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Recent advances in DDR (DNA damage response) inhibitors for cancer therapy
Binbin Cheng1, Wei Pan2, Yi Xing3
1School of Medicine, Hubei Polytechnic University, Huangshi, 435003, China.
Abstract:
DDR (DNA damage response) defects in cells drive tumor formation by promoting DNA mutations, which also provides cancer-specific vulnerabilities that can be targeted by synthetic lethality-based therapies. Until now, PARP inhibitors like olaparib are the first successful case of utilizing synthetic lethality-based therapy to treat cancers with DNA-repairing deficiency (e.g. BRCA1 or BRCA2 mutation), which has fueled the search for more targetable components in the DDR signaling pathway by exploiting synthetic lethality, including but not limited to DNA-PK, ATR, ATM, CHK1, and WEE1. After years of efforts, numerous DDR kinase inhibitors have been discovered. Some of them are being investigated in clinical trials and have shown promising results for cancer therapy. In this review, we summarize the latest advancement in the development of DDR kinase inhibitors including those in preclinical stages and clinical trials, the crystal structures of DDR enzymes, and binding modes of inhibitors with target proteins. The biological functions involving different genes and proteins (ATR, DNA-PK, ATM, PARP, CHK1, and WEE1) are also elucidated.
Insights
Defects in DNA damage response (DDR) drive tumor formation but create vulnerabilities. This review explores DDR kinase inhibitors, including those in clinical trials, for targeted cancer therapy via synthetic lethality.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- DNA damage response (DDR) defects promote tumor formation and mutations.
- Synthetic lethality therapies exploit DDR deficiencies, with PARP inhibitors (e.g., olaparib) being a prime example for BRCA-mutated cancers.
- This has spurred research into other DDR pathway components as therapeutic targets.
Purpose of the Study:
- To review recent advancements in the development of DDR kinase inhibitors.
- To highlight inhibitors in preclinical and clinical stages targeting DDR signaling pathways.
- To elucidate the biological functions of key DDR genes and proteins.
Main Methods:
- Literature review of preclinical and clinical studies on DDR kinase inhibitors.
- Analysis of crystal structures of DDR enzymes and inhibitor binding modes.
- Summary of the biological roles of ATR, DNA-PK, ATM, PARP, CHK1, and WEE1.
Main Results:
- Numerous DDR kinase inhibitors have been identified, with several showing promise in clinical trials.
- Understanding of DDR enzyme structures and inhibitor interactions is advancing.
- Key DDR proteins like ATR, DNA-PK, ATM, PARP, CHK1, and WEE1 are crucial in cancer development and therapeutic targeting.
Conclusions:
- DDR kinase inhibitors represent a promising avenue for synthetic lethality-based cancer therapies.
- Ongoing research and clinical trials are vital for translating these discoveries into effective treatments.
- Targeting the DDR pathway offers a strategic approach to combat various cancers.
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