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Published on: June 13, 2014
Poly(ADP-ribosyl)ation polymerases: mechanism and new target of anticancer therapy
Florian Heitz1, Philipp Harter, Nina Ewald-Riegler
1Department of Gynecology & Gynecological Oncology, Dr Horst Schmidt-Kliniken (HSK), Wiesbaden, Ludwig Erhard Str.100, 65199 Wiesbaden, Germany. florian.heitz@gmx.net
Abstract:
Poly(ADP-ribose)polymerase (PARP) is a ubiquitously present nuclear enzyme that is not only involved in many important cellular pathways but also contributes to chromosomal structure and genomic stability. The development of highly selective and potent PARP inhibitors has become of increasing clinical interest because of their promising efficacy in patients with breast or ovarian cancer. Furthermore, recent Phase I and Phase II trials have demonstrated that PARP inhibitors have low toxicity rates. In particular patients with either deficiency or dysfunction of BRCA, which is involved in DNA double strand break repair, appear to benefit from PARP inhibition. This article summarizes the present knowledge regarding the physiological function of PARP and ([poly]ADP-ribose) PAR, the functional product of PARP, the development of PARP inhibitors, the recent clinical data of PARP inhibitors in cancer treatment and the selection of patients who may benefit from PARP inhibition.
Insights
Poly(ADP-ribose)polymerase (PARP) inhibitors show promise for treating breast and ovarian cancers, with low toxicity. Patients with BRCA deficiency particularly benefit from PARP inhibition for DNA repair.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Poly(ADP-ribose)polymerase (PARP) is a nuclear enzyme crucial for DNA repair, chromosomal structure, and genomic stability.
- PARP inhibitors are emerging as a significant therapeutic strategy in oncology.
- PARP's role in DNA double-strand break repair is a key target for cancer treatment.
Purpose of the Study:
- To review the physiological functions of PARP and its product, poly(ADP-ribose) (PAR).
- To summarize the development and clinical data of PARP inhibitors in cancer therapy.
- To identify patient populations who may benefit from PARP inhibition.
Main Methods:
- Literature review of PARP physiology and inhibitor development.
- Analysis of clinical trial data from Phase I and Phase II studies.
- Examination of patient selection criteria for PARP inhibitor therapy.
Main Results:
- PARP inhibitors demonstrate promising efficacy in breast and ovarian cancer treatment.
- Clinical trials indicate low toxicity rates associated with PARP inhibitors.
- Patients with BRCA deficiency or dysfunction show a notable benefit from PARP inhibition.
Conclusions:
- PARP inhibitors represent a valuable therapeutic option, especially for BRCA-mutated cancers.
- Understanding PARP's function is key to developing targeted cancer therapies.
- Patient selection is critical for maximizing the benefits of PARP inhibitor treatment.
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