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Published on: June 13, 2014
Poly (ADP-ribose) polymerase as a novel therapeutic target in cancer
Christina M Annunziata1, Joyce O'Shaughnessy
1Medical Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.
Abstract:
Cancer chemotherapy exploits limitations in repairing DNA damage in order to kill proliferating malignant cells. Recent evidence suggests that cancers within and across tissue types have specific defects in DNA repair pathways, and that these defects may predispose for sensitivity and resistance to various classes of cytotoxic agents. Poly (ADP-ribose) polymerase (PARP) and BRCA proteins are central to the repair of DNA strand breaks and, when defective, lead to the accumulation of mutations introduced by error-prone DNA repair. Breast, ovarian, and other cancers develop in the setting of BRCA deficiency, and these cancers may be more sensitive to cytotoxic agents that induce DNA strand breaks, as well as inhibitors of PARP activity. A series of recent clinical trials has tested whether PARP inhibitors can achieve synthetic lethality in BRCA-pathway-deficient tumors. Future studies must seek to identify sporadic cancers that harbor genomic instability, rendering susceptibility to agents that induce additional and lethal DNA damage.
Insights
Cancer chemotherapy targets DNA repair defects. Poly (ADP-ribose) polymerase (PARP) inhibitors show promise for synthetic lethality in BRCA-deficient cancers, highlighting a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer chemotherapy leverages DNA damage repair deficiencies in malignant cells.
- Specific DNA repair pathway defects in cancers influence sensitivity and resistance to cytotoxic agents.
- BRCA proteins and Poly (ADP-ribose) polymerase (PARP) are crucial for DNA strand break repair.
Purpose of the Study:
- To explore the role of DNA repair defects in cancer treatment sensitivity.
- To investigate the potential of Poly (ADP-ribose) polymerase (PARP) inhibitors in BRCA-deficient tumors.
- To identify sporadic cancers susceptible to DNA-damaging agents.
Main Methods:
- Review of recent clinical trials involving Poly (ADP-ribose) polymerase (PARP) inhibitors.
- Analysis of the relationship between BRCA deficiency and sensitivity to DNA-damaging agents.
- Examination of genomic instability in sporadic cancers.
Main Results:
- BRCA-deficient cancers, including breast and ovarian cancers, exhibit sensitivity to DNA-damaging agents and Poly (ADP-ribose) polymerase (PARP) inhibitors.
- Clinical trials indicate Poly (ADP-ribose) polymerase (PARP) inhibitors can induce synthetic lethality in BRCA-pathway-deficient tumors.
- Defective DNA repair pathways contribute to mutation accumulation and cancer development.
Conclusions:
- Poly (ADP-ribose) polymerase (PARP) inhibitors represent a promising therapeutic strategy for BRCA-deficient cancers.
- Targeting DNA repair pathways offers a novel approach to cancer chemotherapy.
- Further research is needed to identify sporadic cancers with genomic instability for targeted therapies.
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