Combined PARP and Immune Checkpoint Inhibition in Ovarian Cancer

Elizabeth K Lee1, Panagiotis A Konstantinopoulos2

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.

Trends in Cancer
|September 3, 2019
PubMed

Insights

Poly(ADP ribose) polymerase inhibitors (PARPis) boost antitumor immunity via stimulator of interferon genes (STING) pathways. Combining PARPis with immune checkpoint blockade shows promise in ovarian cancer clinical trials.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Poly(ADP ribose) polymerase inhibitors (PARPis) are established cancer therapeutics.
  • Emerging evidence suggests PARPis modulate the tumor immune microenvironment.
  • Stimulator of interferon genes (STING) pathway activation is crucial for innate immune responses.

Purpose of the Study:

  • To investigate the immunomodulatory effects of PARPis beyond direct cytotoxicity.
  • To explore the role of the STING pathway in PARPi-mediated antitumor immunity.
  • To evaluate the efficacy of combining PARPis with immune checkpoint blockade (CPB) in ovarian cancer.

Main Methods:

  • Utilized preclinical models and clinical trial data.
  • Assessed STING-dependent immune activation.
  • Analyzed responses to combined PARPi and CPB therapies.

Main Results:

  • PARPis induce STING-dependent antitumor immunity.
  • Combined PARPi and CPB synergistically enhance anti-tumor responses.
  • Early-phase clinical trials in ovarian cancer show encouraging results.

Conclusions:

  • PARPis possess significant immunomodulatory properties.
  • Combination therapy with CPB represents a promising strategy for ovarian cancer.
  • Further clinical evaluation in first-line and recurrent settings is warranted.

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