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Published on: April 28, 2021
DNA damage repair in breast cancer and its therapeutic implications
Reem Ali1, Emad A Rakha1, Srinivasan Madhusudan1
1Academic Unit of Oncology, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, United Kingdom; Department of Oncology, Nottingham University Hospitals, Nottingham, United Kingdom.
Abstract:
The DNA damage response (DDR) involves the activation of numerous cellular activities that repair DNA lesions and maintain genomic integrity, and is critical in preventing tumorigenesis. Inherited or acquired mutations in specific genes involved in the DNA damage response, for example the breast cancer susceptibility genes 1/2 (BRCA1/2), phosphatase and tensin homolog (PTEN) and P53 are associated with various subtypes of breast cancer. Such changes can render breast cancer cells particularly sensitive to specific DNA damage response inhibitors, for example BRCA1/2 germline mutated cells are sensitive to poly (ADP-ribose) polymerase (PARP) inhibitors. The aims of this review are to discuss specific DNA damage response defects in breast cancer and to present the current stage of development of various DDR inhibitors (namely PARP, ATM/ATR, DNA-PK, PARG, RECQL5, FEN1 and APE1) for breast cancer mono- and combination therapy.
Insights
DNA damage response (DDR) defects are crucial in breast cancer development and treatment. This review covers DDR defects and inhibitors like PARP, ATM/ATR, and DNA-PK for breast cancer therapy.
Area of Science:
- Genetics and Genomics
- Oncology
- Molecular Biology
Background:
- The DNA damage response (DDR) is vital for repairing DNA lesions and maintaining genomic stability, preventing cancer formation.
- Mutations in DDR genes like BRCA1/2, PTEN, and P53 are linked to various breast cancer subtypes.
- These mutations can sensitize cancer cells to specific DDR inhibitors, such as PARP inhibitors for BRCA1/2-mutated cancers.
Purpose of the Study:
- To review specific DNA damage response defects in breast cancer.
- To present the developmental status of various DDR inhibitors for breast cancer treatment.
Main Methods:
- Literature review of DNA damage response mechanisms in breast cancer.
- Analysis of current clinical development of DDR inhibitors.
- Discussion of mono- and combination therapy strategies.
Main Results:
- Specific DDR defects contribute to breast cancer pathogenesis.
- Several DDR inhibitors, including PARP, ATM/ATR, and DNA-PK inhibitors, are in development.
- These inhibitors show potential in both monotherapy and combination treatments for breast cancer.
Conclusions:
- Understanding DDR defects is key to targeted breast cancer therapy.
- DDR inhibitors represent a promising therapeutic avenue for breast cancer.
- Further research into DDR inhibitor combinations may enhance treatment efficacy.
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