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.

Cancers
|September 28, 2021
PubMed

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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