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.

Oncology Research
|June 12, 2023
PubMed

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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