Target intelligence / Profile preview

Cyclin-dependent kinase 4, cyclin-dependent kinase 6, and cyclin-dependent kinase 8 (CDK4, CDK6, CDK8)

Target
CDK4, CDK6, CDK8
Molecular classification
Enzyme (specifically serine/threonine kinase), Cyclin-dependent kinase family, For CDK4/CDK6: Cell-cycle regulating kinases, For CDK8: Transcriptional regulator (Mediator kinase complex)
01

Overview

Cyclin-dependent kinase 4, 6, and 8 are closely related members of a kinase family that regulate cell division and transcription. CDK4 and CDK6 are activated by D-type cyclins and are essential for cell cycle progression from the G1 to S phase, primarily via phosphorylation and inactivation of retinoblastoma tumor suppressor proteins. Their dysregulation is implicated in many cancers, and selective ATP-competitive inhibitors of CDK4/6 have become important anticancer drugs, particularly in hormone receptor-positive breast cancer. CDK8, by contrast, is a Mediator complex-associated kinase regulating transcription in response to signaling cues. Unlike CDK4/6, CDK8’s activity is tightly regulated by complex formation and is a target for drugs affecting transcriptional control in cancer and other diseases.

Other names
Cell division protein kinase 4 (CDK4)Cell division protein kinase 6 (CDK6)Cyclin-dependent protein kinase 8CDK-4CDK-6CDK-8
02

Mechanism of action

ATP-competitive inhibition of kinase activity (CDK4/6 and CDK8 inhibitors); Blockage of retinoblastoma protein phosphorylation (CDK4/6 inhibitors); Disruption of cell cycle progression/induction of cell cycle arrest (CDK4/6 inhibitors); Inhibition of transcription regulation (CDK8 inhibitors via Mediator complex)

03

Biological functions

Cell cycle progression (G1/S transition) (CDK4, CDK6)Phosphorylation of retinoblastoma protein (CDK4, CDK6)Regulation of cell proliferation (CDK4, CDK6)Transcriptional regulation (CDK8, in Mediator complex)Signal transduction (all CDKs indirectly)Metabolic regulation and anti-tumor immunity (CDK4/6 inhibition)
04

Disease associations

Cancer (especially breast cancer, other solid tumors)Parathyroid adenoma (via cyclin D1 activation of CDK4/6)B-lymphocytic malignancies (via dysregulated cyclin D-CDK4/6)Possibly other proliferative and transcription-related disorders
05

Safety considerations

Myelosuppression, neutropenia, leukopenia (common with CDK4/6 inhibitors)Non-specific kinase inhibition leading to off-target effectsTranscriptional dysregulation (with CDK8 inhibitors, less clinically characterized)Liver toxicity and fatigue (observed for CDK8/19 inhibitors)
06

Interacting drugs

Palbociclib (CDK4/6 inhibitor)

5 more in the full profile.

07

Biomarkers

Retinoblastoma (RB1) protein phosphorylation status (for CDK4/6 inhibitor efficacy)Cyclin D1 expression (marker of pathway activation)Hormone receptor status in breast cancer (predicts CDK4/6 inhibitor response)Phosphorylation targets of Mediator complex, potentially for CDK8

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