Related Experiment Video
Updated: Apr 5, 2026

Silencing of BRCA2 to Identify Novel BRCA2-regulated Biological Functions in Cultured Human Cells
Published on: August 12, 2015
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.
Abstract:
Poly(ADP-ribose) polymerases (PARP) are enzymes involved in DNA-damage repair. Inhibition of PARPs is a promising strategy for targeting cancers with defective DNA-damage repair, including BRCA1 and BRCA2 mutation-associated breast and ovarian cancers. Several PARP inhibitors are currently in trials in the adjuvant, neoadjuvant, and metastatic settings for the treatment of ovarian, BRCA-mutated breast, and other cancers. We herein review the development of PARP inhibitors and the basis for the excitement surrounding these agents, their use as single agents and in combinations, as well as their toxicities, mechanisms of acquired resistance, and companion diagnostics.
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.
More Related Videos
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
Inhibition of Cdk Activity
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Mitogens and the Cell Cycle

