分析细胞周期蛋白依赖性激酶抑制剂的支架多样性,并重新审视临床前和临床管道。

Analyzing the scaffold diversity of cyclin-dependent kinase inhibitors and revisiting the clinical and preclinical pipeline.

机构信息

Natural Products & Medicinal Chemistry Division, CSIR-Indian Institute of Integrative Medicine, Jammu, India.

Academy of Scientific & Innovative Research (AcSIR), Ghaziabad, India.

出版信息

Med Res Rev. 2022 Mar;42(2):654-709. doi: 10.1002/med.21856. Epub 2021 Oct 4.

Abstract

Kinases have gained an important place in the list of vital therapeutic targets because of their overwhelming clinical success in the last two decades. Among various clinically validated kinases, the cyclin-dependent kinases (CDK) are one of the extensively studied drug targets for clinical development. Food and Drug Administration has approved three CDK inhibitors for therapeutic use, and at least 27 inhibitors are under active clinical development. In the last decade, research and development in this area took a rapid pace, and thus the analysis of scaffold diversity is essential for future drug design. Available reviews lack the systematic study and discussion on the scaffold diversity of CDK inhibitors. Herein we have reviewed and critically analyzed the chemical diversity present in the preclinical and clinical pipeline of CDK inhibitors. Our analysis has shown that although several scaffolds represent CDK inhibitors, only the amino-pyrimidine is a well-represented scaffold. The three-nitrogen framework of amino-pyrimidine is a fundamental hinge-binding unit. Further, we have discussed the selectivity aspects among CDKs, the clinical trial dose-limiting toxicities, and highlighted the most advanced clinical candidates. We also discuss the changing paradigm towards selective inhibitors and an overview of ATP-binding pockets of all druggable CDKs. We carefully analyzed the clinical pipeline to unravel the candidates that are currently under active clinical development. In addition to the plenty of dual CDK4/6 inhibitors, there are many selective CDK7, CDK9, and CDK8/19 inhibitors in the clinical pipeline.

摘要

激酶因其在过去二十年中的临床巨大成功而在重要治疗靶标中占据重要地位。在各种经过临床验证的激酶中,细胞周期蛋白依赖性激酶(CDK)是临床开发中广泛研究的药物靶标之一。美国食品和药物管理局已批准三种 CDK 抑制剂用于治疗用途,至少有 27 种抑制剂正在积极进行临床开发。在过去十年中,该领域的研究和开发步伐迅速,因此分析支架多样性对于未来的药物设计至关重要。现有的综述缺乏对 CDK 抑制剂支架多样性的系统研究和讨论。在此,我们回顾并批判性地分析了处于临床前和临床阶段的 CDK 抑制剂的化学多样性。我们的分析表明,尽管有几种支架代表 CDK 抑制剂,但只有氨基嘧啶是一个得到很好体现的支架。氨基嘧啶的三氮框架是基本的铰链结合单元。此外,我们还讨论了 CDKs 之间的选择性方面、临床试验剂量限制毒性,并突出了最先进的临床候选药物。我们还讨论了向选择性抑制剂转变的范例以及所有可成药 CDK 的 ATP 结合口袋概述。我们仔细分析了临床流水线,以揭示当前处于积极临床开发中的候选药物。除了大量的双重 CDK4/6 抑制剂外,临床流水线中还有许多选择性 CDK7、CDK9 和 CDK8/19 抑制剂。

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