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Precision Oncology with Drugs Targeting the Replication Stress, ATR, and Schlafen 11
Ukhyun Jo1, Yasuhisa Murai1,2, Naoko Takebe3
1Developmental Therapeutics Branch and Laboratory of Molecular Pharmacology, Center for Cancer Research, NCI, NIH, Bethesda, MD 20892-4264, USA.
Abstract:
Precision medicine aims to implement strategies based on the molecular features of tumors and optimized drug delivery to improve cancer diagnosis and treatment. DNA replication is a logical approach because it can be targeted by a broad range of anticancer drugs that are both clinically approved and in development. These drugs increase deleterious replication stress (RepStress); however, how to selectively target and identify the tumors with specific molecular characteristics are unmet clinical needs. Here, we provide background information on the molecular processes of DNA replication and its checkpoints, and discuss how to target replication, checkpoint, and repair pathways with ATR inhibitors and exploit Schlafen 11 (SLFN11) as a predictive biomarker.
Insights
Targeting DNA replication stress with ATR inhibitors offers a precision medicine approach for cancer. Schlafen 11 (SLFN11) can identify tumors suitable for this treatment, improving cancer diagnosis and therapy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Precision medicine utilizes tumor molecular features and drug delivery for improved cancer care.
- Targeting DNA replication is a viable strategy due to the availability of numerous anticancer drugs.
- Elevated replication stress (RepStress) is induced by these drugs, but selective targeting remains a challenge.
Purpose of the Study:
- To discuss targeting DNA replication, checkpoint, and repair pathways in cancer treatment.
- To explore the use of ATR inhibitors for cancer therapy.
- To identify Schlafen 11 (SLFN11) as a predictive biomarker for treatment response.
Main Methods:
- Review of molecular processes of DNA replication and its checkpoints.
- Discussion of targeting replication, checkpoint, and repair pathways.
- Exploitation of Schlafen 11 (SLFN11) as a predictive biomarker.
Main Results:
- ATR inhibitors can target replication stress pathways.
- SLFN11 is a potential predictive biomarker for identifying tumors responsive to replication-targeting drugs.
Conclusions:
- Targeting DNA replication stress pathways with ATR inhibitors represents a precision medicine strategy.
- SLFN11 can help select patients for this targeted therapy, addressing unmet clinical needs in cancer treatment.
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