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Palbociclib: an evidence-based review of its potential in the treatment of breast cancer
Cellular proliferation, growth, and division following DNA (deoxyribonucleic acid) damage are tightly controlled by the cell-cycle regulatory machinery. This machinery includes cyclin-dependent kinases (CDKs) which complex with their cyclin partners, allowing the cell cycle to progress. The cell-cyc...
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Published in: | Breast cancer targets and therapy 2014-01, Vol.6 (default), p.123-133 |
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description | Cellular proliferation, growth, and division following DNA (deoxyribonucleic acid) damage are tightly controlled by the cell-cycle regulatory machinery. This machinery includes cyclin-dependent kinases (CDKs) which complex with their cyclin partners, allowing the cell cycle to progress. The cell-cycle regulatory process plays a critical role in oncogenesis and in the development of therapeutic resistance; it is frequently disrupted in breast cancer, providing a rational target for therapeutic development. Palbociclib is a potent and selective inhibitor of CDK4 and -6 with significant activity in breast cancer models. Furthermore, it has been shown to significantly prolong progression-free survival when combined with letrozole in the management of estrogen receptor-positive metastatic breast cancer. In this article we review the cell cycle and its regulatory processes, their role in breast cancer, and the rationale for CDK inhibition in this disease. We describe the preclinical and clinical data relating to the activity of palbociclib in breast cancer and the plans for the future development of this agent. |
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subjects | Antimitotic agents Antineoplastic agents Breast cancer Cancer therapies CDK4/6 inhibition Cell adhesion & migration Cell cycle Cell division cell-cycle regulation Cyclin-dependent kinases Deoxyribonucleic acid DNA Drug therapy Genetic aspects Health aspects Kinases Medical prognosis Metastasis Phosphorylation Phosphotransferases Physiological aspects Proteins Review Transcription factors Tumors |
title | Palbociclib: an evidence-based review of its potential in the treatment of breast cancer |
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