Department of Molecular Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
Department of Clinical Pharmacology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
Clin Cancer Res. 2017 Aug 15;23(16):4540-4544. doi: 10.1158/1078-0432.CCR-17-0520. Epub 2017 Apr 25.
Wee1 is a protein kinase that regulates the G checkpoint and prevents entry into mitosis in response to DNA damage. Cyclin-dependent kinases (CDK) are a family of 14 serine/threonine protein kinases that coordinate the progression through the cell cycle. The Cdc2/cyclin B complex controls the progression from G into mitosis. There are two mechanisms by which the G checkpoint is initiated in response to DNA damage: phosphorylation of Cdc25c by CHK1 and of the Wee1 kinase, which phosphorylates Cdc2. Blockade at the G checkpoint is especially important for p53-mutant cells because these tumors mainly rely on DNA repair at the G checkpoint. AZD1775 (formerly MK-1775) is a small-molecule, pyrazol-pyrimidine derivative and potent and ATP-competitive specific inhibitor of the Wee1 kinase. Several preclinical and clinical studies demonstrated encouraging antitumor effects with manageable side effects of the combination of Wee1 inhibition and DNA-damaging agents. Promising combination schedules are being investigated at the moment, for example, combining PARP inhibition and Wee1 inhibition. Also, a weekly schedule with carboplatin and AZD1775 warrants investigation aimed at further improving the antitumor effect. .
Wee1 是一种蛋白激酶,可调节 G 期检查点,防止细胞在应对 DNA 损伤时进入有丝分裂。细胞周期蛋白依赖性激酶(CDK)是一类由 14 种丝氨酸/苏氨酸蛋白激酶组成的家族,可协调细胞周期的进展。Cdc2/周期蛋白 B 复合物控制从 G1 期进入有丝分裂。有两种机制可以启动 G 期检查点以应对 DNA 损伤:CHK1 磷酸化 Cdc25c 和 Wee1 激酶磷酸化 Cdc2。G 期检查点的阻滞对于 p53 突变细胞尤为重要,因为这些肿瘤主要依赖 G 期检查点的 DNA 修复。AZD1775(前身为 MK-1775)是一种小分子、吡唑嘧啶衍生物,是 Wee1 激酶的有效且 ATP 竞争性的特异性抑制剂。几项临床前和临床研究表明,Wee1 抑制与 DNA 损伤药物联合使用具有令人鼓舞的抗肿瘤作用,副作用可控制。目前正在研究有前途的联合方案,例如 PARP 抑制与 Wee1 抑制联合。此外,每周一次的卡铂和 AZD1775 方案也值得进一步研究,旨在提高抗肿瘤效果。
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