Targeting CDK9 with selective inhibitors or degraders in tumor therapy: an overview of recent developments
Lanshu Xiao1,2, Yi Liu1, Hui Chen1
1Department of Clinical Laboratory, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Abstract:
As a catalytic subunit of the positive transcription elongation factor b (P-TEFb), cyclin-dependent kinase 9 (CDK9) has been demonstrated to contribute to carcinogenesis. This review focuses on the development of selective CDK9 inhibitors and proteolysis-targeting chimera (PROTAC) degraders. Twenty selective CDK9 inhibitors and degraders are introduced along with their structures, IC50 values, in vitro and in vivo experiments, mechanisms underlying their inhibitory effects, and combination regimens. NVP-2, MC180295, fadraciclib, KB-0742, LZT-106, and 21e have been developed mainly for treating solid tumors, and most of them work only on certain genotypes of solid tumors. Only VIP152 has been proven to benefit the patients with advanced high-grade lymphoma (HGL) and solid tumors in clinical trials. Continued efforts to explore the molecular mechanisms underlying the inhibitory effects, and to identify suitable tumor genotypes and combination treatment strategies, are crucial to demonstrate the efficacy of selective CDK9 inhibitors and degraders in tumor therapy.
Insights
Selective cyclin-dependent kinase 9 (CDK9) inhibitors and PROTAC degraders show promise in cancer therapy. Further research is needed to optimize their use in specific tumor types and combination treatments.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Cyclin-dependent kinase 9 (CDK9), a key component of the positive transcription elongation factor b (P-TEFb), plays a role in cancer development.
- Targeting CDK9 offers a potential therapeutic strategy for various malignancies.
Purpose of the Study:
- To review the development of selective CDK9 inhibitors and proteolysis-targeting chimera (PROTAC) degraders.
- To summarize their structures, efficacy, mechanisms, and potential combination therapies.
Main Methods:
- Literature review of selective CDK9 inhibitors and PROTAC degraders.
- Analysis of preclinical and clinical data for identified compounds.
Main Results:
- Twenty selective CDK9 inhibitors and degraders were identified, with detailed information on their properties.
- Several inhibitors (NVP-2, MC180295, fadraciclib, KB-0742, LZT-106, 21e) are developed for solid tumors, often genotype-specific.
- VIP152 demonstrated efficacy in clinical trials for advanced high-grade lymphoma and solid tumors.
Conclusions:
- Selective CDK9 inhibitors and degraders represent a developing class of anti-cancer agents.
- Identifying optimal tumor genotypes and combination strategies is crucial for clinical success.
- Further investigation into molecular mechanisms is essential for advancing CDK9-targeted therapies.
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