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JNCI Journal of the National Cancer Institute 2000 92(5):376-387; doi:10.1093/jnci/92.5.376
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Journal of the National Cancer Institute, Vol. 92, No. 5, 376-387, March 1, 2000
© 2000 Oxford University Press


REVIEW

Preclinical and Clinical Development of Cyclin-Dependent Kinase Modulators

Adrian M. Senderowicz, Edward A. Sausville

Affiliation of authors: DTP Clinical Trials Unit, Developmental Therapeutics Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD.

Correspondence to: Adrian M. Senderowicz, M.D., National Institutes of Health, Bldg. 10, Rm. 6N113, Bethesda, MD 20892 (e-mail: sendero{at}helix. nih.gov).

In the last decade, the discovery and cloning of the cyclin-dependent kinases (cdks), key regulators of cell cycle progression, have led to the identification of novel modulators of cdk activity. Initial experimental results demonstrated that these cdk modulators are able to block cell cycle progression, induce apoptotic cell death, promote differentiation, inhibit angiogenesis, and modulate transcription. Alteration of cdk activity may occur indirectly by affecting upstream pathways that regulate cdk activity or directly by targeting the cdk holoenzyme. Two direct cdk modulators, flavopiridol and UCN-01, are showing promising results in early clinical trials, in which the drugs reach plasma concentrations that can alter cdk activity in vitro. Although modulation of cdk activity is a well-grounded concept and new cdk modulators are being assessed for clinical testing, important scientific questions remain to be addressed. These questions include whether one or more cdks should be inhibited, how cdk inhibitors should be combined with other chemotherapy agents, and which cdk substrates should be used to assess the biologic effects of these drugs in patients. Thus, modulation of cdk activity is an attractive target for cancer chemotherapy, and several agents that modulate cdk activity are in or are approaching entry into clinical trials.



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M. L. Rodriguez-Puebla, P. L. Miliani de Marval, M. LaCava, D. S. Moons, H. Kiyokawa, and C. J. Conti
cdk4 Deficiency Inhibits Skin Tumor Development but Does Not Affect Normal Keratinocyte Proliferation
Am. J. Pathol., August 1, 2002; 161(2): 405 - 411.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
A. F.W. Frijhoff, C. J. Conti, and A. M. Senderowicz
Second Symposium of Novel Molecular Targets for Cancer Therapy
Oncologist, August 1, 2002; 7(90003): 1 - 3.
[Full Text] [PDF]


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The OncologistHome page
A. M. Senderowicz
The Cell Cycle as a Target for Cancer Therapy: Basic and Clinical Findings with the Small Molecule Inhibitors Flavopiridol and UCN-01
Oncologist, August 1, 2002; 7(90003): 12 - 19.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
C. G. Ferreira, M. Epping, F. A. E. Kruyt, and G. Giaccone
Apoptosis: Target of Cancer Therapy
Clin. Cancer Res., July 1, 2002; 8(7): 2024 - 2034.
[Abstract] [Full Text] [PDF]


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BloodHome page
B. Zhang, I. Gojo, and R. G. Fenton
Myeloid cell factor-1 is a critical survival factor for multiple myeloma
Blood, March 15, 2002; 99(6): 1885 - 1893.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
V. Patel, T. Lahusen, T. Sy, E. A. Sausville, J. S. Gutkind, and A. M. Senderowicz
Perifosine, a Novel Alkylphospholipid, Induces p21WAF1 Expression in Squamous Carcinoma Cells through a p53-independent Pathway, Leading to Loss in Cyclin-dependent Kinase Activity and Cell Cycle Arrest
Cancer Res., March 1, 2002; 62(5): 1401 - 1409.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. B. Matranga and G. I. Shapiro
Selective Sensitization of Transformed Cells to Flavopiridol-induced Apoptosis following Recruitment to S-Phase
Cancer Res., March 1, 2002; 62(6): 1707 - 1717.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
M. Filipits, U. Jaeger, G. Pohl, T. Stranzl, I. Simonitsch, A. Kaider, C. Skrabs, and R. Pirker
Cyclin D3 Is a Predictive and Prognostic Factor in Diffuse Large B-cell Lymphoma
Clin. Cancer Res., March 1, 2002; 8(3): 729 - 733.
[Abstract] [Full Text] [PDF]


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Molecular Cancer TherapeuticsHome page
T. Yamauchi, M. J. Keating, and W. Plunkett
UCN-01 (7-Hydroxystaurosporine) Inhibits DNA Repair and Increases Cytotoxicity in Normal Lymphocytes and Chronic Lymphocytic Leukemia Lymphocytes
Mol. Cancer Ther., February 1, 2002; 1(4): 287 - 294.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
T. Sandal
Molecular Aspects of the Mammalian Cell Cycle and Cancer
Oncologist, February 1, 2002; 7(1): 73 - 81.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
P. M. Clare, R. A. Poorman, L. C. Kelley, K. D. Watenpaugh, C. A. Bannow, and K. L. Leach
The Cyclin-dependent Kinases cdk2 and cdk5 Act by a Random, Anticooperative Kinetic Mechanism
J. Biol. Chem., December 14, 2001; 276(51): 48292 - 48299.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
H. Wang, J. Guan, H. Wang, A. R. Perrault, Y. Wang, and G. Iliakis
Replication Protein A2 Phosphorylation after DNA Damage by the Coordinated Action of Ataxia Telangiectasia-Mutated and DNA-dependent Protein Kinase
Cancer Res., December 1, 2001; 61(23): 8554 - 8563.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
P. J. Nelson, I. H. Gelman, and P. E. Klotman
Suppression of HIV-1 Expression by Inhibitors of Cyclin-Dependent Kinases Promotes Differentiation of Infected Podocytes
J. Am. Soc. Nephrol., December 1, 2001; 12(12): 2827 - 2831.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
Y. A. Elsayed and E. A. Sausville
Selected Novel Anticancer Treatments Targeting Cell Signaling Proteins
Oncologist, December 1, 2001; 6(6): 517 - 537.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
D. Wang, C. de la Fuente, L. Deng, L. Wang, I. Zilberman, C. Eadie, M. Healey, D. Stein, T. Denny, L. E. Harrison, et al.
Inhibition of Human Immunodeficiency Virus Type 1 Transcription by Chemical Cyclin-Dependent Kinase Inhibitors
J. Virol., August 15, 2001; 75(16): 7266 - 7279.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
Y. Hirose, M. S. Berger, and R. O. Pieper
Abrogation of the Chk1-mediated G2 Checkpoint Pathway Potentiates Temozolomide-induced Toxicity in a p53-independent Manner in Human Glioblastoma Cells
Cancer Res., August 1, 2001; 61(15): 5843 - 5849.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. V. Blagosklonny and A. B. Pardee
Exploiting Cancer Cell Cycling for Selective Protection of Normal Cells
Cancer Res., June 1, 2001; 61(11): 4301 - 4305.
[Abstract] [Full Text] [PDF]


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RadiologyHome page
R. Weissleder and U. Mahmood
Molecular Imaging
Radiology, May 1, 2001; 219(2): 316 - 333.
[Abstract] [Full Text]


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Drug Metab. Dispos.Home page
B. Hagenauer, A. Salamon, T. Thalhammer, O. Kunert, E. Haslinger, P. Klingler, A. M. Senderowicz, E. A. Sausville, and W. Jäger
In Vitro Glucuronidation of the Cyclin-Dependent Kinase Inhibitor Flavopiridol by Rat and Human Liver Microsomes: Involvement of UDP-Glucuronosyltransferases 1A1 and 1A9
Drug Metab. Dispos., April 1, 2001; 29(4): 407 - 414.
[Abstract] [Full Text]


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JNCI J Natl Cancer InstHome page
A. Kubo and F. J. Kaye
Searching for Selective Cyclin-Dependent Kinase Inhibitors to Target the Retinoblastoma/p16 Cancer Gene Pathway
J Natl Cancer Inst, March 21, 2001; 93(6): 415 - 417.
[Full Text] [PDF]


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Cancer Res.Home page
H. Dosaka-Akita, F. Hommura, T. Mishina, S. Ogura, M. Shimizu, H. Katoh, and Y. Kawakami
A Risk-Stratification Model of Non-Small Cell Lung Cancers Using Cyclin E, Ki-67, and ras p21: Different Roles of G1 Cyclins in Cell Proliferation and Prognosis
Cancer Res., March 1, 2001; 61(6): 2500 - 2504.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
M. E. S. Kahn, A. Senderowicz, E. A. Sausville, and K. E. Barrett
Possible Mechanisms of Diarrheal Side Effects Associated with the Use of a Novel Chemotherapeutic Agent, Flavopiridol
Clin. Cancer Res., February 1, 2001; 7(2): 343 - 349.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
R. W. Robey, W. Y. Medina-Pérez, K. Nishiyama, T. Lahusen, K. Miyake, T. Litman, A. M. Senderowicz, D. D. Ross, and S. E. Bates
Overexpression of the ATP-binding Cassette Half-Transporter, ABCG2 (MXR/BCRP/ABCP1), in Flavopiridol-resistant Human Breast Cancer Cells
Clin. Cancer Res., January 1, 2001; 7(1): 145 - 152.
[Abstract] [Full Text]


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JNCI J Natl Cancer InstHome page
X. Chen, M. Lowe, T. Herliczek, M. J. Hall, C. Danes, D. A. Lawrence, and K. Keyomarsi
Protection of Normal Proliferating Cells Against Chemotherapy by Staurosporine-Mediated, Selective, and Reversible G1 Arrest
J Natl Cancer Inst, December 20, 2000; 92(24): 1999 - 2008.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. Omura-Minamisawa, M. B. Diccianni, A. Batova, R. C. Chang, L. J. Bridgeman, J. Yu, Esther de Wit, F. H. Kung, J. D. Pullen, and A. L. Yu
In Vitro Sensitivity of T-Cell Lymphoblastic Leukemia to UCN-01 (7-Hydroxystaurosporine) Is Dependent on p16 Protein Status: A Pediatric Oncology Group Study
Cancer Res., December 1, 2000; 60(23): 6573 - 6576.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
F. Innocenti, W. M. Stadler, L. Iyer, J. Ramírez, E. E. Vokes, and M. J. Ratain
Flavopiridol Metabolism in Cancer Patients Is Associated with the Occurrence of Diarrhea
Clin. Cancer Res., September 1, 2000; 6(9): 3400 - 3405.
[Abstract] [Full Text]


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JNCI J Natl Cancer InstHome page
A. M. Senderowicz and E. A. Sausville
RESPONSE: Re: Preclinical and Clinical Development of Cyclin-Dependent Kinase Modulators
J Natl Cancer Inst, July 19, 2000; 92(14): 1185 - 1185.
[Full Text] [PDF]


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J. Biol. Chem.Home page
S.-H. Chao, K. Fujinaga, J. E. Marion, R. Taube, E. A. Sausville, A. M. Senderowicz, B. M. Peterlin, and D. H. Price
Flavopiridol Inhibits P-TEFb and Blocks HIV-1 Replication
J. Biol. Chem., September 8, 2000; 275(37): 28345 - 28348.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S.-H. Chao and D. H. Price
Flavopiridol Inactivates P-TEFb and Blocks Most RNA Polymerase II Transcription in Vivo
J. Biol. Chem., August 17, 2001; 276(34): 31793 - 31799.
[Abstract] [Full Text] [PDF]



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