Relevance of poly (ADP-ribose) polymerase inhibitors in prostate cancer

被引:7
作者
Rescigno, Pasquale [1 ,2 ]
Chandler, Robert [1 ]
de Bono, Johann [1 ]
机构
[1] Inst Canc Res, 15 Cotswold Rd, London SM2 5NG, England
[2] AOU Federico II, Dept Translat Med Sci, Dept Clin Med & Surg, Naples, Italy
关键词
poly (ADP-ribose) polymerase inhibitors; prostate cancer; reversion mutation; CELL-FREE DNA; POLY(ADP-RIBOSE) POLYMERASE; BONE METASTASES; REPAIR; RESISTANCE; PATHWAY; BRCA2; MUTATIONS; CARCINOMA; OLAPARIB;
D O I
10.1097/SPC.0000000000000358
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose of review Poly (ADP-ribose) polymerase inhibitors (PARPi) are approved drugs for the treatment of ovarian and breast cancer and currently under investigation for the treatment of prostate cancer and other malignancies with aberrations in homologous recombination DNA repair. This review summarizes literature published during 2017 concerning the relevance of PARPi in prostate cancer and presents new evidence on mechanisms of resistance and biomarkers of response. Recent findings The approval of several PARPi (olaparib, rucaparib, and niraparib) has driven the focus of anticancer treatment on synthetic lethality in prostate cancer too. Despite anecdotal reports of long-term responders, most cancers become resistant to these therapies. Different mechanisms of primary and acquired resistance to PARPi have been recently investigated including loss of PARP1 expression, BRCA mutations with partial function, and acquisition of reversion restoration of function mutations. Summary Here, we discuss the importance of PARPi in metastatic castration-resistant prostate cancer and discuss the possible mechanisms of resistance.
引用
收藏
页码:339 / 343
页数:5
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