2021
DOI: 10.1038/s41467-021-25700-6
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Inhibition of CK1ε potentiates the therapeutic efficacy of CDK4/6 inhibitor in breast cancer

Abstract: Although inhibitors targeting CDK4/6 kinases (CDK4/6i) have shown promising clinical prospect in treating ER+/HER2- breast cancers, acquired drug resistance is frequently observed and mechanistic knowledge is needed to harness their full clinical potential. Here, we report that inhibition of CDK4/6 promotes βTrCP1-mediated ubiquitination and proteasomal degradation of RB1, and facilitates SP1-mediated CDK6 transcriptional activation. Intriguingly, suppression of CK1ε not only efficiently prevents RB1 from degr… Show more

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Cited by 25 publications
(20 citation statements)
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“…Analogous synthetic lethal combinations have been proposed in clear cell renal cell carcinoma, where HIF2A stimulates Cyclin D transcription (Nicholson et al, 2019). Furthermore, other combinations have been identified that act via similar principles, such as CK1ε inhibition which represses SP1-mediated CDK6 transcription following CDK4/6 inhibition in breast cancer (Dang et al, 2021). The ability of cancer cells to transcriptionally upregulate Cyclin D-CDK4/6 activity via a variety of different routes, suggests that similar effective combinations await discovery in other tumour types.…”
Section: Discussionmentioning
confidence: 99%
“…Analogous synthetic lethal combinations have been proposed in clear cell renal cell carcinoma, where HIF2A stimulates Cyclin D transcription (Nicholson et al, 2019). Furthermore, other combinations have been identified that act via similar principles, such as CK1ε inhibition which represses SP1-mediated CDK6 transcription following CDK4/6 inhibition in breast cancer (Dang et al, 2021). The ability of cancer cells to transcriptionally upregulate Cyclin D-CDK4/6 activity via a variety of different routes, suggests that similar effective combinations await discovery in other tumour types.…”
Section: Discussionmentioning
confidence: 99%
“…A recent report by Dang et al. demonstrated that Rb is degraded in G1 and that this process is blocked following its phosphorylation by cdk4/6 ( 14 ). Consequently, the authors demonstrated that treatment of breast cancer cells with cdk4/6 inhibitors promoted the degradation of Rb.…”
Section: Discussionmentioning
confidence: 99%
“…A number of hypotheses have been put forward to explain the development of cdk4/6 inhibitor resistance ( 1 , 12 ). A recent study demonstrated that prolonged treatment of breast cancer cells with these inhibitors resulted in the degradation of Rb and the transcriptional activation of the cdk6 gene ( 14 ). Taken together, these events promote resistance to cdk4/6 inhibitors.…”
Section: Introductionmentioning
confidence: 99%
“…Agents that block PI3K signaling are of particular interest as the latter is activated in greater than 70% of breast cancers [ 157 ]. Pre-clinical studies using TNBC patient derived xenograft and immunocompetent syngeneic animal models have shown that combining CDK4/6 inhibitors with those that block CK1ε [ 158 ] as well PI3Kα [ 159 ] resulted cell cycle arrest, apoptosis, the activation of tumor infiltrating T-cells and an increase tumor immunogenicity. Short-term inhibition of CDK4/6 has also been shown to sensitize ER+ breast cancers to radiation therapy in pre-clinical models [ 160 ], highlighting an additional use for these agents in combination therapy.…”
Section: Targeting Cdk4 For Cancer Therapymentioning
confidence: 99%