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.

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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