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

Overview
Journal Cureus
Date 2022 May 9
PMID 35530846
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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.

References
1.
Hancock S, Tucker M, Hoppe R . Breast cancer after treatment of Hodgkin's disease. J Natl Cancer Inst. 1993; 85(1):25-31. DOI: 10.1093/jnci/85.1.25. View

2.
Wander S, Cohen O, Gong X, Johnson G, Buendia-Buendia J, Lloyd M . The Genomic Landscape of Intrinsic and Acquired Resistance to Cyclin-Dependent Kinase 4/6 Inhibitors in Patients with Hormone Receptor-Positive Metastatic Breast Cancer. Cancer Discov. 2020; 10(8):1174-1193. PMC: 8815415. DOI: 10.1158/2159-8290.CD-19-1390. View

3.
Bardia A, Hurvitz S, DeMichele A, Clark A, Zelnak A, Yardley D . 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). Clin Cancer Res. 2021; 27(15):4177-4185. PMC: 8487593. DOI: 10.1158/1078-0432.CCR-20-2114. View

4.
Dickler M, Tolaney S, Rugo H, Cortes J, Dieras V, Patt D . MONARCH 1, A Phase II Study of Abemaciclib, a CDK4 and CDK6 Inhibitor, as a Single Agent, in Patients with Refractory HR/HER2 Metastatic Breast Cancer. Clin Cancer Res. 2017; 23(17):5218-5224. PMC: 5581697. DOI: 10.1158/1078-0432.CCR-17-0754. View

5.
Vousden K . Regulation of the cell cycle by viral oncoproteins. Semin Cancer Biol. 1995; 6(2):109-16. DOI: 10.1006/scbi.1995.0014. View