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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
Main Authors: Cadoo, Karen A, Gucalp, Ayca, Traina, Tiffany A
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Traina, Tiffany A
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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ispartof Breast cancer targets and therapy, 2014-01, Vol.6 (default), p.123-133
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language eng
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source Taylor & Francis Open Access; Publicly Available Content Database; PubMed Central
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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