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.
Abstract:
Breast cancer is the second largest cancer in the world, and it has highest mortality rate in women worldwide. The aberrant activation of the cyclin-dependent kinase 4 and 6 (CDK4/6) pathway plays an important role in uncontrolled breast cancer cell proliferation. Therefore, targeting CDK4/6 to improve overall survival rates has been a strong interest in breast cancer therapeutics. Till date, four CDK4/6 inhibitors have been developed and approved for hormone receptor-positive and human epidermal growth factor receptor 2 (HER2)-negative metastatic breast cancer therapies with great success. However, acquired resistance to CDK4/6 inhibitors has emerged and limits their effectiveness in breast cancer. In this review, we systematically discussed the mechanisms of resistance to CDK4/6 inhibitors including the cell cycle-specific and cell cycle-nonspecific mechanisms. Also, we analyzed combination strategies with other signaling inhibitors in clinical and preclinical settings that further expand the clinical application of CDK4/6 inhibitors in future breast cancer therapies.
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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