单位:[1]Department of Oncology, Beijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Beijing 100050, China.临床科室肿瘤中心肿瘤内科首都医科大学附属北京友谊医院[2]Medical Affairs Department, Pfizer Oncology, Shanghai 200041, China.[3]Liver research center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China临床科室国家中心肝病分中心首都医科大学附属北京友谊医院
Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors, which block the transition from the G1 to S phase of the cell cycle by interfering with Rb phosphorylation and E2F release, have shown potent antitumor activity and manageable toxicity in HR+/HER2- breast cancer patients. Some clinical trials involving CDK4/6 inhibitors in other tumors have achieved preliminary impressive efficacy. Whether CDK4/6 inhibitors possess great potential as broad-spectrum antitumor drugs and how to maximize their clinical benefits remain uncertain. TCGA database analysis showed that CDK4/6 genes and related genes are widely expressed among various tumors, and high or moderate expression of CDK4/6 genes commonly indicates poor survival. CDK4/6 gene expression is significantly higher in COAD, ESCA, STAD, LIHC, and HNSC, suggesting that CDK4/6 inhibitors could be more efficacious in those tumors. Moreover, network analysis with the STRING database demonstrated that CDK4/6-related proteins were co-expressed or co-occurred with the classical tumor signaling pathways, such as the cell cycle pathway, RAS pathway, PI3K pathway, Myc pathway, and p53 pathway. The extensive antitumor effects of CDK4/6 inhibitors may be achieved by synergizing or antagonizing with other signaling molecule inhibitors, and combination therapy might be the most effective treatment strategy. This article analyzed the feasibility of expanding the application of CDK4/6 inhibitors at the genetic level and further summarized the associated clinical/preclinical studies to collect supportive evidence. This is the first study that presents a theoretical foundation for CDK4/6 inhibitor precision therapy via combined analysis of comprehensive gene information and clinical research results.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81301912]; Beijing Municipal Health System High-level Health Person Foundation Project [2014-3-005]; Beijing Municipal Science and Technology Commission (Capital Features) [Z161100000516083]
第一作者单位:[1]Department of Oncology, Beijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Beijing 100050, China.
通讯作者:
推荐引用方式(GB/T 7714):
Du Qi,Guo Xiang,Wang Miao,et al.The application and prospect of CDK4/6 inhibitors in malignant solid tumors[J].JOURNAL of HEMATOLOGY & ONCOLOGY.2020,13(1):doi:10.1186/s13045-020-00880-8.
APA:
Du, Qi,Guo, Xiang,Wang, Miao,Li, Yongfu,Sun, Xiaoyi&Li, Qin.(2020).The application and prospect of CDK4/6 inhibitors in malignant solid tumors.JOURNAL of HEMATOLOGY & ONCOLOGY,13,(1)
MLA:
Du, Qi,et al."The application and prospect of CDK4/6 inhibitors in malignant solid tumors".JOURNAL of HEMATOLOGY & ONCOLOGY 13..1(2020)