2021
DOI: 10.3389/fonc.2021.651541
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Breast Cancer Resistance to Cyclin-Dependent Kinases 4/6 Inhibitors: Intricacy of the Molecular Mechanisms

Abstract: Breast cancer is a common malignant tumor in women, with a highest incidence and mortality among all of the female malignant tumors. Notably, targeted therapy has achieved impressive success in the treatment of breast cancer. As one class of the anti-tumor targeted therapeutics, Cyclin-Dependent Kinases 4/6CDK4/6inhibitors have shown good clinical activity in treating breast cancer. Nevertheless, despite the promising clinical outcomes, intrinsic or acquired resistance to CDK4/6 inhibitors has limited the bene… Show more

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Cited by 12 publications
(7 citation statements)
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“…Being a driver of G1/S transition, cyclin D1-CDK4/6 complex depletion, is likely to be implicated in the G0–G1 phase arrest. Generally speaking, eugenol mediated mitigation of CDK4/6 is expected to permit continuous retention of E2Fs transcription factors by the retinoblastoma tumor suppressor (RB) thus refraining cell cycle progression 47 . Besides, shortening in TFDP1 gene, a heterodimeric partner of activator E2F, will almost certainly inhibit DNA binding and activation of target genes 48 .…”
Section: Discussionmentioning
confidence: 99%
“…Being a driver of G1/S transition, cyclin D1-CDK4/6 complex depletion, is likely to be implicated in the G0–G1 phase arrest. Generally speaking, eugenol mediated mitigation of CDK4/6 is expected to permit continuous retention of E2Fs transcription factors by the retinoblastoma tumor suppressor (RB) thus refraining cell cycle progression 47 . Besides, shortening in TFDP1 gene, a heterodimeric partner of activator E2F, will almost certainly inhibit DNA binding and activation of target genes 48 .…”
Section: Discussionmentioning
confidence: 99%
“…Firstly, abemaciclib does not provide benefit in all patients with HR + /HER2 − advanced breast cancer. Great efforts have been made to identify the mechanism of resistance to CDK4/6 inhibitors ( 42 , 43 ), however, no clear mechanism of resistance is sufficiently validated. The identification of specific biomarkers could help to identify patients who are more likely to respond to treatment of CDK4/6 inhibitors.…”
Section: Future Perspectivementioning
confidence: 99%
“…Acquired resistance is the main reason for the therapeutic failure of CDK4/6 inhibitors in RB-proficient tumors, where tumor cells can acquire the ability to survive in the absence of CDK4/6 function [ 139 ]. Elucidation of the potential mechanisms of acquired resistance to CDK4/6 inhibitors may help to identify effective combination therapies to improve therapeutic responses to CDK4/6 inhibitors [ 87 ].…”
Section: Inhibition Of Cyclin-dependent Kinases 4/6 (Cdk4/6) As a Sou...mentioning
confidence: 99%