摘要
在癌症治疗中处理细胞周期的能力带来了新的药物开发的可能性。周期蛋白依赖性激酶是一组控制细胞周期进程的蛋白质。当特定CDK位点被磷酸化时,CDK/细胞周期蛋白复合物被激活。由于它们的非选择性和严重的毒性,大多数第一代CDK抑制剂(也称为泛CDK抑制剂)尚未被批准用于临床。尽管如此,在允许泛cdk抑制剂在临床环境中使用方面已经取得了重大进展。近年来,由于联合治疗技术的引入,泛cdk抑制剂的毒副作用已经降低。因此,泛cdk抑制剂作为一种联合治疗方法重新获得了许多临床潜力。本文介绍了CDK家族成员,并讨论了它们在细胞周期控制中的重要作用。然后,我们描述了CDK抑制剂的研究现状,重点是CDK4/6以外的抑制剂。我们根据第一代泛CDKIs的研究阶段、临床试验和肿瘤靶向性,分别提到了黄吡醇和罗斯科维汀,以及第二代泛CDKIs的dinaciclib、P276-00、AT7519、TG02、roniclib和RGB-286638。CDKIs是CDK4/6、CDK7、CDK9和CDK12抑制剂。最后,我们研究了CDK抑制剂和PD1/PDL1抗体一起使用时的疗效,这可能会导致一种可行的癌症治疗策略的发展。
关键词: 细胞周期蛋白,CDK,基因表达,细胞周期调控,癌症,抑制。
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