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{{Short description|Class of enzymes}}
{{cs1 config|name-list-style=vanc}}
{{Use mdy dates|date=February 2024}}
{{Enzyme
| Name = Cyclin-dependent kinase
| EC_number = 2.7.11.22
| CAS_number =
| image =
|
| caption =
}}
[[File:Cyclin-dependent kinase structure.pdf|thumb|Tertiary structure of human Cdk2, determined by X-ray crystallography. Like other protein kinases, Cdk2 is composed of two lobes: a smaller amino-terminal lobe (top) that is composed primarily of beta sheet and the PSTAIRE helix, and a large carboxy-terminal lobe (bottom) that is primarily made up of alpha helices. The ATP substrate is shown as a ball-and-stick model, located deep within the active-site cleft between the two lobes. The phosphates are oriented outward, toward the mouth of the cleft, which is blocked in this structure by the T-loop (highlighted in green). (PDB 1hck)]]
'''Cyclin-dependent kinases (CDKs)''' are a predominant group of serine/threonine protein kinases involved in the regulation of the [[cell cycle]] and its progression, ensuring the integrity and functionality of cellular machinery. These regulatory enzymes play a crucial role in the regulation of eukaryotic cell cycle and [[Eukaryotic transcription|transcription]], as well as DNA repair, metabolism, and [[Epigenetics|epigenetic regulation]], in response to several extracellular and intracellular signals.<ref name="pmid32183020">{{cite journal | vauthors = Ding L, Cao J, Lin W, Chen H, Xiong X, Ao H, Yu M, Lin J, Cui Q | display-authors = 6 | title = The Roles of Cyclin-Dependent Kinases in Cell-Cycle Progression and Therapeutic Strategies in Human Breast Cancer | journal = International Journal of Molecular Sciences | volume = 21 | issue = 6 | page = 1960 | date = March 2020 | pmid = 32183020 | pmc = 7139603 | doi = 10.3390/ijms21061960 | doi-access = free }}</ref><ref name="pmid36598318">{{cite journal | vauthors = Hives M, Jurecekova J, Holeckova KH, Kliment J, Sivonova MK | title = The driving power of the cell cycle: cyclin-dependent kinases, cyclins and their inhibitors | journal = Bratislavske Lekarske Listy | volume = 124 | issue = 4 | pages = 261–266 | date = 2023 | pmid = 36598318 | doi = 10.4149/BLL_2023_039 | doi-access = free }}</ref> They are present in all known [[eukaryote]]s, and their regulatory function in the cell cycle has been evolutionarily conserved.<ref>{{cite journal | vauthors = S GB, Gohil DS, Roy Choudhury S | title = Genome-wide identification, evolutionary and expression analysis of the cyclin-dependent kinase gene family in peanut | journal = BMC Plant Biology | volume = 23 | issue = 1 | pages = 43 | date = January 2023 | pmid = 36658501 | pmc = 9850575 | doi = 10.1186/s12870-023-04045-w | doi-access = free }}</ref><ref name="Morgan-2007">{{Cite book | vauthors = Morgan D |title=The Cell Cycle: Principles of Control |publisher=New Science Press Ltd |year=2007 |isbn=978-0-9539181-2-6 |location=London |pages=2–54, 196–266}}</ref> The catalytic activities of CDKs are regulated by interactions with CDK inhibitors (CKIs) and regulatory subunits known as cyclins. [[Cyclin]]s have no enzymatic activity themselves, but they become active once they bind to CDKs. Without cyclin, CDK is less active than in the cyclin-CDK heterodimer complex.<ref name="Alberts-2019">{{Cite book | vauthors = Alberts B, Hopkin K, Johnson A, Morgan D, Raff M, Roberts K, Walter P |title=Essential Cell Biology |publisher=[[W. W. Norton & Company]] |year=2019 |isbn=9780393679533 |edition=5th |pages=613–627}}</ref><ref name="pmid33805800">{{cite journal | vauthors = Łukasik P, Załuski M, Gutowska I | title = Cyclin-Dependent Kinases (CDK) and Their Role in Diseases Development-Review | journal = International Journal of Molecular Sciences | volume = 22 | issue = 6 | pages = 2935 | date = March 2021 | pmid = 33805800 | pmc = 7998717 | doi = 10.3390/ijms22062935 | doi-access = free }}</ref> CDKs phosphorylate proteins on serine (S) or threonine (T) residues. The specificity of CDKs for their substrates is defined by the S/T-P-X-K/R sequence, where S/T is the phosphorylation site, P is proline, X is any amino acid, and the sequence ends with lysine (K) or arginine (R). This motif ensures CDKs accurately target and modify proteins, crucial for regulating cell cycle and other functions.<ref name="pmid25180339">{{cite journal | vauthors = Malumbres M | title = Cyclin-dependent kinases | journal = Genome Biology | volume = 15 | issue = 6 | pages = 122 | date = June 30, 2014 | pmid = 25180339 | pmc = 4097832 | doi = 10.1186/gb4184 | doi-access = free }}</ref> Deregulation of the CDK activity is linked to various pathologies, including cancer, neurodegenerative diseases, and stroke.<ref name="pmid33805800" />
== Evolutionary history ==
CDKs were initially identified through studies in model organisms such as yeasts and frogs, underscoring their pivotal role in cell cycle progression. These enzymes operate by forming complexes with cyclins, whose levels fluctuate throughout the cell cycle, thereby ensuring timely cell cycle transitions. Over the years, the understanding of CDKs has expanded beyond cell division to include roles in gene transcription integration of cellular signals.<ref name="pmid25180339" /><ref>{{cite journal | vauthors = Barberis M | title = Cyclin/Forkhead-mediated coordination of cyclin waves: an autonomous oscillator rationalizing the quantitative model of Cdk control for budding yeast | journal = npj Systems Biology and Applications | volume = 7 | issue = 1 | pages = 48 | date = December 2021 | pmid = 34903735 | pmc = 8668886 | doi = 10.1038/s41540-021-00201-w }}</ref>
The evolutionary journey of CDKs has led to a diverse family with specific members dedicated to cell cycle phases or transcriptional control. For instance, budding yeast expresses six distinct CDKs, with some binding multiple cyclins for cell cycle control and others binding with a single cyclin for transcription regulation. In humans, the expansion to 20 CDKs and 29 cyclins illustrates their complex regulatory roles. Key CDKs such as CDK1 are indispensable for cell cycle control, while others like CDK2 and CDK3 are not. Moreover, transcriptional CDKs, such as CDK7 in humans, play crucial roles in initiating transcription by phosphorylating RNA polymerase II ([[RNA polymerase II|RNAPII]]), indicating the intricate link between cell cycle regulation and transcriptional management. This evolutionary expansion from simple regulators to multifunctional enzymes underscores the critical importance of CDKs in the complex regulatory networks of eukaryotic cells.<ref name="pmid25180339" />
{| class="wikitable"
|+Table 1: '''Cyclin-dependent kinases that control the cell cycle in model organisms''' <ref name="Morgan-2007" />
|-
! Species !! Name !! Original name !! Size (amino acids) !! Function
|-
| ''[[Saccharomyces cerevisiae]]'' || CDK1 || Cdc28 || 298 || All cell-cycle stages
|-
| ''[[Schizosaccharomyces pombe]]'' || CDK1 || Cdc2 || 297 || All cell-cycle stages
|-
| ''[[Drosophila melanogaster]]'' || CDK1 || Cdc2 || 297 || M
|-
|
|-
| || CDK4 || Cdk4/6 || 317 || G1, promotes growth
|-
| ''[[Xenopus laevis]]'' || CDK1 || Cdc2 || 301 || M
|-
|
|-
|
|-
|
|-
|
|-
|
|}
=== Notable people ===
In 2001, the scientists Leland H. Hartwell, Tim Hunt and Sir Paul M. Nurse were awarded the [[Nobel Prize in Physiology or Medicine|Nobel Prize]] in Physiology or Medicine for their discovery of key regulators of the cell cycle.<ref name=":0">{{cite journal | vauthors = Uzbekov R, Prigent C | title = A Journey through Time on the Discovery of Cell Cycle Regulation | journal = Cells | volume = 11 | issue = 4 | pages = 704 | date = February 2022 | pmid = 35203358 | pmc = 8870340 | doi = 10.3390/cells11040704 | doi-access = free }}</ref>
* [[Leland H. Hartwell]] (b. 1929 ): Through studies of yeast in 1971, Heartwell identified crucial genes for cell division, outlining the cell cycle's stages and essential checkpoints to prevent cancerous cell division.<ref name=":0" /><ref>{{Cite web |title=The Nobel Prize in Physiology or Medicine 2001 |url=https://www.nobelprize.org/prizes/medicine/2001/hartwell/facts/ |access-date=2024-02-15 |website=NobelPrize.org |language=en-US}}</ref>
* [[Tim Hunt]] (b. 1943): Through studies of sea urchins in the 1980s, Hunt discovered the role of cyclins in the regulation of cell cycle phases through their cyclical synthesis and degradation.<ref name=":0" /><ref>{{Cite web |title=The Nobel Prize in Physiology or Medicine 2001 |url=https://www.nobelprize.org/prizes/medicine/2001/hunt/facts/ |access-date=2024-02-15 |website=NobelPrize.org |language=en-US}}</ref>
* [[Paul Nurse|Sir Paul M. Nurse]] (b. 1949): In the mid-1970s, Nurse's studies uncovered the cdc2 gene in fission yeast, which is crucial for the progression of the cell cycle from G1 to S phase and from G2 to M phase. In 1987, he identified the corresponding gene in humans, CDK1, highlighting the conservation of cell cycle control mechanisms across species.<ref name=":0" /><ref>{{Cite web |title=The Nobel Prize in Physiology or Medicine 2001 |url=https://www.nobelprize.org/prizes/medicine/2001/nurse/facts/ |access-date=2024-02-15 |website=NobelPrize.org |language=en-US}}</ref>
== CDKs and cyclins in the cell cycle ==
CDK is one of the estimated 800 human [[protein kinase]]s. CDKs have low molecular weight, and they are known to be inactive by themselves. They are characterized by their dependency on the regulatory subunit, cyclin. The activation of CDKs also requires post-translational modifications involving [[Protein phosphorylation|phosphorylation]] reactions. This phosphorylation typically occurs on a specific threonine residue, leading to a conformational change in the CDK that enhances its kinase activity.<ref>{{cite journal | vauthors = Knockaert M, Meijer L | title = Identifying in vivo targets of cyclin-dependent kinase inhibitors by affinity chromatography | journal = Biochemical Pharmacology | volume = 64 | issue = 5–6 | pages = 819–825 | date = September 2002 | pmid = 12213575 | doi = 10.1016/S0006-2952(02)01144-9 | series = Cell Signaling, Transcription and Translation as Therapeutic Targets }}</ref> The activation forms a cyclin-CDK complex which phosphorylates specific regulatory proteins that are required to initiate steps in the cell-cycle.<ref name="Alberts-2019" />[[File:CDKs in cell cycle.png|thumb|Schematic of CDKs/cyclins the cell cycle. M = Mitosis; G1 = Gap phase 1; S = Synthesis; G2 = Gap phase 2 (Created with BioRender.com).|250x250px]]In human cells, the CDK family comprises 20 different members that play a crucial role in the regulation of the cell cycle and transcription. These are usually separated into cell-cycle CDKs, which regulate cell-cycle transitions and cell division, and transcriptional CDKs, which mediate gene transcription. [[Cyclin-dependent kinase 1|CDK1]], [[Cyclin-dependent kinase 2|CDK2]], [[Cyclin-dependent kinase 3|CDK3]], [[Cyclin-dependent kinase 4|CDK4]], [[Cyclin-dependent kinase 6|CDK6]], and [[Cyclin-dependent kinase 7|CDK7]] are directly related to the regulation of cell-cycle events, while CDK7 – 11 are associated with transcriptional regulation.<ref name="pmid32183020" /> Different cyclin-CDK complexes regulate different phases of the cell cycle, known as G0/G1, S, G2, and M phases, featuring several checkpoints to maintain genomic stability and ensure accurate DNA replication.<ref name="pmid32183020" /><ref name="Alberts-2019" /> Cyclin-CDK complexes of earlier cell-cycle phase help activate cyclin-CDK complexes in later phase.<ref name="Morgan-2007" />
{| class="wikitable"
|+
!CDK
!Cyclin partner
!Established functions
|-
|[[CDK1]]
|cyclin B
|M phase transition
|-
|[[CDK2]]
|cyclin A
|S/G2 transition
|-
|[[CDK2]]
|cyclin E
|G1/S transition
|-
|[[CDK3]]
|cyclin C
|G0/G1 and G1/S transitions
|-
|[[CDK4]], [[CDK6]]
|cyclin D
|G1/S transition. Phosphorylation of retinoblastoma gene product (Rb)
|-
|[[CDK7]]
|cyclin H
|CAK and RNAPII transcription
|}
== CDK structure and activation ==
Cyclin-dependent kinases (CDKs) mainly consist of a two-lobed configuration, which is characteristic of all kinases in general. CDKs have specific features in their structure that play a major role in their function and regulation.<ref name="pmid36598318" />
# '''N-terminal lobe (N-lobe):''' In this part, the inhibitory element known as the glycine-rich G-loop is located. The inhibitory element is found within the beta-sheets in this N-terminal lobe.<ref name="Morgan-2007" /><ref name="pmid36598318" /> Additionally, there is a helix known as the C-helix. This helix contains the PSTAIRE sequence in CDK1. This region plays a crucial role in regulating the binding between cyclin-dependent kinases (CDKs) and cyclins.<ref name="pmid25180339" /><ref name="pmid36598318" />
# '''C-terminal lobe (C-lobe):''' This part contains α-helices and the activation segment, which extends from the DFG motif (D145 in CDK2) to the [[Protein kinase#Structural motifs|APE motif]] (E172 in CDK2). This segment also includes a phosphorylation-sensitive residue (T160 in CDK2) in the so-called T-loop. The activation segment in the C-lobe serves as a platform for the binding of the phospho-acceptor Ser/Thr region of substrates.<ref name="pmid25180339" /><ref name="Morgan-2007" /><ref name="pmid36598318" />
===Cyclin binding===
The
There's considerable specificity in which cyclin binds to CDK. Furthermore, the cyclin binding determines the specificity of the cyclin-CDK complex for certain substrates, highlighting the importance of distinct activation pathways that confer cyclin-binding specificity on CDK1. This illustrates the complexity and fine-tuning in the regulation of the cell cycle through selective binding and activation of CDKs by their respective cyclins.<ref>{{cite journal | vauthors = Merrick KA, Larochelle S, Zhang C, Allen JJ, Shokat KM, Fisher RP | title = Distinct activation pathways confer cyclin-binding specificity on Cdk1 and Cdk2 in human cells | journal = Molecular Cell | volume = 32 | issue = 5 | pages = 662–672 | date = December 2008 | pmid = 19061641 | pmc = 2643088 | doi = 10.1016/j.molcel.2008.10.022 }}</ref><ref name="pmid37898722">{{cite journal | vauthors = Massacci G, Perfetto L, Sacco F | title = The Cyclin-dependent kinase 1: more than a cell cycle regulator | journal = British Journal of Cancer | volume = 129 | issue = 11 | pages = 1707–1716 | date = November 2023 | pmid = 37898722 | pmc = 10667339 | doi = 10.1038/s41416-023-02468-8 }}</ref>
Cyclins can directly bind the substrate or localize the CDK to a subcellular area where the substrate is found. The [[Leucine zipper|RXL-binding site]] was crucial in revealing how CDKs selectively enhance activity toward specific substrates by facilitating substrate docking.<ref>{{cite journal | vauthors = Wood DJ, Endicott JA | title = Structural insights into the functional diversity of the CDK-cyclin family | journal = Open Biology | volume = 8 | issue = 9 | date = September 2018 | pmid = 30185601 | pmc = 6170502 | doi = 10.1098/rsob.180112 }}</ref> Substrate specificity of S cyclins is imparted by the hydrophobic batch, which has affinity for substrate proteins that contain a hydrophobic RXL (or Cy) motif.<ref name="Morgan-2007" /> [[Cyclin B1]] and [[Cyclin B2|B2]] can localize CDK1 to the nucleus and the Golgi, respectively, through a localization sequence outside the CDK-binding region.<ref name="Morgan-2007" /><ref name="pmid37898722" />
===Phosphorylation===
[[File:Two steps in Cdk activation.pdf|thumb|240x240px|Cyclin binding alone causes partial activation of Cdks, but complete activation also requires activating phosphorylation by a CAK. In animal cells, CAK phosphorylates the Cdk subunit only after cyclin binding, as shown here. Budding yeast contains a different version of CAK that can phosphorylate the Cdk even in the absence of cyclin, and so the two activation steps can occur in either order.]]To achieve full kinase activity, an activating phosphorylation on a threonine adjacent to the CDK's active site is required.<ref>{{cite journal | vauthors = Zabihi M, Lotfi R, Yousefi AM, Bashash D | title = Cyclins and cyclin-dependent kinases: from biology to tumorigenesis and therapeutic opportunities | journal = Journal of Cancer Research and Clinical Oncology | volume = 149 | issue = 4 | pages = 1585–1606 | date = April 2023 | pmid = 35781526 | doi = 10.1007/s00432-022-04135-6 | s2cid = 250244736 }}</ref> The identity of the CDK-activating kinase (CAK) that carries out this phosphorylation varies among different model organisms. The timing of this phosphorylation also varies; in [[mammal]]ian cells, the activating phosphorylation occurs after cyclin binding, while in yeast cells, it occurs before cyclin binding. CAK activity is not regulated by known cell cycle pathways, and it is the cyclin binding that is the limiting step for CDK activation.<ref name="Morgan-2007" />
Unlike activating phosphorylation, CDK inhibitory phosphorylation is
===CDK inhibitors===
A
In yeast and [[Drosophila]], CKIs are strong inhibitors of S- and M-CDK, but do not inhibit G1/S-CDKs. During G1, high levels of CKIs prevent cell cycle events from occurring out of order, but do not prevent transition through the Start checkpoint, which is initiated through G1/S-CDKs. Once the cell cycle is initiated, phosphorylation by early G1/S-CDKs leads to destruction of CKIs, relieving inhibition on later cell cycle transitions.<ref name="Morgan-2007" /> In mammalian cells, the CKI regulation works differently. Mammalian protein p27 (Dacapo in Drosophila) inhibits G1/S- and S-CDKs
Ligand-based inhibition methods involve the use of small molecules or ligands that specifically bind to [[Cyclin-dependent kinase 2|CDK2]], which is a crucial regulator of the cell cycle. The ligands bind to the active site of CDK2, thereby blocking its activity. These inhibitors can either mimic the structure of ATP, competing for the active site and preventing protein phosphorylation needed for cell cycle progression, or bind to allosteric sites, altering the structure of CDK2 to decrease its efficiency.<ref name="pmid25918937" />[[File:CDK2-Selective inhibitor.png|thumb|
Graphical abstract of CDK2<ref name="pmid33749525">{{cite journal | vauthors = Singh R, Bhardwaj VK, Sharma J, Das P, Purohit R | title = Identification of selective cyclin-dependent kinase 2 inhibitor from the library of pyrrolone-fused benzosuberene compounds: an in silico exploration | journal = Journal of Biomolecular Structure & Dynamics | volume = 40 | issue = 17 | pages = 7693–7701 | date = October 2022 | pmid = 33749525 | doi = 10.1080/07391102.2021.1900918 | s2cid = 232309609 | url = https://figshare.com/articles/journal_contribution/Identification_of_selective_cyclin-dependent_kinase_2_inhibitor_from_the_library_of_pyrrolone-fused_benzosuberene_compounds_an_in_silico_exploration/14259911/1/files/26943209.pdf }}</ref>]]
=== CDK subunits (CKS) ===
CDKs are essential for the control and regulation of the cell cycle. They are associated with small regulatory subunits regulatory subunits ([[Cyclin-dependent kinase regulatory subunit family|CKSs]]). In mammalian cells, two CKSs are known: [[CKS1B|CKS1]] and [[CKS2]]. These proteins are necessary for the proper functioning of CDKs, although their exact functions are not yet fully known. An interaction occurs between CKS1 and the carboxy-terminal lobe of CDKs, where they bind together. This binding increases the affinity of the cyclin-CDK complex for its substrates, especially those with multiple phosphorylation sites, thus contributing the promotion of cell proliferation.<ref>{{cite journal | vauthors = Liu CY, Zhao WL, Wang JX, Zhao XF | title = Cyclin-dependent kinase regulatory subunit 1 promotes cell proliferation by insulin regulation | journal = Cell Cycle | volume = 14 | issue = 19 | pages = 3045–3057 | date = July 22, 2015 | pmid = 26199131 | pmc = 4825559 | doi = 10.1080/15384101.2015.1053664 }}</ref>
===Non-cyclin activators===
==== Viral cyclins ====
Viruses can encode proteins with [[sequence homology]] to cyclins. One much-studied example is [[Cyclin K|K-cyclin]] (or v-cyclin) from Kaposi sarcoma herpes virus (see [[
==== CDK5 activators ====
Two protein types, [[CDK5R1|p35]] and [[CDK5R2|p39]], responsible for increasing the activity of CDK5 during neuronal differentiation in postnatal development.<ref name="pmid27807169">{{cite journal | vauthors = Li W, Allen ME, Rui Y, Ku L, Liu G, Bankston AN, Zheng JQ, Feng Y | display-authors = 6 | title = p39 Is Responsible for Increasing Cdk5 Activity during Postnatal Neuron Differentiation and Governs Neuronal Network Formation and Epileptic Responses | journal = The Journal of Neuroscience | volume = 36 | issue = 44 | pages = 11283–11294 | date = November 2016 | pmid = 27807169 | pmc = 5148244 | doi = 10.1523/JNEUROSCI.1155-16.2016 }}</ref> p35 and p39 play a crucial role in a unique mechanism for regulating CDK5 activity in neuronal development and network formation. The activation of CDK with these cofactors (p35 and p39) does not require phosphorylation of the activation loop, which is different from the traditional activation of many other kinases. This highlights the importance of activating CDK5 activity, which is critical for proper neuronal development, dendritic spine and synapse formation, as well as in response to epileptic events.<ref name="pmid27807169" /><ref>{{cite journal | vauthors = Bao L, Lan XM, Zhang GQ, Bao X, Li B, Ma DN, Luo HY, Cao SL, Liu SY, Jing E, Zhang JZ, Zheng YL | display-authors = 6 | title = Cdk5 activation promotes Cos-7 cells transition towards neuronal-like cells | journal = Translational Neuroscience | volume = 14 | issue = 1 | pages = 20220318 | date = January 2023 | pmid = 37901140 | pmc = 10612488 | doi = 10.1515/tnsci-2022-0318 }}</ref>
==== RINGO/Speedy ====
Proteins in the RINGO/Speedy group represent a standout bunch among proteins that don't share amino acid sequence homology with the cyclin family. They play a crucial role in activating CDKs. Originally identified in Xenopus, these proteins primarily bind to and activate CDK1 and CDK2, despite lacking homology to cyclins. What is particularly interesting, is that CDKs activated by RINGO/Speedy can phosphorylate different sites than those targeted by cyclin-activated CDKs, indicating a unique mode of action for these non-cyclin CDK activators.<ref>{{cite journal | vauthors = Gonzalez L, Nebreda AR | title = RINGO/Speedy proteins, a family of non-canonical activators of CDK1 and CDK2 | journal = Seminars in Cell & Developmental Biology | volume = 107 | pages = 21–27 | date = November 2020 | pmid = 32317145 | doi = 10.1016/j.semcdb.2020.03.010 | series = 1. Cyclins edited by Josep Clotet | s2cid = 216073305 | hdl = 2445/157997 | hdl-access = free }}</ref>
==Medical significance==
===
The dysregulation of CDKs and cyclins disrupts the cell cycle coordination, which makes them involved in the pathogenesis of several diseases, mainly cancers. Thus, studies of cyclins and cyclin-dependent kinases (CDK) are essential for advancing the understanding of cancer characteristics.<ref name="pmid36598318" /><ref name="pmid36266723">{{cite journal | vauthors = Ghafouri-Fard S, Khoshbakht T, Hussen BM, Dong P, Gassler N, Taheri M, Baniahmad A, Dilmaghani NA | display-authors = 6 | title = A review on the role of cyclin dependent kinases in cancers | journal = Cancer Cell International | volume = 22 | issue = 1 | pages = 325 | date = October 2022 | pmid = 36266723 | pmc = 9583502 | doi = 10.1186/s12935-022-02747-z | doi-access = free }}</ref> Research has shown that alterations in cyclins, CDKs, and CDK inhibitors (CKIs) are common in most cancers, involving chromosomal translocations, point mutations, insertions, deletions, gene overexpression, frame-shift mutations, missense mutations, or splicing errors.<ref name="pmid36598318" />
The dysregulation of the CDK4/6-RB pathway is a common feature in many cancers, often resulting from various mechanisms that inactivate the cyclin D-CDK4/6 complex. Several signals can lead to overexpression of cyclin D and enhance CDK4/6 activity, contributing toward tumorigenesis.<ref name="pmid32183020" /><ref name="pmid36598318" /> Additionally, the CDK4/6-RB pathway interacts with the p53 signaling pathway via p21CIP1 transcription, which can inhibit both cyclin D-CDK4/6 and cyclin E-CDK2 complexes. Mutations in p53 can deactivate the G1 checkpoint, further promoting uncontrolled proliferation.<ref name="pmid32183020" /><ref name="pmid36598318" />
=== CDK inhibitors and therapeutic potential ===
Due to their central role in regulating cell cycle progression and cell proliferation, CDKs are considered ideal therapeutic targets for cancer.<ref name="pmid36266723" /> The following CDK4/6 inhibitors mark a significant advancement in cancer treatment, offering targeted therapies that are effective and have a manageable side effect profile.
# [[Palbociclib]], one of the first CDK4/6 inhibitors approved by the FDA, has become essential in the treatment of HR+/HER2- advanced or metastatic breast cancer, often in combination with endocrine therapy.<ref>{{cite journal | vauthors = Xiao Y, Dong J | title = Coming of Age: Targeting Cyclin K in Cancers | journal = Cells | volume = 12 | issue = 16 | pages = 2044 | date = August 2023 | pmid = 37626854 | pmc = 10453554 | doi = 10.3390/cells12162044 | doi-access = free }}</ref>
# [[Ribociclib]], demonstrating similar efficacy to palbociclib, is also approved for HR+/HER2- advanced breast cancer and offers benefits for a younger patient demographic.<ref name="pmid36565895">{{cite journal | vauthors = Mughal MJ, Bhadresha K, Kwok HF | title = CDK inhibitors from past to present: A new wave of cancer therapy | journal = Seminars in Cancer Biology | volume = 88 | pages = 106–122 | date = January 2023 | pmid = 36565895 | doi = 10.1016/j.semcancer.2022.12.006 }}</ref>
# [[Abemaciclib]] stands out by being usable as monotherapy, in addition to combination treatment, for certain HR+/HER2- breast cancer patients. It has also shown effectiveness in treating patients with brain metastases.<ref name="pmid36565895" />
# [[Trilaciclib]] has proven its value by improving patients' quality of life during cancer treatment by reducing the risk of chemotherapy-induced myelosuppression, a common side effect that can lead to treatment delays and dose reductions.<ref name="pmid36565895" />
{| class="wikitable"
|+Table 3: Cyclin-dependent kinase inhibitor drugs<ref>{{cite journal | vauthors = Łukasik P, Baranowska-Bosiacka I, Kulczycka K, Gutowska I | title = Inhibitors of Cyclin-Dependent Kinases: Types and Their Mechanism of Action | journal = International Journal of Molecular Sciences | volume = 22 | issue = 6 | pages = 2806 | date = March 2021 | pmid = 33802080 | pmc = 8001317 | doi = 10.3390/ijms22062806 | doi-access = free }}</ref><ref>{{cite journal | vauthors = Sánchez-Martínez C, Lallena MJ, Sanfeliciano SG, de Dios A | title = Cyclin dependent kinase (CDK) inhibitors as anticancer drugs: Recent advances (2015-2019) | journal = Bioorganic & Medicinal Chemistry Letters | volume = 29 | issue = 20 | pages = 126637 | date = October 2019 | pmid = 31477350 | doi = 10.1016/j.bmcl.2019.126637 | s2cid = 201805102 }}</ref>
!Drug
!CDKs Inhibited
!Condition or disease
|-
|Flavopiridol (alvocidib)
|1, 2, 4, 6, 9
|Acute Myeloid Leukemia (AML)
|-
|Roscovitine (Seliciclib)
|2, 7, 9
|Pituitary Cushing Disease
Cystic Fibrosis, Advanced Solid Tumors
Lung Cancer
|-
|Dinaclib
|1, 2, 5, 9
|Chronic Lymphocytic Leukemia (CLL)
Breast and Lung Cancers
|-
|Milciclib
|1, 2, 4, 7
|Hepatocellular Carcinoma (HCC)
Thymic Carcinoma
|-
|Palbociclib
|4, 6
|Breast Cancer
Head and Neck, Brain, Colon, and other Solid Cancers
|-
|Ribociclib
|4, 6
|HR+/HER2- Breast Cancer
Prostate, and other Solid Cancers
|-
|Abemaciclib
|4, 6
|HR+/HER2- Breast Cancer
Lung, Brain, Colon, and other Solid Cancers
|-
|Meriolin
|1, 2, 5, 9
|Neuroblastoma, Glioma, Myeloma, Colon Cancer
|-
|Variolin B
|1, 2, 5, 9
|Murine Leukemia
|-
|Roniciclib
|1, 2, 4, 7, 9
|Lung and Advanced Solid Cancers
|-
|Meridianin E
|1, 5, 9
|Larynx Carcinoma
Myeloid Leukemia
|-
|Nortopsentins
|
|Malignant Pleural Mesothelioma (MPM)
|}
=== Challenges and future potential ===
Complications of developing a CDK drug include the fact that many CDKs are not involved in the cell cycle, but other processes such as transcription, neural physiology, and glucose homeostasis.<ref>{{cite journal | vauthors = Solaki M, Ewald JC | title = Fueling the Cycle: CDKs in Carbon and Energy Metabolism | journal = Frontiers in Cell and Developmental Biology | volume = 6 | pages = 93 | date = August 17, 2018 | pmid = 30175098 | pmc = 6107797 | doi = 10.3389/fcell.2018.00093 | doi-access = free }}</ref> More research is required, however, because disruption of the CDK-mediated pathway has potentially serious consequences; while CDK inhibitors seem promising, it has to be determined how side-effects can be limited so that only target cells are affected. As such diseases are currently treated with [[glucocorticoid]]s.<ref>{{cite journal | vauthors = Stanciu IM, Parosanu AI, Nitipir C | title = An Overview of the Safety Profile and Clinical Impact of CDK4/6 Inhibitors in Breast Cancer-A Systematic Review of Randomized Phase II and III Clinical Trials | journal = Biomolecules | volume = 13 | issue = 9 | pages = 1422 | date = September 2023 | pmid = 37759823 | pmc = 10526227 | doi = 10.3390/biom13091422 | doi-access = free }}</ref> The comparison with glucocorticoids serves to illustrate the potential benefits of CDK inhibitors, assuming their side effects can be more narrowly targeted or minimized.<ref>{{cite journal | vauthors = Lesovaya EA, Chudakova D, Baida G, Zhidkova EM, Kirsanov KI, Yakubovskaya MG, Budunova IV | title = The long winding road to the safer glucocorticoid receptor (GR) targeting therapies | journal = Oncotarget | volume = 13 | pages = 408–424 | date = February 18, 2022 | pmid = 35198100 | pmc = 8858080 | doi = 10.18632/oncotarget.28191 }}</ref>
== See also ==
* [[Cell cycle]]
* [[Protein kinase]]
* [[Enzyme catalysis]]
* [[Enzyme inhibitor]]
== References ==
{{Reflist|32em}}
== External links ==
* {{MeshName|Cyclin-Dependent+Kinases}}
{{Intracellular signaling peptides and proteins}}
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