Targeting CDK2 to combat drug resistance in cancer therapy
Sara Kasirzadeh1, Jimma Likisa Lenjisa1, Shudong Wang1
1Drug Discovery & Development, Clinical & Health Sciences, University of South Australia, Adelaide, 5000, Australia.
Abstract:
Drug resistance remains a major obstacle in cancer treatment, leading to treatment failures and high mortality rates. Despite advancements in therapies, overcoming resistance requires a deeper understanding of its mechanisms. This review highlights CDK2's pivotal role in both intrinsic and acquired resistance, and its potential as a therapeutic target. Cyclin E upregulation, which partners with CDK2, is linked to poor prognosis and resistance across various cancers. Specifically, amplifications of CCNE1/CCNE2 are associated with resistance to targeted therapies, immunotherapy, endocrine therapies and chemo/radiotherapy. Given CDK2's involvement in resistance mechanisms, investigating its role presents promising opportunities for developing novel strategies to combat resistance and improve treatment outcomes.
Insights
Drug resistance is a major challenge in cancer. This review shows Cyclin-dependent Kinase 2 (CDK2) drives resistance to various cancer treatments, making it a potential therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Drug resistance is a significant barrier to effective cancer treatment, contributing to high mortality rates.
- Understanding the molecular mechanisms underlying cancer drug resistance is crucial for developing improved therapeutic strategies.
Purpose of the Study:
- To review the critical role of Cyclin-dependent Kinase 2 (CDK2) in both intrinsic and acquired drug resistance in various cancers.
- To evaluate CDK2 as a potential therapeutic target for overcoming treatment resistance.
Main Methods:
- Literature review focusing on studies investigating CDK2 and its associated proteins in cancer resistance.
- Analysis of the link between Cyclin E (partner of CDK2) upregulation and patient prognosis.
- Examination of genetic alterations, such as CCNE1/CCNE2 amplifications, and their association with resistance to diverse therapies.
Main Results:
- CDK2 plays a pivotal role in intrinsic and acquired resistance across multiple cancer types.
- Upregulation of Cyclin E, which complexes with CDK2, correlates with poor prognosis and treatment resistance.
- Amplifications of CCNE1/CCNE2 genes are frequently observed in cancers resistant to targeted therapies, immunotherapy, endocrine therapies, and conventional chemo/radiotherapy.
Conclusions:
- CDK2 is implicated in key resistance mechanisms, highlighting its significance in cancer treatment failure.
- Targeting CDK2 presents a promising avenue for developing novel therapeutic strategies to overcome drug resistance.
- Further investigation into CDK2's role can lead to improved treatment outcomes and reduced cancer mortality.
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