Cyclin-dependent kinase 4 and 6 inhibitors in breast cancer treatment

Zhengfei Guo1, Richard W Dong2, Yusheng Wu1

  • 1TYK Medicines, Inc., Huzhou, Zhejiang, 313100, China.

Oncogene
|April 8, 2025
PubMed

Insights

Targeting cyclin-dependent kinase 4 and 6 (CDK4/6) shows promise in breast cancer treatment. This review explores resistance mechanisms and combination strategies to overcome acquired resistance to CDK4/6 inhibitors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Breast cancer is a leading cause of cancer mortality globally, particularly in women.
  • Aberrant cyclin-dependent kinase 4 and 6 (CDK4/6) pathway activation drives uncontrolled breast cancer cell proliferation.
  • CDK4/6 inhibitors are approved for hormone receptor-positive, HER2-negative metastatic breast cancer, demonstrating significant success.

Purpose of the Study:

  • To systematically review the mechanisms of acquired resistance to CDK4/6 inhibitors in breast cancer.
  • To analyze combination strategies to enhance the efficacy of CDK4/6 inhibitors.

Main Methods:

  • Systematic review of existing literature on CDK4/6 inhibitor resistance.
  • Analysis of cell cycle-specific and cell cycle-nonspecific resistance mechanisms.
  • Evaluation of preclinical and clinical data on combination therapies.

Main Results:

  • Identified diverse mechanisms contributing to acquired resistance to CDK4/6 inhibitors.
  • Highlighted the potential of combining CDK4/6 inhibitors with other targeted agents.
  • Demonstrated that combination strategies can overcome resistance and improve therapeutic outcomes.

Conclusions:

  • Understanding resistance mechanisms is crucial for improving CDK4/6 inhibitor therapy.
  • Combination strategies offer a promising approach to enhance clinical applications of CDK4/6 inhibitors.
  • Further research into combination therapies may lead to improved survival rates for breast cancer patients.

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