Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

CDK4/6 Inhibitor Resistance in Hormone Receptor-Positive Metastatic Breast Cancer: Translational Research, clinical trials, and Future Directions

Version 1 : Received: 28 June 2023 / Approved: 28 June 2023 / Online: 28 June 2023 (07:39:44 CEST)

A peer-reviewed article of this Preprint also exists.

Lee, J.S.; Hackbart, H.; Cui, X.; Yuan, Y. CDK4/6 Inhibitor Resistance in Hormone Receptor-Positive Metastatic Breast Cancer: Translational Research, Clinical Trials, and Future Directions. Int. J. Mol. Sci. 2023, 24, 11791. Lee, J.S.; Hackbart, H.; Cui, X.; Yuan, Y. CDK4/6 Inhibitor Resistance in Hormone Receptor-Positive Metastatic Breast Cancer: Translational Research, Clinical Trials, and Future Directions. Int. J. Mol. Sci. 2023, 24, 11791.

Abstract

The emergence of CDK4/6 inhibitors, such as palbociclib, ribociclib, and abemaciclib, has revolutionized the treatment landscape for hormone receptor-positive breast cancer. These agents have demonstrated significant clinical benefits in terms of both progression-free survival and overall survival. However, resistance to CDK4/6 inhibitors remains a challenge, limiting their long-term efficacy. Understanding the complex mechanisms driving resistance is crucial for the development of novel therapeutic strategies and improvement of patient outcomes. Translational research efforts, such as preclinical models and biomarker studies, offer valuable insight into resistance mechanisms and may guide the identification of novel combination therapies. This review paper aims to outline the reported mechanisms underlying CDK4/6 inhibitor resistance, drawing insights from both clinical data and translational research in order to help direct the future of treatment for hormone receptor positive metastatic breast cancer.

Keywords

breast cancer; CDK4/6 inhibitors; estrogen receptor; therapeutic resistance

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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