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Updated: Jan 13, 2026

A Flow Cytometry-Based Cell Surface Protein Binding Assay for Assessing Selectivity and Specificity of an Anticancer Aptamer
Published on: September 13, 2022
Recent development of ATR inhibitors for cancer therapy
Jiao Wang1, Yuan Quan2, Ying Shen2
1Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, China.
Abstract:
Ataxia Telangiectasia and Rad3-related (ATR) kinase belongs to the PIKK (phosphatidylinositol 3-kinase-related kinase) family and serves as a pivotal hub for preserving genomic stability and regulating responses to replication stress and DNA damage. Dysregulation of ATR signaling is strongly associated with tumorigenesis, resistance to therapy, and other pathological states (such as neurodegenerative diseases), making it a highly attractive target in cancer therapy. To date, no ATR inhibitors have achieved regulatory approval; however, several candidate molecules, most notably berzosertib, ceralasertib, and gartisertib, are advancing in clinical trials. This review focuses on the medicinal chemistry progress in ATR inhibitor development since 2018. Throughout this review, we systematically interweave major chemical scaffolds. We anticipate that this review will offer insightful guidance for rational design of future ATR inhibitors and help accelerate the emergence of next-generation ATR inhibitors with superior potency, selectivity, and clinical feasibility.
Insights
Ataxia Telangiectasia and Rad3-related (ATR) kinase inhibitors show promise for cancer therapy. This review details medicinal chemistry advancements since 2018, focusing on scaffolds for next-generation drug design.
Area of Science:
- Oncology
- Molecular Biology
- Medicinal Chemistry
Background:
- Ataxia Telangiectasia and Rad3-related (ATR) kinase is crucial for genomic stability and DNA damage response.
- ATR signaling dysregulation is linked to cancer development, therapeutic resistance, and neurodegenerative diseases.
- ATR inhibitors are promising cancer therapeutics, with several candidates in clinical trials.
Purpose of the Study:
- To review medicinal chemistry progress in ATR inhibitor development since 2018.
- To systematically analyze major chemical scaffolds used in ATR inhibitor design.
- To provide guidance for developing next-generation ATR inhibitors with improved clinical profiles.
Main Methods:
- Literature review focusing on medicinal chemistry advancements in ATR inhibitor development post-2018.
- Systematic analysis of chemical scaffolds and structure-activity relationships.
- Synthesis of information on ongoing clinical trials and candidate molecules like berzosertib, ceralasertib, and gartisertib.
Main Results:
- Significant progress has been made in the medicinal chemistry of ATR inhibitors since 2018.
- Various chemical scaffolds have been explored, leading to potent and selective compounds.
- Berzosertib, ceralasertib, and gartisertib are key examples of ATR inhibitors advancing in clinical trials.
Conclusions:
- Continued medicinal chemistry efforts are essential for developing effective ATR inhibitors.
- Understanding chemical scaffolds is key to designing next-generation inhibitors with enhanced potency and selectivity.
- Optimized ATR inhibitors hold significant potential for improving cancer therapy outcomes.
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