Faculty, Staff and Student Publications

Language

English

Publication Date

7-1-2025

Journal

Expert Opinion on Therapeutic Targets

DOI

10.1080/14728222.2025.2537412

PMID

40692275

PMCID

PMC12535411

PubMedCentral® Posted Date

10-19-2025

PubMedCentral® Full Text Version

Author MSS

Abstract

Introduction: The dysregulation of cyclin-dependent kinases (CDKs) is a key driver of cancer progression, making them attractive therapeutic targets. In CDK4/6 inhibitor (CDK4/6i)-resistant breast cancer, targeting CDK2 offers a promising approach. CDK2 is frequently hyperactivated due to cyclin E1 overexpression or retinoblastoma protein loss, acting as a mechanism that sustains proliferation despite CDK4/6 inhibition. CDK2 inhibitors (CDK2i) show strong anti-tumor activity, particularly in combination with CDK4/6i or immune checkpoint inhibitors.

Areas covered: This review explores the biological roles of CDK2 and its regulatory mechanisms. The review highlights the latest advancements in CDK2i, their mechanisms of action, and their potential in combination strategies with CDK4/6i, chemotherapy, and immunotherapies. Additionally, it examines other emerging targets, such as CDK7 and CDK5, which contribute to transcriptional regulation and immune evasion, respectively.

Expert opinion: Future research should focus on biomarker-driven patient selection, optimizing CDK2i combinations, and expanding CDK7 inhibitor applications. Integrating multi-omics profiling can refine patient stratification, while combination strategies with chemotherapy, DNA damaging agents, and immunotherapies may enhance efficacy. CDK7 inhibitors could also complement CDK2 targeting by modulating resistance mechanisms. Personalized, adaptive treatment approaches will be key to maximizing the clinical impact of CDK2 and CDK7 inhibitors in breast cancer therapy.

Keywords

Humans, Breast Neoplasms, Female, Cyclin-Dependent Kinase 2, Protein Kinase Inhibitors, Molecular Targeted Therapy, Animals, Antineoplastic Agents, Cell Cycle, Drug Resistance, Neoplasm, Disease Progression, CDK2 inhibitor, CDK7 inhibitor, CDK5, CDK4/6 inhibitor, targeted therapies, breast cancer

Published Open-Access

yes

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.