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Is autophagy induction by PARP inhibitors a target for therapeutic benefit?
Ahmed M Elshazly1,2, Tuong Vi V Nguyen1, David A Gewirtz1
1Department of Pharmacology and Toxicology, Virginia Commonwealth University, Massey Cancer Center, Richmond, VA, 23298, USA.
Abstract:
PARP inhibitors have proven to be effective in conjunction with conventional therapeutics in the treatment of various solid as well as hematologic malignancies, particularly when the tumors are deficient in DNA repair pathways. However, as the case with other chemotherapeutic agents, their effectiveness is often compromised by the development of resistance. PARP inhibitors have consistently been reported to promote autophagy, a process that maintains cellular homeostasis and acts as an energy source by the degradation and reutilization of damaged subcellular organelles and proteins. Autophagy can exhibit different functional properties, the most prominent being cytoprotective. In addition, both cytotoxic and non-protective functions forms have also been identified. In this review, we explore the available literature regarding the different roles of autophagy in response to clinically-used PARP inhibitors, highlighting the possibility of targeting autophagy as an adjuvant therapy to potentially increase the effectiveness of PARP inhibition and to overcome the development of resistance.
Insights
Poly (ADP-ribose) polymerase (PARP) inhibitors show promise in cancer treatment, but resistance can develop. This review explores how autophagy influences PARP inhibitor effectiveness and resistance, suggesting autophagy targeting as a potential therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- PARP inhibitors are effective against malignancies with DNA repair deficiencies.
- Resistance to PARP inhibitors is a significant clinical challenge.
- PARP inhibitors are known to induce autophagy, a cellular degradation process.
Purpose of the Study:
- To review the multifaceted roles of autophagy in response to PARP inhibitors.
- To explore the potential of targeting autophagy to enhance PARP inhibitor efficacy.
- To investigate strategies for overcoming PARP inhibitor resistance through autophagy modulation.
Main Methods:
- Literature review of studies on PARP inhibitors and autophagy.
- Analysis of the cytoprotective and cytotoxic functions of autophagy.
- Exploration of clinical data and preclinical research.
Main Results:
- Autophagy can be both protective and detrimental in the context of PARP inhibition.
- PARP inhibitors consistently induce autophagy.
- The specific role of autophagy (cytoprotective vs. cytotoxic) depends on the cellular context.
Conclusions:
- Autophagy plays a complex role in mediating response and resistance to PARP inhibitors.
- Targeting autophagy may represent a viable strategy to improve PARP inhibitor therapy.
- Further research is needed to elucidate optimal methods for modulating autophagy in cancer treatment.
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