Zheng Suya, Chen Ye, Zhu Zhipeng, Li Nan, He Chunyu, Koeffler H Phillip, Han Xin, Wei Qichun, Xu Liang
Department of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China.
Pediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou 310052, China.
J Zhejiang Univ Sci B. 2025 Aug 25;26(8):713-739. doi: 10.1631/jzus.B2500021.
Cancer is characterized by abnormal cell proliferation. Cyclins and cyclin-dependent kinases (CDKs) have been recognized as essential regulators of the intricate cell cycle, orchestrating DNA replication and transcription, RNA splicing, and protein synthesis. Dysregulation of the CDK pathway is prevalent in the development and progression of human cancers, rendering cyclins and CDKs attractive therapeutic targets. Several CDK4/6 inhibitors have demonstrated promising anti-cancer efficacy and have been successfully translated into clinical use, fueling the development of CDK-targeted therapies. With this enthusiasm for finding novel CDK-targeting anti-cancer agents, there have also been exciting advances in the field of targeted protein degradation through innovative strategies, such as using proteolysis-targeting chimera, heat shock protein 90 (HSP90)-mediated targeting chimera, hydrophobic tag-based protein degradation, and molecular glue. With a focus on the translational potential of cyclin- and CDK-targeting strategies in cancer, this review presents the fundamental roles of cyclins and CDKs in cancer. Furthermore, it summarizes current strategies for the proteasome-dependent targeted degradation of cyclins and CDKs, detailing the underlying mechanisms of action for each approach. A comprehensive overview of the structure and activity of existing CDK degraders is also provided. By examining the structure‒activity relationships, target profiles, and biological effects of reported cyclin/CDK degraders, this review provides a valuable reference for both CDK pathway-targeted biomedical research and cancer therapeutics.
癌症的特征是细胞异常增殖。细胞周期蛋白和细胞周期蛋白依赖性激酶(CDK)已被公认为复杂细胞周期的关键调节因子,协调DNA复制与转录、RNA剪接和蛋白质合成。CDK通路的失调在人类癌症的发生和发展中普遍存在,使细胞周期蛋白和CDK成为有吸引力的治疗靶点。几种CDK4/6抑制剂已显示出有前景的抗癌疗效,并已成功转化为临床应用,推动了CDK靶向疗法的发展。随着对寻找新型CDK靶向抗癌药物的热情高涨,通过创新策略在靶向蛋白质降解领域也取得了令人兴奋的进展,例如使用蛋白酶靶向嵌合体、热休克蛋白90(HSP90)介导的靶向嵌合体、基于疏水标签的蛋白质降解和分子胶。本文聚焦于细胞周期蛋白和CDK靶向策略在癌症中的转化潜力,阐述了细胞周期蛋白和CDK在癌症中的基本作用。此外,总结了目前细胞周期蛋白和CDK蛋白酶体依赖性靶向降解的策略,详细介绍了每种方法的潜在作用机制。还提供了现有CDK降解剂结构和活性的全面概述。通过研究已报道的细胞周期蛋白/CDK降解剂的构效关系、靶点概况和生物学效应,本文为CDK通路靶向的生物医学研究和癌症治疗提供了有价值的参考。