Department of Pharmaceutical Chemistry, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysuru, 570015, India.
Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysuru, 570015, India.
Curr Cancer Drug Targets. 2023;23(8):603-619. doi: 10.2174/1568009623666230320144713.
The ability to address the cell cycle in cancer therapy brings up new medication development possibilities. Cyclin-dependent kinases are a group of proteins that control the progression of the cell cycle. The CDK/cyclin complexes are activated when specific CDK sites are phosphorylated. Because of their non-selectivity and severe toxicity, most first-generation CDK inhibitors (also known as pan-CDK inhibitors) have not been authorized for clinical usage. Despite this, significant progress has been made in allowing pan-CDK inhibitors to be employed in clinical settings. Pan-CDK inhibitors' toxicity and side effects have been lowered in recent years because of the introduction of combination therapy techniques. As a result of this, pan-CDK inhibitors have regained a lot of clinical potential as a combination therapy approach. The CDK family members have been introduced in this overview, and their important roles in cell cycle control have been discussed. Then, we have described the current state of CDK inhibitor research, with a focus on inhibitors other than CDK4/6. We have mentioned first-generation pan-CDKIs, flavopiridol and roscovitine, as well as second-generation CDKIs, dinaciclib, P276-00, AT7519, TG02, roniciclib, and RGB-286638, based on their research phases, clinical trials, and cancer targeting. CDKIs are CDK4/6, CDK7, CDK9, and CDK12 inhibitors. Finally, we have looked into the efficacy of CDK inhibitors and PD1/PDL1 antibodies when used together, which could lead to the development of a viable cancer treatment strategy.
在癌症治疗中靶向细胞周期的能力带来了新的药物开发可能性。细胞周期蛋白依赖性激酶(Cyclin-dependent kinases,CDKs)是一组控制细胞周期进程的蛋白质。当特定的 CDK 位点磷酸化时,CDK/细胞周期蛋白复合物被激活。由于第一代 CDK 抑制剂(也称为泛 CDK 抑制剂)的非选择性和严重毒性,大多数尚未被批准用于临床应用。尽管如此,在将泛 CDK 抑制剂应用于临床环境方面已经取得了重大进展。近年来,由于联合治疗技术的引入,降低了泛 CDK 抑制剂的毒性和副作用。因此,泛 CDK 抑制剂作为联合治疗方法重新获得了大量的临床潜力。本文概述了 CDK 家族成员,并讨论了它们在细胞周期控制中的重要作用。然后,我们描述了 CDK 抑制剂研究的现状,重点介绍了 CDK4/6 以外的抑制剂。我们根据研究阶段、临床试验和癌症靶向,提到了第一代泛 CDKIs(flavopiridol 和 roscovitine)和第二代 CDKIs(dinaciclib、P276-00、AT7519、TG02、roniciclib 和 RGB-286638)。CDKIs 是 CDK4/6、CDK7、CDK9 和 CDK12 的抑制剂。最后,我们研究了 CDK 抑制剂与 PD1/PDL1 抗体联合使用的疗效,这可能会导致开发出可行的癌症治疗策略。