This book highlights the interrelation between cell cycle regulators and breast cancer phenotypes. It reviews the roles of Cyclin-Dependent Kinases (CDK) in driving cell cycle progression, cell cycle checkpoints and dysregulation in breast cancer. It also examines the prognostic significance of CDKs in breast cancer. and CDK inhibitors for the treatment of metastatic breast cancer. Further, the book discusses the role of different G1 cyclins in differentiation, chromosome stability, and transcriptional regulation in breast cancer. Additionally, it examines the role of immunogenic effects of CDK inhibitors, the mechanism of resistance and the current clinical trials in breast cancer treatment. Towards the end, the book explores cell cycle regulation as an attractive target for targeted drug therapy in breast cancer. This book is a comprehensive yet concise resource for oncologists and researchers interested in exploring the therapeutic potential of Cyclin-Dependent Kinases in breast cancer.
Author(s): Manzoor Mir
Publisher: Springer
Year: 2023
Language: English
Pages: 378
City: Singapore
Foreword
Preface
Acknowledgments
Contents
Editor and Contributors
1: Introduction to Breast Cancer
1.1 Introduction
1.2 History of Breast Cancer
1.3 Surgery
1.4 Radiation Therapy
1.5 Systemic Therapy
1.6 Hormone Therapy
1.7 Chemotherapy
1.8 Targeted Therapy
1.9 Intrinsic Molecular Sub-Typing of Breast Cancer
1.9.1 Luminal A and Luminal B Subtypes
1.9.2 The HER2 Enriched Subtype
1.9.3 The Basal-Like Subtype
1.9.4 Triple-Negative Breast Cancer
1.10 TNBC Sub-Typing and Clinical Implications
1.10.1 Basal-Like Subtype
1.10.2 Immunomodulatory (IM) Subtype
1.10.3 Mesenchymal-Like Subtype
1.10.4 Luminal Androgen Receptors (LAR) Subtype
1.11 Brand-New Drugs
1.11.1 Fulvestrant
1.11.2 HER2 Blockers
1.12 Conclusion
1.13 Further Readings
References
2: Current Treatment Approaches to Breast Cancer
2.1 Introduction
2.2 Breast Cancer Radiation Therapy
2.2.1 External Beam Radiation Therapy
2.3 Breast Brachytherapy
2.4 Breast Cancer Chemotherapies
2.4.1 Adjuvant Chemotherapy
2.4.2 Neo-Adjuvant Chemotherapy
2.5 Breast Cancer Endocrine Therapy
2.5.1 Tamoxifen
2.5.2 Aromatase Inhibitors
2.5.3 Switching Trails in Endocrine Therapy
2.6 Targeted Therapies in the Treatment of Breast Carcinoma
2.6.1 HER2+ Malignant Tumor of Breast
2.6.2 Trastuzumab
2.6.3 Pertuzumab
2.6.4 Conjugates of Antibodies and Drugs
2.6.5 mTOR Pathways
2.6.6 Receptor Tyrosine Kinase Inhibitors
2.7 Function of Immunotherapies in the Diagnosis of Mammary Cancer
2.7.1 Role of Checkpoint Inhibitors in Immunotherapy
2.7.2 Breast Cancer Immunogenicity
2.8 Surgical Treatment of Breast Cancer
2.8.1 Breast-Conserving-Therapy (BCT)
2.8.2 Mastectomy
2.8.3 Dissection of the Axillary Lymph Nodes
2.8.4 Sentinel Node Biopsy
2.9 Summary
2.10 Further Readings
References
3: Introduction to Cell Cycle and Its Regulators
3.1 Introduction
3.2 Cell Cycle
3.2.1 Interphase
3.2.2 M Phase: The M Phase Is Classified into Two Phases
3.2.3 Mitosis and Cytokinesis
3.3 Time Determination for Cell Cycle
3.4 G1 Is the Period of the Cell Cycle with the Most Variability
3.5 Molecular Events During Cell Cycle
3.6 Cell Cycle Regulation and Its Regulators
3.6.1 Positive Regulators-Cyclins and CDKs
3.6.2 Negative Regulators
3.7 Degradation of Cyclins
3.8 Checkpoints of the Cell Cycle
3.9 Signaling Pathways in the Cell Cycle
3.10 Importance of CDKs in Cell Cycle and Transcription
3.11 The Significance of CDKs in the Cell Cycle
3.12 CDKs and Transcription: What They Do
3.13 Cancer, CDKs, and CDK Inhibitors
3.14 Interphase CDKs Are Dysregulated in Tumor
3.15 Summary
3.16 Further Readings
References
4: Cell Cycle and Cancer
4.1 Introduction
4.2 Cancer Development
4.3 Cancer: Cell Cycle Dysregulation
4.4 Cell Cycle
4.5 Cell Cycle Entry and Progression
4.6 Cell Cycle Checkpoints
4.7 Regulation of Cyclin-CDK Complexes
4.8 Activation by Phosphorylation
4.9 CDK Inhibition by Phosphorylation
4.9.1 CDK Inhibitors (CKI´s)
4.9.2 CDK Interacting Protein/Kinase Inhibitory Protein (CIP/KIP)
4.9.3 Inhibitors of Kinase (INK4)
4.10 Role of M-C
4.11 Role of APC/C Activators During Mitotic Division
4.12 Spindle Assembly Checkpoint
4.13 DNA Damage Checkpoints
4.14 Therapeutic Agents
4.15 Summary
4.16 Further Readings
References
5: Cell Cycle Dysregulation in Breast Cancer
5.1 Introduction
5.2 Oncogenic Factors of Cell Cycle
5.2.1 Cyclin D
5.2.2 Cyclin A
5.2.3 Cyclin E
5.2.4 Cyclin B
5.3 Deregulation of CDKs in Breast Cancer
5.4 Tumor Suppressive Proteins of the Cell Cycle
5.4.1 p16
5.4.2 p21
5.4.3 p27
5.4.4 p53
5.4.5 Mutant p53
5.5 Summary
5.6 Further Readings
References
6: Molecular Subtypes of Breast Cancer and CDk Dysregulation
6.1 Introduction
6.2 Genetic Expression
6.2.1 Luminal A
6.2.2 Luminal B
6.2.2.1 Clinical Implications and Management
6.2.3 HER-2 Enriched Subtype
6.2.3.1 Clinical Implications and Management
6.2.4 Triple-Negative or Basal-Like BC
6.2.4.1 Genetic Expression
6.2.4.2 Clinical Implications and Management
6.3 Other Subtypes Under Investigation
6.4 CDK Dysregulation in BC
6.5 Role of CDK4/6 in Cell Cycle Control
6.5.1 Palbociclib
6.5.2 Ribociclib
6.5.3 Abemaciclib
6.6 Summary
6.7 Further Readings
References
7: Breast Tumor Microenvironment and CDKs
7.1 Introduction
7.2 The Tumor Microenvironment
7.2.1 TME Components
7.2.2 Composition
7.2.3 Local Microenvironment
7.2.4 Metastatic Microenvironment
7.3 Breast Cancer Cell-Stromal Interactions
7.3.1 Primary Site
7.3.2 Tunneling Nanotubes
7.3.2.1 Immune Cells
7.4 T Regulatory Cell Infiltration in Tumor Microenvironment
7.5 Cyclin-Dependent Kinases and Cell Cycle
7.6 Cell Cycle, CDKs, and Cancer
7.7 CDKS in BC Progression
7.8 CDKs in Breast Cancer Metastasis
7.9 Relative Numbers of Macrophages in Breast Cancer Progression
7.10 Location of Macrophages in Breast Tumors
7.11 Breast Cancer Cell Metastasis
7.12 Breast Cancer Angiogenesis
7.13 Conclusion
7.14 Glossary and Abbreviations
7.14.1 Glossary
7.15 Further Readings
References
8: CDK Dysregulation in Breast Cancer: A Bioinformatics Analysis
8.1 Introduction
8.2 Expression Profiles of CDKs in Molecular Subtypes of Breast Cancer
8.3 Expression Analysis of CDKs in Breast Cancer
8.4 CDK Expression and Various Clinicopathological Parameters
8.5 Protein-Protein Interaction of CDKs in Breast Cancer
8.6 Gene Ontology of CDKs
8.7 Prognostic Significance of CDKs in Breast Cancer
8.8 Role of CDKs in Breast Cancer
8.9 Combination Therapy of CDK Inhibitors and PD1-PDL1 Antibodies
8.9.1 Dinaciclib Enhances Anti-PD1 Mediated Tumor Suppression
8.9.2 CDK4/6 Inhibitors Augment the Anti-Tumor Efficacy of PD1-PDL1 Immune Checkpoint Blockade
8.9.3 Other Combination Therapies
8.10 Summary
8.11 Further Reading
References
9: CDK1 Dysregulation in Breast Cancer
9.1 Introduction
9.2 Role of CDK1
9.3 Dysregulation of CDK1 in BC
9.4 The CDK1 and Breast Cancer
9.5 Therapeutic Implications
9.6 Undesirable Effects of Pan-CDK Inhibitors
9.7 Summary
9.8 Further Readings
References
10: Cdk4/Cdk6 Dysregulation in Estrogen-Positive Receptor Breast Cancers
10.1 Introduction
10.2 Regulation of Cell Cycle by CDKs
10.3 CDK4/6´s Dysregulation and Cell Cycle in BC
10.4 CDK6/4and its Relation with the Breast Cancer
10.5 CDK4/6 in Relation to ER+ Breast Cancer
10.6 Endocrine Signaling, CDK4/CDK6 and Breast Cancer
10.7 Role of CDKs in Transcription
10.8 Targeting the CDK4/6:Cyc D Pathway Therapeutically
10.9 Summary
10.10 Further Readings
References
11: Therapeutic Implications of CDKs in Breast Cancer
11.1 Introduction
11.2 Dysregulation of CDKs
11.3 Functioning of CDK/Cyclins in the Cell Cycle
11.4 Types of CDKs
11.5 Role of CDKs in Breast Cancer
11.6 Need for CDK Inhibitors for Use in BC Treatment
11.7 Involvement of Other CDKs
11.8 Types of CDK Inhibitors
11.9 Pan-Inhibitors for BC Treatment
11.10 Specific CDK Inhibitors for BC Treatment
11.11 CDK4/6 Inhibitors and their Mechanism of Action
11.11.1 Palbociclib
11.11.2 Ribociclib
11.11.3 Abemaciclib
11.11.4 Other CDK Inhibitors
11.11.5 Side Effects of CDK4/6 Inhibitors
11.12 Summary
11.13 Further Readings
References
12: Novel CDK Inhibitors in Breast Cancer
12.1 Introduction
12.2 The Cyclin D-CDK4/6-Retinoblastoma Mechanism
12.3 CDK Inhibitors and Breast Cancer
12.4 Combinations of Novel CDK4/6 Inhibitors
12.4.1 Inhibitors of PI3K/AKT/mTOR in Conjunction
12.4.2 Combinations with Immune Checkpoint Inhibitors
12.5 Potential Molecular Biomarkers of CDK4/6 Inhibition Responsiveness and Resistance
12.5.1 RB Expression
12.5.2 Alterations in Cyclin D1 or P16INK4A
12.5.3 Mutational Profiles
12.5.4 Other Gene Expression Profiles
12.6 Summary
12.7 Further Reading
References
13: Targeting CDKs with Other Chemotherapeutic Drugs: A Combinatorial Approach
13.1 An Introduction to Cell Cycle
13.2 CDKs (Cyclin-Dependent Kinases)
13.3 Pan-CDK Inhibitors
13.3.1 Flavopiridol (Alvocidib)
13.3.2 TGO2 (SB1317)
13.3.3 P276-00
13.3.4 Dinaciclib
13.3.5 Seliciclib (Roscovitine/CYC202)
13.3.6 Roniciclib
13.3.7 PHA-793887
13.4 Specific CDK Inhibitors
13.5 CDK4/6 Inhibitors
13.5.1 Palbociclib (PD-0332991)
13.5.2 Abemaciclib
13.5.3 Ribociclib (LEE O11)
13.6 Specific CDK7 Inhibitors
13.7 CDK9 Inhibitors
13.8 CDK12 Inhibitors
13.9 Natural Compounds Acting as CDK Inhibitors
13.10 Summary
13.11 Further Reading
References
14: CDKs in Cell-Cycle Progression and Therapeutic Strategies in Human Breast Cancer
14.1 Introduction
14.2 CDKs and Cell Cycle Progression
14.3 Dysregulation of CDKs in Breast Cancer
14.4 CDKs as Therapeutic Targets of Breast Cancer
14.5 CDK4/6 Inhibitors as a Monotherapeutic Approaches
14.5.1 Palbociclib
14.5.2 Ribociclib
14.5.3 Abemaciclib
14.6 CDK4/6 Inhibitors as a Combinational Approach
14.7 Novel CDKIs
14.8 Summary
14.9 Further Readings
References
15: CDk Inhibitor for Treatment of Breast Cancer
15.1 Introduction
15.2 The Cell Cycle and its Function
15.3 Cell-Cycle Control and Cyclins
15.4 Cyclin-Dependent Kinases: Role in Cell Cycle
15.5 Proliferation of Breast Epithelial Cells and Cyclins
15.6 Breast Cancer and Cyclins
15.7 Role of Cyclins in Carcinogenesis of Mammary Glands
15.8 In Breast Cancer; Cyclin Overexpression
15.9 The CDK4/6 Targeted Preclinical Research
15.10 CDK4/6Inhibitors´MechanismsofAction
15.11 Prevention and Treatment
15.11.1 Chemo-prevention
15.11.2 Biological Prevention
15.12 Summary
15.13 Further Reading
References
16: Response of Therapy in Cell-Cycle Regulatory Genes in Breast Cancer
16.1 Introduction
16.2 Treatment Response of the HER-2 Oncogene in Breast Cancer
16.3 Endocrine Resistance
16.4 Early Generation Cell Cycle/CDK Inhibitors and Microtubule Binding Drugs
16.4.1 Inhibitors of TTK
16.4.2 PLK4 Inhibitors
16.5 Modulators for Downstream Signal Transduction
16.6 Cell Cycle Modulators and Cyclins
16.7 Summary
16.8 Further Reading
References
17: Different Cyclins and Their Significance in Breast Cancer
17.1 Introduction
17.2 History of Cell Cycle
17.3 Cancer and Cell Cycle
17.3.1 Cyclins
17.3.2 Cyclins and Cell Cycle
17.4 Different Types of Cyclins with Their Functional Significance:
17.4.1 Cyclin D
17.4.2 Cyclin E
17.4.3 Cyclin A
17.4.4 Cyclin B
17.4.5 Cyclin H
17.4.6 Cyclin T
17.4.7 Cyclin K
17.4.8 Cyclin F
17.4.9 Cyclin G
17.5 Role of Cyclins in Regulation of Transcription
17.6 Role of Cyclins in Chromosomal Instability
17.7 Summary
17.8 Further Readings
References