tumor types, making it a significant drug target.
- CDK4/6 inhibitors have emerged as promising anti-cancer agents due to their role in tumor development.
Purpose of the Study:
- To review the roles of CDK6 in cancer.
- To discuss the current status of CDK4/6 inhibitors in cancer therapy.
- To explore the potential for designing novel anti-cancer agents based on CDK4/6 structural features.
Main Methods:
- Literature review of CDK6's role in cancer.
- Analysis of pre-clinical and clinical data for CDK4/6 inhibitors.
- Discussion of structural implications for drug design.
- Review of combination therapies involving CDK4/6 inhibitors.
Main Results:
- CDK4/6 inhibitors prevent Rb phosphorylation and E2F liberation, inhibiting the G1 to S transition.
- These inhibitors demonstrate potent anti-cancer activity, particularly in HR+/HER2- breast cancer.
- Abemaciclib, palbociclib, and ribociclib are examples of CDK4/6 inhibitors that control cell cycle, induce senescence, and disrupt tumor cells in pre-clinical studies.
Conclusions:
- CDK6 plays a critical role in cancer, and CDK4/6 inhibitors represent a significant therapeutic strategy.
- Available CDK4/6 inhibitors have demonstrated therapeutic potential and limitations that require detailed understanding.
- Future directions include optimizing existing inhibitors and exploring combination therapies for enhanced cancer management.
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