PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting

Poly(ADP-ribose) polymerases have shown true promise in early clinical studies due to reported activity in BRCA-associated cancers. PARP inhibitors may represent a potentially important new class of chemotherapeutic agents directed at targeting cancers with defective DNA-damage repair. In order to w...

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Main Authors: Karolina N. Dziadkowiec, Emilia Gąsiorowska, Ewa Nowak-Markwitz, Anna Jankowska
Format: Article
Language:English
Published: Termedia Publishing House 2017-02-01
Series:Menopause Review
Subjects:
Online Access:https://www.termedia.pl/PARP-inhibitors-review-of-mechanisms-of-action-and-BRCA1-2-mutation-targeting,4,29355,1,1.html
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author Karolina N. Dziadkowiec
Emilia Gąsiorowska
Ewa Nowak-Markwitz
Anna Jankowska
author_facet Karolina N. Dziadkowiec
Emilia Gąsiorowska
Ewa Nowak-Markwitz
Anna Jankowska
author_sort Karolina N. Dziadkowiec
collection DOAJ
description Poly(ADP-ribose) polymerases have shown true promise in early clinical studies due to reported activity in BRCA-associated cancers. PARP inhibitors may represent a potentially important new class of chemotherapeutic agents directed at targeting cancers with defective DNA-damage repair. In order to widen the prospective patient population that would benefit from PARP inhibitors, predictive biomarkers based on a clear understanding of the mechanism of action are required. In addition, a more sophisticated understanding of the toxicity profile is required if PARP inhibitors are to be employed in the curative, rather than the palliative, setting. PARP inhibitors have successfully moved into clinical practice in the past few years, with approval granted from the Food and Drug Administration (FDA) and European Medicines Agency (EMA) within the past two years. The United States FDA approval of olaparib applies to fourth-line treatment in germline BRCA-mutant ovarian cancer, and European EMA approval of olaparib for maintenance therapy in both germline and somatic BRCA-mutant platinum-sensitive ovarian cancer. This review covers the current understanding of PARP, its inhibition, and the basis of the excitement surrounding these new agents. It also evaluates future approaches and directions required to achieve full understanding of the intricate interplay of these agents at the cellular level.
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spelling doaj.art-6e75a2ed5b204fc2aa5f1914b7a5368e2022-12-21T22:39:28ZengTermedia Publishing HouseMenopause Review1643-88762299-00382017-02-0115421521910.5114/pm.2016.6566729355PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targetingKarolina N. DziadkowiecEmilia GąsiorowskaEwa Nowak-MarkwitzAnna JankowskaPoly(ADP-ribose) polymerases have shown true promise in early clinical studies due to reported activity in BRCA-associated cancers. PARP inhibitors may represent a potentially important new class of chemotherapeutic agents directed at targeting cancers with defective DNA-damage repair. In order to widen the prospective patient population that would benefit from PARP inhibitors, predictive biomarkers based on a clear understanding of the mechanism of action are required. In addition, a more sophisticated understanding of the toxicity profile is required if PARP inhibitors are to be employed in the curative, rather than the palliative, setting. PARP inhibitors have successfully moved into clinical practice in the past few years, with approval granted from the Food and Drug Administration (FDA) and European Medicines Agency (EMA) within the past two years. The United States FDA approval of olaparib applies to fourth-line treatment in germline BRCA-mutant ovarian cancer, and European EMA approval of olaparib for maintenance therapy in both germline and somatic BRCA-mutant platinum-sensitive ovarian cancer. This review covers the current understanding of PARP, its inhibition, and the basis of the excitement surrounding these new agents. It also evaluates future approaches and directions required to achieve full understanding of the intricate interplay of these agents at the cellular level.https://www.termedia.pl/PARP-inhibitors-review-of-mechanisms-of-action-and-BRCA1-2-mutation-targeting,4,29355,1,1.htmlPARP BRCA mutation olaparib ovarian cancer poly(ADP-ribose) polymerases DNA PARP1 PARP2
spellingShingle Karolina N. Dziadkowiec
Emilia Gąsiorowska
Ewa Nowak-Markwitz
Anna Jankowska
PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
Menopause Review
PARP
BRCA
mutation
olaparib
ovarian cancer
poly(ADP-ribose) polymerases
DNA
PARP1
PARP2
title PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
title_full PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
title_fullStr PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
title_full_unstemmed PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
title_short PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
title_sort parp inhibitors review of mechanisms of action and brca1 2 mutation targeting
topic PARP
BRCA
mutation
olaparib
ovarian cancer
poly(ADP-ribose) polymerases
DNA
PARP1
PARP2
url https://www.termedia.pl/PARP-inhibitors-review-of-mechanisms-of-action-and-BRCA1-2-mutation-targeting,4,29355,1,1.html
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AT ewanowakmarkwitz parpinhibitorsreviewofmechanismsofactionandbrca12mutationtargeting
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