Targeting cyclin-dependent kinases in cancer: emerging therapeutics and clinical strategies
Harold N Tan1, Giuseppe Curigliano2, Timothy A Yap3
1Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
Cyclin-dependent kinases (CDKs) regulate cell cycle progression, and their dysregulation is a hallmark of cancer. CDK4/6 inhibitors have shown clinical success against hormone receptor (HR)-positive, Human epidermal growth factor receptor (HER2)-negative breast cancer but encounter adaptive resistance, dose-limiting toxicities, and limited activity in other tumor contexts. Emerging strategies include CDK4-selective, CDK2-selective, and pan-CDK2/4/6 inhibitors designed to overcome resistance and enhance tolerability. In parallel, novel modalities such as proteolysis-targeting degraders, molecular glue degraders, and cyclin-directed agents offer new opportunities to exploit cell cycle vulnerabilities. Several of these candidates have entered early-phase clinical evaluation, marking a new era in CDK-targeted therapy. This review synthesizes recent preclinical and clinical advances, defines key challenges in optimizing efficacy and safety, and outlines future directions for integrating CDK-directed strategies within precision oncology frameworks.
Insights
Cyclin-dependent kinase (CDK) inhibitors show promise in cancer therapy, but resistance and toxicity limit their use. New CDK-targeting drugs and strategies are emerging to improve efficacy and safety in precision oncology.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cyclin-dependent kinases (CDKs) are crucial regulators of the cell cycle, and their aberrant activity is implicated in cancer development.
- Current CDK4/6 inhibitors are effective for hormone receptor-positive, HER2-negative breast cancer but face challenges like adaptive resistance and toxicity.
- Limited efficacy in other cancer types necessitates the development of novel CDK-targeting agents.
Purpose of the Study:
- To review recent advancements in CDK-targeted cancer therapies.
- To discuss emerging strategies and novel modalities for CDK inhibition.
- To identify challenges and future directions for optimizing CDK-directed therapies in precision oncology.
Main Methods:
- Literature review of preclinical and clinical studies on CDK inhibitors.
- Synthesis of data on novel CDK inhibitors, including selective and pan-CDK agents.
- Analysis of emerging therapeutic modalities like proteolysis-targeting degraders.
Main Results:
- Development of CDK4-selective, CDK2-selective, and pan-CDK2/4/6 inhibitors to overcome resistance and improve tolerability.
- Emergence of novel agents such as proteolysis-targeting degraders and molecular glue degraders.
- Several new CDK-directed candidates are undergoing early-phase clinical trials.
Conclusions:
- New generations of CDK inhibitors and novel modalities represent a promising frontier in cancer treatment.
- Addressing challenges in efficacy and safety is crucial for successful clinical integration.
- Future research should focus on integrating these CDK-directed strategies into personalized cancer treatment plans.
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