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细胞周期蛋白依赖性激酶4和6抑制剂:晚期乳腺癌治疗的重大飞跃。

Cyclin-Dependent Kinase 4 and 6 Inhibitors: A Quantum Leap in the Treatment of Advanced Breast Cancers.

作者信息

Reddy Sanjana, Barkhane Zineb, Elmadi Jalal, Satish Kumar Lakshmi, Pugalenthi Lakshmi Sree, Ahmad Mahlika

机构信息

Obstetrics and Gynaecology, Bogomolets National Medical University, Kiev, UKR.

Research, Université Hassan II, Faculté de Médecine et de Pharmacie de Casablanca, Casablanca, MAR.

出版信息

Cureus. 2022 Apr 6;14(4):e23901. doi: 10.7759/cureus.23901. eCollection 2022 Apr.

DOI:10.7759/cureus.23901
PMID:35530846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9076043/
Abstract

Breast cancer (BC) is defined as an uncontrolled growth of breast cells that affected 2.3 million women in 2020 alone. Until a few years earlier, radiotherapy and chemotherapy were the most commonly used treatments in treating BC; however, many trials and studies were conducted to test the competence of cyclin-dependent kinases 4/6 (CDK4/6) in arresting the cell cycle, and it was found that they were highly influential in halting the disease from progressing. Palbociclib, ribociclib, and abemaciclib are the three drugs that have been approved by the US Food and Drug Administration (FDA) and are even more efficient when used in combination with aromatase inhibitors and fulvestrant. This article aimed to explain the effect of CDK4/6 inhibitors on tumor cells and their efficacy in combination with other drugs. We further explored the development of resistance to these treatments and future possibilities.

摘要

乳腺癌(BC)是指乳腺细胞的失控性生长,仅在2020年就影响了230万女性。就在几年前,放疗和化疗还是治疗乳腺癌最常用的方法;然而,人们进行了许多试验和研究来测试细胞周期蛋白依赖性激酶4/6(CDK4/6)在阻止细胞周期方面的能力,结果发现它们在阻止疾病进展方面具有高度影响力。帕博西尼、瑞博西尼和阿贝西利是三种已被美国食品药品监督管理局(FDA)批准的药物,与芳香化酶抑制剂和氟维司群联合使用时效果更佳。本文旨在解释CDK4/6抑制剂对肿瘤细胞的作用及其与其他药物联合使用的疗效。我们还进一步探讨了对这些治疗产生耐药性的发展情况以及未来的可能性。

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本文引用的文献

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Phase I/II Trial of Exemestane, Ribociclib, and Everolimus in Women with HR/HER2 Advanced Breast Cancer after Progression on CDK4/6 Inhibitors (TRINITI-1).依维莫司、来曲唑和瑞博西利用于 CDK4/6 抑制剂治疗后进展的 HR/HER2 阳性晚期乳腺癌女性的 I/II 期试验(TRINITI-1)。
Clin Cancer Res. 2021 Aug 1;27(15):4177-4185. doi: 10.1158/1078-0432.CCR-20-2114. Epub 2021 Mar 15.
2
Selective inhibition of CDK4/6: A safe and effective strategy for developing anticancer drugs.细胞周期蛋白依赖性激酶4/6的选择性抑制:一种开发抗癌药物的安全有效策略。
Acta Pharm Sin B. 2021 Jan;11(1):30-54. doi: 10.1016/j.apsb.2020.05.001. Epub 2020 May 23.
3
Targeting Cell Cycle in Breast Cancer: CDK4/6 Inhibitors.靶向乳腺癌细胞周期:CDK4/6 抑制剂。
Int J Mol Sci. 2020 Sep 4;21(18):6479. doi: 10.3390/ijms21186479.
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Future perspectives and challenges with CDK4/6 inhibitors in hormone receptor-positive metastatic breast cancer.CDK4/6 抑制剂在激素受体阳性转移性乳腺癌中的未来展望和挑战。
Future Oncol. 2020 Nov;16(32):2661-2672. doi: 10.2217/fon-2020-0234. Epub 2020 Aug 17.
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Immunotherapy for platinum-resistant ovarian cancer.铂耐药卵巢癌的免疫治疗。
Gynecol Oncol. 2020 Aug;158(2):484-488. doi: 10.1016/j.ygyno.2020.05.681. Epub 2020 Jun 6.
6
The Genomic Landscape of Intrinsic and Acquired Resistance to Cyclin-Dependent Kinase 4/6 Inhibitors in Patients with Hormone Receptor-Positive Metastatic Breast Cancer.激素受体阳性转移性乳腺癌患者中细胞周期蛋白依赖性激酶 4/6 抑制剂的内在和获得性耐药的基因组特征
Cancer Discov. 2020 Aug;10(8):1174-1193. doi: 10.1158/2159-8290.CD-19-1390. Epub 2020 May 13.
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Cyclin-dependent kinase 4 and 6 inhibitors for hormone receptor-positive breast cancer: past, present, and future.细胞周期蛋白依赖性激酶 4 和 6 抑制剂治疗激素受体阳性乳腺癌:过去、现在和未来。
Lancet. 2020 Mar 7;395(10226):817-827. doi: 10.1016/S0140-6736(20)30165-3.
8
Ribociclib-associated vortex keratopathy.瑞博西尼相关的涡状角膜病变。
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Mechanisms of Resistance to CDK4/6 Inhibitors: Potential Implications and Biomarkers for Clinical Practice.对CDK4/6抑制剂的耐药机制:对临床实践的潜在影响及生物标志物
Front Oncol. 2019 Jul 23;9:666. doi: 10.3389/fonc.2019.00666. eCollection 2019.