Target intelligence / Profile preview

Cyclin-dependent kinase 4 and Cyclin-dependent kinase 6 (CDK4 and CDK6)

Target
CDK4 and CDK6
Molecular classification
Enzyme, Serine/threonine kinase, Cyclin-dependent kinase family
01

Overview

Cyclin-dependent kinase 4 and cyclin-dependent kinase 6 are closely related serine/threonine kinases that are central regulators of cell cycle progression, specifically controlling the transition from the G1 to S phase. They function as catalytic subunits activated by binding to D-type cyclins, forming holoenzyme complexes that phosphorylate the retinoblastoma tumor suppressor protein (Rb), thereby promoting E2F-mediated transcription and cell proliferation[1][2][3][4][7]. Dysregulation of CDK4/6 activity—through amplification, overexpression, loss of negative regulators like p16INK4A, or upregulation of cyclin D1—leads to unchecked cell division and is a hallmark of several cancers[6][9]. Selective small-molecule inhibitors of CDK4/6 represent a major advance in targeted therapy, particularly in HR+/HER2- metastatic breast cancer, inducing durable cell cycle arrest by preventing Rb phosphorylation. While generally tolerable, therapy can be associated with hematologic and gastrointestinal toxicities[3][9][10]. CDK4 and CDK6 are both essential for the proliferation of certain tumor types and are considered prime therapeutic targets in oncology research and drug development.

Other names
Cell division protein kinase 4 (CDK4)Cell division protein kinase 6 (CDK6)CDK4/6 (commonly referenced together)p34PSK-J3 (CDK4)Serine/threonine-protein kinase CDK4Serine/threonine-protein kinase CDK6
02

Mechanism of action

ATP-competitive inhibition of kinase activity, Inhibition of Rb phosphorylation, Induction of G1 cell cycle arrest, Restoration of Rb-mediated cell cycle control, Blockade of E2F transcription factor activation, Induction of senescence/apoptosis in tumor cells

03

Biological functions

Cell cycle regulationG1 phase progressionG1/S cell cycle transitionRetinoblastoma protein (Rb) phosphorylationRegulation of cell proliferationCellular response to mitogenic signalsRegulation of transcription factors (e.g., E2F)
04

Disease associations

Cancer (e.g., breast cancer, lymphoma, leukemia, melanoma)OncogenesisOther proliferative disorders
05

Safety considerations

Neutropenia (most common with palbociclib/ribociclib)Gastrointestinal toxicity (e.g., diarrhea, especially with abemaciclib)QT prolongation (notably with ribociclib)HepatotoxicityFatigueRisk of infection due to myelosuppression
06

Interacting drugs

Palbociclib

4 more in the full profile.

07

Biomarkers

Retinoblastoma protein (Rb) status (functional Rb is required for efficacy)Cyclin D1 overexpressionCDK4/6 amplification or overexpressionLoss of p16INK4A (CDKN2A) expressionKi-67 (cell proliferation marker)E2F target gene expression

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