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The Development of ATM Inhibitors in Cancer Therapy
Elizabeth A Ampolini1, Judit Jimenez-Sainz1, David T Long2
1Department of Biochemistry and Molecular Biology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, 29425, USA.
Abstract:
The ataxia-telangiectasia mutated (ATM) protein kinase plays a critical role in activating the cellular response to DNA double-strand breaks and promoting homology-directed repair. ATM is frequently mutated in cancer, contributing to an accumulation of DNA damage that drives genomic instability. To exploit cancer cells' inherent vulnerability to DNA damage, various small molecule inhibitors have been developed that target ATM. ATM inhibitors have shown great versatility in preclinical studies and increasing use in the clinic. Here, we review the development of ATM inhibitors and their role in cancer therapy. We describe their limitations and the advances that have led to increases in both the number and diversity of active clinical trials targeting ATM. We also discuss ATM's role in personalized medicine and the current challenges to more widespread use of ATM inhibitors in the clinic.
Insights
Ataxia-telangiectasia mutated (ATM) protein kinase inhibitors are promising cancer therapies targeting DNA damage. Research reviews their development, clinical use, limitations, and future potential in personalized medicine.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The ataxia-telangiectasia mutated (ATM) protein kinase is crucial for DNA double-strand break repair and genomic stability.
- ATM mutations are common in cancers, creating vulnerabilities that can be exploited therapeutically.
- Small molecule inhibitors targeting ATM have emerged as a significant area of cancer drug development.
Purpose of the Study:
- To review the development and clinical application of ATM inhibitors in cancer therapy.
- To discuss the limitations of current ATM inhibitors and recent advancements.
- To explore the role of ATM inhibitors in personalized medicine and identify challenges for broader clinical adoption.
Main Methods:
- Literature review of preclinical and clinical studies on ATM inhibitors.
- Analysis of the mechanisms of action and therapeutic strategies involving ATM inhibition.
- Discussion of ongoing clinical trials and future research directions.
Main Results:
- ATM inhibitors demonstrate versatility in preclinical models and are increasingly used in clinical settings.
- Advances have led to a greater number and diversity of clinical trials targeting ATM.
- Understanding ATM's role is key to developing effective personalized cancer treatments.
Conclusions:
- ATM inhibitors represent a valuable therapeutic strategy for various cancers, particularly those with ATM deficiencies.
- Overcoming current limitations and addressing challenges in clinical application are essential for maximizing the benefit of ATM inhibitors.
- Further research into ATM's function and inhibitor development holds significant promise for personalized oncology.
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