BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations

Prostate cancer ranks fifth in cancer-related mortality in men worldwide. DNA damage is implicated in cancer and DNA damage response (DDR) pathways are in place against this to maintain genomic stability. Impaired DDR pathways play a role in prostate carcinogenesis and germline or somatic mutations...

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Main Authors: Sidrah Shah, Rachelle Rachmat, Synthia Enyioma, Aruni Ghose, Antonios Revythis, Stergios Boussios
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/23/12628
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author Sidrah Shah
Rachelle Rachmat
Synthia Enyioma
Aruni Ghose
Antonios Revythis
Stergios Boussios
author_facet Sidrah Shah
Rachelle Rachmat
Synthia Enyioma
Aruni Ghose
Antonios Revythis
Stergios Boussios
author_sort Sidrah Shah
collection DOAJ
description Prostate cancer ranks fifth in cancer-related mortality in men worldwide. DNA damage is implicated in cancer and DNA damage response (DDR) pathways are in place against this to maintain genomic stability. Impaired DDR pathways play a role in prostate carcinogenesis and germline or somatic mutations in DDR genes have been found in both primary and metastatic prostate cancer. Among these, <i>BRCA</i> mutations have been found to be especially clinically relevant with a role for germline or somatic testing. Prostate cancer with DDR defects may be sensitive to poly(ADP-ribose) polymerase (PARP) inhibitors which target proteins in a process called PARylation. Initially they were used to target BRCA-mutated tumor cells in a process of synthetic lethality. However, recent studies have found potential for PARP inhibitors in a variety of other genetic settings. In this review, we explore the mechanisms of DNA repair, potential for genomic analysis of prostate cancer and therapeutics of PARP inhibitors along with their safety profile.
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spelling doaj.art-8caf0124fbba404088b59cabe41641212023-11-23T02:25:26ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-11-0122231262810.3390/ijms222312628BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment ConsiderationsSidrah Shah0Rachelle Rachmat1Synthia Enyioma2Aruni Ghose3Antonios Revythis4Stergios Boussios5Department of Palliative Care, Guy’s and St Thomas’ Hospital, Great Maze Pond, London SE1 9RT, UKDepartment of Radiology, Guy’s and St Thomas’ Hospital, Great Maze Pond, London SE1 9RT, UKDepartment of Medical Oncology, Medway NHS Foundation Trust, Windmill Road, Gillingham ME7 5NY, UKDepartment of Medical Oncology, Barts Cancer Centre, St. Bartholomew’s Hospital, Barts Health NHS Trust, W Smithfield, London EC1A 7BE, UKDepartment of Medical Oncology, Medway NHS Foundation Trust, Windmill Road, Gillingham ME7 5NY, UKDepartment of Medical Oncology, Medway NHS Foundation Trust, Windmill Road, Gillingham ME7 5NY, UKProstate cancer ranks fifth in cancer-related mortality in men worldwide. DNA damage is implicated in cancer and DNA damage response (DDR) pathways are in place against this to maintain genomic stability. Impaired DDR pathways play a role in prostate carcinogenesis and germline or somatic mutations in DDR genes have been found in both primary and metastatic prostate cancer. Among these, <i>BRCA</i> mutations have been found to be especially clinically relevant with a role for germline or somatic testing. Prostate cancer with DDR defects may be sensitive to poly(ADP-ribose) polymerase (PARP) inhibitors which target proteins in a process called PARylation. Initially they were used to target BRCA-mutated tumor cells in a process of synthetic lethality. However, recent studies have found potential for PARP inhibitors in a variety of other genetic settings. In this review, we explore the mechanisms of DNA repair, potential for genomic analysis of prostate cancer and therapeutics of PARP inhibitors along with their safety profile.https://www.mdpi.com/1422-0067/22/23/12628prostate cancerDNA damage repair<i>BRCA</i> mutationsPARP inhibitors
spellingShingle Sidrah Shah
Rachelle Rachmat
Synthia Enyioma
Aruni Ghose
Antonios Revythis
Stergios Boussios
BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations
International Journal of Molecular Sciences
prostate cancer
DNA damage repair
<i>BRCA</i> mutations
PARP inhibitors
title BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations
title_full BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations
title_fullStr BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations
title_full_unstemmed BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations
title_short BRCA Mutations in Prostate Cancer: Assessment, Implications and Treatment Considerations
title_sort brca mutations in prostate cancer assessment implications and treatment considerations
topic prostate cancer
DNA damage repair
<i>BRCA</i> mutations
PARP inhibitors
url https://www.mdpi.com/1422-0067/22/23/12628
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