Chen Zhimin, Xie Pengjun, Chen Qihai, Ouyang Jie
The First Clinical Medical College of Guangdong Medical University, Zhanjiang, People's Republic of China.
Department of Breast Surgery, Dongguan Dungwah Hospital, Dongguan, People's Republic of China.
Breast Cancer (Dove Med Press). 2025 Jun 30;17:557-565. doi: 10.2147/BCTT.S529794. eCollection 2025.
Combining cyclin-dependent kinase 4 and 6 inhibitors (CDK4/6 inhibitors) with cyclin-dependent proteins can reduce the formation of cyclin D-CDK4/6 complexes, resulting in the inactivation of downstream genes and suppression of cell proliferation. Previous research on the use of CDK4/6 inhibitors in combination with endocrine therapies and anti-HER2 targeting agents across various subtypes and stages of breast cancer has shown promising outcomes in patient prognoses and tolerable drugs toxicities. For the present, the CDK4/6 inhibitors that have been widely used for the treatment of breast cancer are palbociclib, abemaciclib and ribociclib. Dalpiciclib (SHR6390), a novel and selective CDK4/6 inhibitor developed in China, has been approved by the National Medical Products Administration. The researches about dalpiciclib with different anti-tumor drugs are ongoing to explore the efficacy and the best strategies to use dalpiciclib. This review provides an overview of the research progress on dalpiciclib across different breast cancer subtypes with various anti-tumor drugs in different treatment opportunities.
将细胞周期蛋白依赖性激酶4和6抑制剂(CDK4/6抑制剂)与细胞周期蛋白依赖性蛋白联合使用可减少细胞周期蛋白D-CDK4/6复合物的形成,从而导致下游基因失活并抑制细胞增殖。先前关于在乳腺癌的各种亚型和阶段中使用CDK4/6抑制剂联合内分泌疗法和抗HER2靶向药物的研究表明,在患者预后和可耐受的药物毒性方面取得了令人鼓舞的结果。目前,已广泛用于治疗乳腺癌的CDK4/6抑制剂有哌柏西利、阿贝西利和瑞博西利。达尔西利(SHR6390)是我国自主研发的新型选择性CDK4/6抑制剂,已获国家药品监督管理局批准。关于达尔西利与不同抗肿瘤药物联合应用的研究正在进行中,以探索达尔西利的疗效及最佳用药策略。本文综述了达尔西利在不同治疗时机与不同抗肿瘤药物联合应用于不同乳腺癌亚型的研究进展。