2007
DOI: 10.1182/blood-2007-02-071266
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Pharmacologic inhibition of CDK4/6: mechanistic evidence for selective activity or acquired resistance in acute myeloid leukemia

Abstract: Entry into the cell cycle is mediated by cyclin-dependent kinase 4/6 (CDK4/6) activation, followed by CDK2 activation. We found that pharmacologic inhibition of the

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Cited by 121 publications
(105 citation statements)
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“…In addition, evolution to true resistance to extended CDK4/6 inhibition in tumor models may be critically dependent on loss of Rb function, as Rb deficiency has been observed to increase the levels of E2F-target genes cyclins A and E. These cyclins are requisite for CDK2 function, and their deregulation may ultimately provide a mechanism to circumvent CDK4/6 dependency, facilitating the acquisition of a proliferative cell-cycle driven by CDK2. This phenomenon has been observed in AML cell lines deficient for CDK4/6 activity, wherein loss of the CKI p27 Kip1 was able to promote phosphorylation of histone-H1 by CDK2 (Wang et al, 2007). Presumably, the lack of Rb may relieve the requirement for signaling through the CDK4/6 axis, and thus facilitate the acquisition of a proliferative cycle driven by CDK2.…”
Section: Discussionmentioning
confidence: 80%
“…In addition, evolution to true resistance to extended CDK4/6 inhibition in tumor models may be critically dependent on loss of Rb function, as Rb deficiency has been observed to increase the levels of E2F-target genes cyclins A and E. These cyclins are requisite for CDK2 function, and their deregulation may ultimately provide a mechanism to circumvent CDK4/6 dependency, facilitating the acquisition of a proliferative cell-cycle driven by CDK2. This phenomenon has been observed in AML cell lines deficient for CDK4/6 activity, wherein loss of the CKI p27 Kip1 was able to promote phosphorylation of histone-H1 by CDK2 (Wang et al, 2007). Presumably, the lack of Rb may relieve the requirement for signaling through the CDK4/6 axis, and thus facilitate the acquisition of a proliferative cycle driven by CDK2.…”
Section: Discussionmentioning
confidence: 80%
“…Acquired resistance to this drug may arise through activation of CDK2. 41,63 Another side effect of PD0332991 treatment could be the acquisition of a more invasive phenotype as observed in pancreatic cancer cell lines. 51 The clinical efficacy of PD0332991 and other CDK4/6 inhibitors, either as a monotherapy or in combination with various other drugs, was until now only tested in discontinuous treatments with one week off treatment every 2 or 3 weeks (clinicaltrials.gov).…”
Section: Discussionmentioning
confidence: 99%
“…Wang et al [153] (2007) also found in patients with AML that downregulated CCND2 and CCND3 results in dephosphorylation of phospho retinoblastoma protein and induction of G(1) cell cycle arrest. These findings suggest that CCND2 may also be downregulated in AML in association with the upregulation of miR133a and miR1 levels, similar to multiple myeloma.…”
Section: Upregulated Myomirs In Cancermentioning
confidence: 99%