Cancer therapy by cyclin-dependent kinase inhibitors (CDKIs): bench to bedside
Ali Hassanzadeh1, Navid Shomali2,3, Amin Kamrani2,3
1Department of Applied Cell Sciences, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
A major characteristic of cancer is dysregulated cell division, which results in aberrant growth of cells. Consequently, medicinal targets that prevent cell division would be useful in the fight against cancer. The primary regulator of proliferation is a complex consisting of cyclin and cyclin-dependent kinases (CDKs). The FDA has granted approval for CDK inhibitors (CDKIs) to treat metastatic hormone receptor-positive breast cancer. Specifically, CDK4/6 CDKIs block the enzyme activity of CDK4 and CDK6. Unfortunately, the majority of first-generation CDK inhibitors, also known as pan-CDK inhibitors because they target multiple CDKs, have not been authorized for clinical use owing to their serious side effects and lack of selection. In contrast to this, significant advancements have been created to permit the use of pan-CDK inhibitors in therapeutic settings. Notably, the toxicity and negative consequences of pan-CDK inhibitors have been lessened in recent years thanks to the emergence of combination therapy tactics. Therefore, pan-CDK inhibitors have renewed promise for clinical use when used in a combination regimen. The members of the CDK family have been reviewed and their primary roles in cell cycle regulation were covered in this review. Next, we provided an overview of the state of studies on CDK inhibitors.
Insights
Targeting cell division with cyclin-dependent kinase (CDK) inhibitors shows promise for cancer treatment. Combination therapies are improving the safety and efficacy of pan-CDK inhibitors, making them viable for clinical use.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer is characterized by uncontrolled cell division, making cell cycle regulators like cyclin-dependent kinases (CDKs) critical therapeutic targets.
- While CDK inhibitors (CDKIs) are approved for certain cancers, first-generation pan-CDK inhibitors faced challenges due to toxicity and lack of specificity.
- Recent advancements in combination therapy have shown potential in mitigating the adverse effects of pan-CDK inhibitors.
Purpose of the Study:
- To review the members of the CDK family and their roles in cell cycle regulation.
- To provide an overview of the current research landscape for CDK inhibitors.
- To highlight the renewed potential of pan-CDK inhibitors in combination therapy for cancer treatment.
Main Methods:
- Literature review of CDK family members and their functions in cell cycle regulation.
- Review of existing studies on various CDK inhibitors, including first-generation pan-CDK inhibitors.
- Analysis of recent advancements in combination therapy strategies involving CDK inhibitors.
Main Results:
- Cyclin-dependent kinases (CDKs) are central regulators of the cell cycle, making them key targets in cancer therapy.
- First-generation pan-CDK inhibitors demonstrated significant toxicity and lack of selectivity, limiting their clinical application.
- Emerging combination therapy approaches have successfully reduced the toxicity of pan-CDK inhibitors, enhancing their therapeutic potential.
Conclusions:
- Pan-CDK inhibitors, when used in combination regimens, offer renewed promise for clinical application in cancer treatment.
- Further research into optimizing combination therapies is crucial for maximizing the efficacy and safety of CDK inhibitors.
- Understanding CDK family roles is essential for developing targeted cancer therapies.
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