Flavopiridol, an inhibitor of transcription: implications, problems and solutions.

Cell Cycle

Brander Cancer Research Institute, New York Medical College, New York 10532, USA.

Published: December 2004

AI Article Synopsis

  • Flavopiridol, a CDK inhibitor, has largely failed in clinical trials despite its initial promise due to its potent effect on global transcription and resulting biological effects.
  • The review outlines how flavopiridol downregulates various proteins, leads to cell cycle arrest and apoptosis, and exhibits diverse, complex effects beyond those of similar drugs.
  • It suggests that, because of its unique action mechanism, flavopiridol may still hold significant clinical potential, meriting further exploration for both standalone use and in combination therapies.

Article Abstract

After a decade of exciting promises, the CDK inhibitor flavopiridol has quietly failed in most clinical trials. This review discusses that flavopiridol is a potent inhibitor of global transcription. This explains not only downregulation of numerous proteins, cell cycle arrest and apoptosis but also all pleiotropic and mysterious effects of flavopiridol. Yet, flavopiridol is not just a second actinomycin D. As an inhibitor of transcription with a unique mechanism of action, flavopiridol may have tremendous clinical potentials. This article reviews the molecular and cellular effects of flavopiridol as well as mechanisms of therapeutic and side effects, suggesting its novel clinical applications as a single agent and in drug combinations.

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Source
http://dx.doi.org/10.4161/cc.3.12.1278DOI Listing

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