切换至 "中华医学电子期刊资源库"

中华乳腺病杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 315 -319. doi: 10.3877/cma.j.issn.1674-0807.2021.05.009

综述

细胞周期蛋白依赖激酶4和6抑制剂研究进展
杨继鑫1, 李南林1,()   
  1. 1. 710032 西安,空军军医大学附属西京医院甲乳血管外科
  • 收稿日期:2020-02-25 出版日期:2021-10-01
  • 通信作者: 李南林

Research progress on inhibitors of cyclin­dependent kinases 4 and 6

Jixin Yang1, Nanlin Li1()   

  • Received:2020-02-25 Published:2021-10-01
  • Corresponding author: Nanlin Li
引用本文:

杨继鑫, 李南林. 细胞周期蛋白依赖激酶4和6抑制剂研究进展[J]. 中华乳腺病杂志(电子版), 2021, 15(05): 315-319.

Jixin Yang, Nanlin Li. Research progress on inhibitors of cyclin­dependent kinases 4 and 6[J]. Chinese Journal of Breast Disease(Electronic Edition), 2021, 15(05): 315-319.

多项临床研究证实细胞周期蛋白依赖激酶4和6(CDK4/6)抑制剂联合芳香化酶抑制剂(AI)治疗绝经后激素受体阳性、HER-2阴性晚期乳腺癌患者,可以显著改善患者的无进展生存期。笔者通过回顾临床研究数据,探讨CDK4/6抑制剂联合AI的安全性和有效性、治疗期间不良事件的评估和管理、潜在获益人群的筛选,及治疗敏感预测分子研究的最新进展,旨在为临床医师治疗决策提供更多参考。

表1 3种细胞周期蛋白依赖激酶4/6抑制剂临床特点比较
表2 CDK4/6抑制剂联合AI一线治疗HR阳性、HER-2阴性晚期乳腺癌的有效性
表3 CDK4/6抑制剂联合AI一线治疗HR阳性、HER-2阴性晚期乳腺癌的不良反应
[1]
Younas A, Sundus A, Inayat S. Transitional experience of men with breast cancer from diagnosis to survivorship: An integrative review[J]. Eur J Oncol Nurs2019, 10(42):141-152.
[2]
Blows FM, Driver KE, Schmidt MK, et al. Subtyping of breast cancer by immunohistochemistry to investigate a relationship between subtype and short and long term survival: a collaborative analysis of data for 10159 cases from 12 studies[J]. PLoS Med20107(5): e1 000 279.
[3]
Rugo HS, Rumble RB, Macrae E, et al. Endocrine therapy for hormone receptor-positive metastatic breast cancer: American Society of Clinical Oncology Guideline[J]. J Clin Oncol201634(25):3069-3103.
[4]
Reinert T, Debiasi M, Bines J, et al. Trends in progression-free survival (PFS) and time to progression (TTP) over time within first-line aromatase inhibitors trials in hormone receptor-positive advanced breast cancer[J]. Breast Cancer Res Treat2018168 (2):457-465.
[5]
Tripathy D, Bardia A, Sellers WR. Ribociclib (LEE011): Mechanism of action and clinical impact of this selective cyclin-dependent kinase 4/6 inhibitor in various solid tumors[J]. Clin Cancer Res201723(13):3251-3262.
[6]
Sutherland RL, Musgrove EA. CDK inhibitors as potential breast cancer therapeutics: new evidence for enhanced efficacy in ER+ disease[J]. Breast Cancer Res200911(6):112.
[7]
Finn RS, Crown JP, Lang I, et al. The cyclin-dependent kinase 4/6 inhibitor palbociclib in combination with letrozole versus letrozole alone as first-line treatment of oestrogen receptor-positive, HER-2-negative, advanced breast cancer (PALOMA-1/TRIO-18): a randomised phase 2 study[J]. Lancet Oncol201516(1):25-35.
[8]
Finn RS, Martin M, Rugo HS, et al. Palbociclib and letrozole in advanced breast cancer[J]. N Engl J Med2016375(20):1925-1936.
[9]
Hortobagyi GN, Stemmer SM, Burris HA, et al. Updated results from MONALEESA-2, a phase III trial of first-line ribociclib plus letrozole versus placebo plus letrozole in hormone receptor-positive, HER-2- negative advanced breast cancer[J]. Ann Oncol2018, 29(7):1541-1547.
[10]
Tripathy D, Im SA, Colleoni M, et al. Ribociclib plus endocrine therapy for premenopausal women with hormone-receptor-positive, advanced breast cancer (MONALEESA-7): a randomised phase 3 trial[J]. Lancet Oncol201819(7):904-915.
[11]
Goetz MP, Toi M, Campone M, et al. MONARCH 3: Abemaciclib as initial therapy for advanced breast cancer[J]. J Clin Oncol201735(32):3638-3646.
[12]
Beaver JA, Amiri-Kordestani L, Charlab R, et al. FDA Approval: palbociclib for the treatment of postmenopausal patients with estrogen receptor-positive, HER-2-negative metastatic breast cancer[J]. Clin Cancer Res201521(21):4760-4766.
[13]
DeMichele A, Clark AS, Tan KS, et al. CDK 4/6 inhibitor palbociclib (PD0332991) in Rb+ advanced breast cancer: phase II activity, safety, and predictive biomarker assessment[J]. Clin Cancer Res201521(5):995-1001.
[14]
Hamilton E, Infante JR. Targeting CDK4/6 in patients with cancer[J]. Cancer Treat Rev201645:129-38.
[15]
Barroso-Sousa R, Shapiro GI, Tolaney SM. Clinical development of the CDK4/6 inhibitors ribociclib and abemaciclib in breast cancer[J]. Breast Care (Basel)201611(3):167-173.
[16]
Rugo HS, Turner NC, Finn RS, et al. Palbociclib plus endocrine therapy in older women with HR+/HER-2- advanced breast cancer: a pooled analysis of randomised PALOMA clinical studies[J]. Eur J Cancer2018101:123-133.
[17]
Sonke GS, Hart LL, Campone M, et al. Ribociclib with letrozole vs letrozole alone in elderly patients with hormone receptor-positive, HER-2-negative breast cancer in the randomized MONALEESA-2 trial[J]. Breast Cancer Res Treat2018167(3):659-669.
[18]
Singh H, Howie L, Bloomquist E, et al. A U.S. Food and Drug Administration pooled analysis of outcomes of older women with hormone-receptor positive metastatic breast cancer treated with a CDK4/6 inhibitor as initial endocrine based therapy[C/OL]// San Antonio Breast Cancer Symposium, San Antonio, 2018[2020-01-25].

URL    
[19]
Schröder J, Fietz T, Kohler A, et al. Treatment and pattern of bone metastases in 1094 patients with advanced breast cancer-results from the prospective German Tumour Registry Breast Cancer cohort study[J]. Eur J Cancer201779:139-148.
[20]
Goetz MP, O’Shaughnessy J, Sledge GW, et al. The benefit of abemaciclib in prognostic subgroups: an exploratory analysis of combined data from the MONARCH 2 and 3 studies[EB/OL]. [2020-01-25].

URL    
[21]
Turner NC, Finn RS, Martin M, et al. Clinical considerations of the role of palbociclib in the management of advanced breast cancer patients with and without visceral metastases[J]. Ann Oncol201829(3):669-680.
[22]
Burris HA, Chan A, Campone M, et al. First-line ribociclib + letrozole in patients with HR+,HER-2- advanced breast cancer presenting with visceral metastases or bone-only disease: a subgroup analysis of the MONALEESA-2 trial[EB/OL]. [2020-01-25].

URL    
[23]
Janni W, Alba E, Bachelot T, et al. First-line ribociclib plus letrozole in postmenopausal women with HR+,HER-2- advanced breast cancer: tumor response and pain reduction in the phase 3 MONALEESA-2 trial[J]. Breast Cancer Res Treat2018169(3):469-479.
[24]
Sammons SL, Topping DL, Blackwell KL. HR+,HER-2- advanced breast cancer and CDK4/6 inhibitors: mode of action, clinical activity, and safety profiles[J]. Curr Cancer Drug Targets201717(7):637-649.
[25]
Smith TJ, Bohlke K, Lyman GH, et al. Recommendations for the use of WBC growth factors: American Society of Clinical Oncology clinical practice guideline update[J]. J Clin Oncol201533(28):3199-3212.
[26]
Dieras V, Harbeck N, Joy AA, et al. PALOMA-2: Neutropenia patterns in patients with estrogen receptor-positive/human epidermal growth factor receptor 2-negative first-line advanced breast cancer receiving palbociclib plus letrozole[EB/OL]. [2020-01-25].

URL    
[27]
Janni W, Burris HA, Blackwell KL, et al. First-line ribociclib+letrozole for postmenopausal women with HR+,HER-2- ABC: MONALEESA-2 safety results[EB/OL]. [2020-01-25].

URL    
[28]
Finn RS, Crown JP, Ettl J, et al. Efficacy and safety of palbociclib in combination with letrozole as first-line treatment of ER-positive, HER-2- negative, advanced breast cancer: expanded analyses of subgroups from the randomized pivotal trial PALOMA-1/TRIO-18[J]. Breast Cancer Res201618(1):67.
[29]
Eli Lilly.Verzenio[EB/OL].[2020-01-25].

URL    
[30]
Novartis Pharmaceuticals Corporation.Highlight of prescribing information[EB/OL].[2020-01-25].

URL    
[31]
Vandenberk B, Vandael E, Robyns T, et al. Which QT correction formulae to use for QT monitoring? [J]. J Am Heart Assoc20165(6): e003264.
[32]
Drew BJ, Ackerman MJ, Funk M, et al. Prevention of torsade de pointes in hospital settings: a scientific statement from the American Heart Association and the American College of Cardiology Foundation[J]. J Am Coll Cardiol201055(9):934-947.
[33]
Bell T, Crown JP, Lang I, et al. Impact of palbociclib plus letrozole on pain severity and pain interference with daily activities in patients with estrogen receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer as first-line treatment[J]. Curr Med Res Opin201632(5):959-965.
[34]
Lenihan C, Bouchekioua-Bouzaghou K, Abdulghani R, et al. CDK4/6 inhibitor resistant ER-positive cells remain dependent on estrogen signalling and retain sensitivity to endocrine therapy[EB/OL]. [2020-01-25].

URL    
[35]
Finn RS, Liu Y, Martin M, et al. Comprehensive gene expression biomarker analysis of cyclin-dependent kinases 4/6 and endocrine pathways from the PALOMA-2 study[EB/OL]. [2020-01-25].

URL    
[36]
Andre F, Stemmer SM, Campone M, et al. Ribociclib + letrozole for first-line treatment of HR+,HER-2- advanced breast cancer: efficacy by baseline tumor markers[EB/OL]. [2020-01-25].

URL    
[37]
Malorni L, Curigliano G, Minisini AM, et al. Palbociclib as single agent or in combination with the endocrine therapy received before disease progression for estrogen receptor-positive, HER-2-negative metastatic breast cancer: TREnd trial[J]. Ann Oncol201829(8):1748-1754.
[38]
Moulder S, Karuturi M, Yardley DA, et al. Ribociclib in combination with everolimus and exemestane in men and postmenopausal women with HR+/HER-2 advanced breast cancer after progression on a CDK4/6 inhibitor: efficacy and safety results from phase 2 of the TRINITI-1 study[EB/OL]. [2020-01-25].

URL    
[1] 郏亚平, 曾书娥. 含鳞状细胞癌成分的乳腺化生性癌的超声与病理特征分析[J]. 中华医学超声杂志(电子版), 2023, 20(08): 844-848.
[2] 唐玮, 何融泉, 黄素宁. 深度学习在乳腺癌影像诊疗和预后预测中的应用[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 323-328.
[3] 康夏, 田浩, 钱进, 高源, 缪洪明, 齐晓伟. 骨织素抑制破骨细胞分化改善肿瘤骨转移中骨溶解的机制研究[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 329-339.
[4] 衣晓丽, 胡沙沙, 张彦. HER-2低表达对乳腺癌新辅助治疗疗效及预后的影响[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 340-346.
[5] 施杰, 李云涛, 高海燕. 腋窝淋巴结阳性Luminal A型乳腺癌患者新辅助与辅助化疗的预后及影响因素分析[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 353-361.
[6] 伍秋苑, 陈佩贤, 邓裕华, 何添成, 周丹. 肠道微生物在乳腺癌中的研究进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 362-365.
[7] 谭巧, 苏小涵, 侯令密, 黎君彦, 邓世山. 乳腺髓样癌的诊治进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 366-368.
[8] 周婉丽, 钱铮, 李喆. 槐耳在乳腺癌免疫治疗中的研究进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 369-371.
[9] 熊倩, 罗凤. 乳腺癌患者术后康复现状与对策的研究进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 372-374.
[10] 杨小菁, 姜瑞瑞, 石玉香, 王静静, 李长天. 乳腺孤立性纤维性肿瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 375-377.
[11] 冯雪园, 韩萌萌, 马宁. 乳腺原发上皮样血管内皮瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 378-380.
[12] 刘佳璇, 徐兵河. 中国乳腺癌临床研究年度进展[J]. 中华乳腺病杂志(电子版), 2023, 17(05): 259-265.
[13] 姚成才, 刘长春, 黄文剑, 陈明. 单孔非溶脂荧光腔镜技术在早期乳腺癌腋窝前哨淋巴结活组织检查中的应用[J]. 中华乳腺病杂志(电子版), 2023, 17(05): 266-271.
[14] 晏晴艳, 雍晓梅, 罗洪, 杜敏. 成都地区老年转移性乳腺癌的预后及生存因素研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 636-638.
[15] 李智铭, 郭晨明, 庄晓晨, 候雪琴, 高军喜. 早期乳腺癌超声造影定性及定量指标的对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 639-643.
阅读次数
全文


摘要