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Published on: August 25, 2021
Novel Cellular Functions of ATR for Therapeutic Targeting: Embryogenesis to Tumorigenesis
Himadri Biswas1, Yetunde Makinwa1, Yue Zou1
1Department of Cell and Cancer Biology, College of Medicine and Life Sciences, University of Toledo, Toledo, OH 43614, USA.
Abstract:
The DNA damage response (DDR) is recognized as having an important role in cancer growth and treatment. ATR (ataxia telangiectasia mutated and Rad3-related) kinase, a major regulator of DDR, has shown significant therapeutic potential in cancer treatment. ATR inhibitors have shown anti-tumor effectiveness, not just as monotherapies but also in enhancing the effects of standard chemotherapy, radiation, and immunotherapy. The biological basis of ATR is examined in this review, as well as its functional significance in the development and therapy of cancer, and the justification for inhibiting this target as a therapeutic approach, including an assessment of the progress and status of previous decades' development of effective and selective ATR inhibitors. The current applications of these inhibitors in preclinical and clinical investigations as single medicines or in combination with chemotherapy, radiation, and immunotherapy are also fully reviewed. This review concludes with some insights into the many concerns highlighted or identified with ATR inhibitors in both the preclinical and clinical contexts, as well as potential remedies proposed.
Insights
The DNA damage response regulator ATR kinase is a promising cancer therapy target. ATR inhibitors show effectiveness alone and with other treatments, with ongoing research addressing challenges.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The DNA damage response (DDR) is crucial for cancer progression and treatment efficacy.
- ATR (ataxia telangiectasia mutated and Rad3-related) kinase is a key regulator of the DDR pathway.
- Dysregulation of DDR pathways, particularly ATR, is implicated in various cancers.
Purpose of the Study:
- To review the biological basis and functional significance of ATR in cancer development and therapy.
- To evaluate the therapeutic rationale for targeting ATR in cancer treatment.
- To assess the progress in developing selective ATR inhibitors and their current applications.
Main Methods:
- Review of existing literature on ATR kinase and its role in DNA damage response.
- Analysis of preclinical and clinical studies involving ATR inhibitors.
- Examination of the development of selective ATR inhibitors over past decades.
Main Results:
- ATR inhibitors demonstrate anti-tumor activity as monotherapies and in combination regimens.
- ATR inhibition enhances the efficacy of chemotherapy, radiation, and immunotherapy.
- Development of effective and selective ATR inhibitors has progressed significantly.
Conclusions:
- ATR kinase represents a validated therapeutic target for cancer treatment.
- ATR inhibitors offer a promising strategy for monotherapy and combination therapies.
- Addressing identified challenges in ATR inhibitor development and application is crucial for clinical success.
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