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癌症治疗中靶向细胞周期蛋白依赖性激酶:蛋白水解靶向嵌合体和分子胶的进展

Targeting CDKs in cancer therapy: advances in PROTACs and molecular glues.

作者信息

Marei Hany E, Bedair Khaled, Hasan Anwarul, Al-Mansoori Layla, Gaiba Alice, Morrione Andrea, Cenciarelli Carlo, Giordano Antonio

机构信息

Department of Cytology and Histology, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt.

Department of Social Sciences, College of Arts and Sciences, Qatar University, Doha, P.O. Box 2713, Qatar.

出版信息

NPJ Precis Oncol. 2025 Jun 28;9(1):204. doi: 10.1038/s41698-025-00931-8.

Abstract

Essential transcription and cell cycle progression controllers are CDKs, whose dysregulation is a defining trait of many human cancers. CDKs have grown to be very crucial therapeutic targets in cancer. Although traditional CDK inhibitors have demonstrated therapeutic efficacy, they frequently encounter limitations due to resistance mechanisms and off-target effects. Recent developments in targeted protein degradation, like proteolysis-targeting chimeras (PROTACs) and molecular glues, offer creative ways to destroy CDK proteins specifically. These techniques reduce scaffolding activities and slow down kinase activity, hence more completely blocking oncogenic CDK signaling. This paper highlights the clinical and preclinical developments of PROTACs and molecular glues, investigates the current CDK-targeting therapeutic landscape, and studies the molecular basis of CDK dysregulation in cancer. We also address their benefits over conventional inhibitors, current issues, and possibilities for inclusion into precision oncology. These new approaches taken together represent a change in CDK-targeted cancer therapy.

摘要

关键的转录和细胞周期进程调控因子是细胞周期蛋白依赖性激酶(CDK),其失调是许多人类癌症的一个决定性特征。CDK已成为癌症中非常关键的治疗靶点。尽管传统的CDK抑制剂已显示出治疗效果,但由于耐药机制和脱靶效应,它们经常遇到局限性。靶向蛋白质降解的最新进展,如蛋白酶靶向嵌合体(PROTAC)和分子胶,提供了特异性破坏CDK蛋白的创新方法。这些技术降低支架活性并减缓激酶活性,从而更完全地阻断致癌性CDK信号传导。本文重点介绍了PROTAC和分子胶的临床和临床前进展,研究了当前靶向CDK的治疗格局,并探讨了癌症中CDK失调的分子基础。我们还阐述了它们相对于传统抑制剂的优势、当前存在的问题以及纳入精准肿瘤学的可能性。这些新方法共同代表了靶向CDK的癌症治疗的变革。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371c/12206236/5eb199fa0ed6/41698_2025_931_Fig1_HTML.jpg

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