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Published on: June 9, 2023
Targeting WEE1 Kinase for Breast Cancer Therapeutics: An Update
Zhao Zhang1, Ritika Harish1, Naveed Elahi2
1Pennsylvania Cancer and Regenerative Medicine Research Center, Baruch S. Blumberg Institute, 100 East Lancaster Avenue, LIMR R234, Wynnewood, PA 19096, USA.
Abstract:
WEE1 kinase is a crucial cell cycle regulatory protein that controls the timing of mitotic entry. WEE1, via inhibition of Cyclin-dependent Kinase 1 (CDK1) and Cyclin-dependent Kinase 2 (CDK2), governs the G2-M checkpoint by inhibiting entry into mitosis. The state of balance between WEE family kinases and CDC25C phosphatases restricts CDK1/CycB activity. The WEE kinase family consists of WEE1, PKMYT1, and WEE2 (WEE1B). WEE1 and PKMYT1 regulate entry into mitosis during cell cycle progression, whereas WEE2 governs cell cycle progression during meiosis. Recent studies have identified WEE1 as a potential therapeutic target in several cancers, including therapy-resistant triple-negative breast cancer. Adavosertib's clinical promise was challenged by inter-individual variations in response and side effects. Because of these promising preclinical outcomes, other WEE1 kinase inhibitors (Azenosertib, SC0191, IMP7068, PD0407824, PD0166285, WEE1-IN-5, Zedoresertib, WEE1-IN-8, and ATRN-1051) are being developed, with several currently being evaluated in clinical trials or as an adjuvant to chemotherapies. Preclinical studies show WEE1 inhibitors induce MHC class 1 antigens and STING when given as combination therapies, suggesting potential additional therapeutic opportunities. Reliable predictors of clinical responses based on mechanistic insights remain an important unmet need. Herein, we review the role of WEE1 inhibition therapy in breast cancer.
Insights
WEE1 kinase inhibitors show promise for treating breast cancer, especially triple-negative types. New drugs are in development, with potential for combination therapies and improved patient response prediction.
Area of Science:
- Oncology
- Molecular Biology
- Cell Cycle Regulation
Background:
- WEE1 kinase is a key regulator of the G2-M checkpoint, controlling entry into mitosis by inhibiting CDK1/CDK2.
- The WEE kinase family includes WEE1, PKMYT1, and WEE2, with WEE1 and PKMYT1 involved in mitotic entry and WEE2 in meiosis.
- WEE1 is a promising therapeutic target in various cancers, including therapy-resistant triple-negative breast cancer.
Purpose of the Study:
- To review the role of WEE1 inhibition therapy in breast cancer treatment.
- To discuss the development and clinical evaluation of novel WEE1 kinase inhibitors.
- To explore potential combination therapies and the need for response predictors.
Main Methods:
- Literature review of WEE1 kinase function, inhibition, and therapeutic applications in breast cancer.
- Analysis of preclinical and clinical data for WEE1 inhibitors.
- Examination of mechanisms of action, including immune modulation.
Main Results:
- WEE1 inhibition is being explored as a therapeutic strategy for breast cancer, with several inhibitors in clinical trials.
- Adavosertib showed clinical promise but faced challenges with response variability and side effects.
- Preclinical studies suggest WEE1 inhibitors can enhance anti-cancer immunity through MHC class I and STING induction.
Conclusions:
- WEE1 kinase inhibitors represent a developing therapeutic avenue for breast cancer.
- Further research is needed to identify reliable predictors of clinical response to WEE1 inhibition.
- Combination therapies involving WEE1 inhibitors may offer enhanced efficacy and novel therapeutic opportunities.
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