CDK4/6 inhibitors: The mechanism of action may not be as simple as once thought Journal Article


Authors: Klein, M. E.; Kovatcheva, M.; Davis, L. E.; Tap, W. D.; Koff, A.
Article Title: CDK4/6 inhibitors: The mechanism of action may not be as simple as once thought
Abstract: CDK4/6 inhibitors are among a new generation of therapeutics. Building upon the striking success of the combination of CDK4/6 inhibitors and the hormone receptor antagonist letrozole in breast cancer, many other combinations have recently entered clinical trials in multiple diseases. To achieve maximal benefit with CDK4/6 inhibitors it will be critical to understand the cellular mechanisms by which they act. Here we highlight the mechanisms by which CDK4/6 inhibitors can exert their anti-tumor activities beyond simply enforcing cytostatic growth arrest, and discuss how this knowledge may inform new combinations, improve outcomes, and modify dosing schedules in the future. © 2018 Elsevier Inc. CDK4/6 inhibitors are among a new generation of therapeutics. Building upon the striking success of the combination of CDK4/6 inhibitors and the hormone receptor antagonist letrozole in breast cancer, many other combinations have recently entered clinical trials in multiple diseases. To achieve maximal benefit with CDK4/6 inhibitors it will be critical to understand the cellular mechanisms by which they act. Here we highlight the mechanisms by which CDK4/6 inhibitors can exert their anti-tumor activities beyond simply enforcing cytostatic growth arrest and discuss how this knowledge may inform new combinations, improve outcomes, and modify dosing schedules in the future.
Keywords: signal transduction; unclassified drug; clinical trial; review; nonhuman; antineoplastic agent; metabolism; antineoplastic activity; cell cycle arrest; senescence; cyclin dependent kinase inhibitor; cell metabolism; cell aging; cytostasis; cytostatic agent; tumor microenvironment; human; priority journal; palbociclib; cyclin dependent kinase 4 inhibitor; abemaciclib; ribociclib; cdk4/6 inhibitors; cyclin dependent kinase 6 inhibitor
Journal Title: Cancer Cell
Volume: 34
Issue: 1
ISSN: 1535-6108
Publisher: Cell Press  
Date Published: 2018-07-09
Start Page: 9
End Page: 20
Language: English
DOI: 10.1016/j.ccell.2018.03.023
PROVIDER: scopus
PMCID: PMC6039233
PUBMED: 29731395
DOI/URL:
Notes: Review -- Export Date: 1 August 2018 -- Source: Scopus
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  1. Andrew C Koff
    110 Koff
  2. William Douglas Tap
    375 Tap
  3. Mary Elizabeth Klein
    10 Klein