PARP inhibitors in the management of breast cancer: current data and future prospects

Luca Livraghi1, Judy E Garber2

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA. luca_livraghi@dfci.harvard.edu.

BMC Medicine
|August 14, 2015
PubMed

Insights

Poly(ADP-ribose) polymerases (PARP) inhibitors show promise for treating cancers with DNA repair defects, such as BRCA-mutated breast and ovarian cancers. This review covers PARP inhibitor development, clinical use, toxicities, resistance, and diagnostics.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Poly(ADP-ribose) polymerases (PARP) are crucial enzymes in DNA damage repair pathways.
  • PARP inhibition is a targeted therapy strategy for cancers with deficient DNA repair mechanisms.
  • This includes cancers with mutations in BRCA1 and BRCA2 genes, common in breast and ovarian cancers.

Purpose of the Study:

  • To review the development and therapeutic potential of PARP inhibitors.
  • To discuss their application as monotherapy and in combination treatments.
  • To summarize associated toxicities, acquired resistance mechanisms, and companion diagnostics.

Main Methods:

  • Literature review of preclinical and clinical studies on PARP inhibitors.
  • Analysis of data from ongoing and completed clinical trials.
  • Synthesis of information on drug development, efficacy, safety, and resistance.

Main Results:

  • PARP inhibitors are effective as single agents and in combination therapies for various cancers.
  • Clinical trials are evaluating these agents in adjuvant, neoadjuvant, and metastatic settings.
  • Understanding resistance mechanisms and companion diagnostics is key for optimizing treatment.

Conclusions:

  • PARP inhibitors represent a significant advancement in targeted cancer therapy, particularly for BRCA-mutated cancers.
  • Further research is ongoing to expand their use and overcome resistance.
  • Companion diagnostics are essential for patient selection and treatment efficacy.

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