Journal of Practical Oncology ›› 2019, Vol. 33 ›› Issue (5): 476-480.doi: 10.11904/j.issn.1002-3070.2019.05.018

• Review • Previous Articles    

Action for CDK4/6 inhibitors combined with mTOR inhibitors in breast cancer and its mechanism

LIU Eryu, YANG Hao, LIANG Guohua, ZHAO Yanfang, ZHAO Wenhui   

  1. Harbin Medical University Cancer Hospital,Harbin 150081,China
  • Published:2019-11-05

Abstract: Many studies indicate that the CDK-RB-E2F pathway and the PI3K-AKT-mTOR pathway play key roles in the mechanism of drug resistance in breast cancer.Through studies of two pathways,the combination of CDK4/6 inhibitors and endocrine drugs can improve the survival rate of patients with hormone receptor-positive breast cancer,and mTOR inhibitors also show the anti-tumor strength.Recent studies have shown that the combination of mTOR inhibitors and CDK4/6 inhibitors can further inhibit the activation of the CDK-RB-E2F pathway and synergistically controls tumor cell proliferation.It was also found that the CDK-RB-E2F pathway in CDK4/6 inhibitor-resistant patients was reactivated and sensitive to mTOR inhibitor.Other studies have also shown that CDK4/6 inhibitors and mTOR inhibitors can synergistically control tumorigenesis through autophagy.This article reviews several mechanisms of combination of two drugs.

Key words: CDK4/6 inhibitors, mTOR inhibitors, E2F, RB, Breast cancer, Autophagy

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