Fighting resistance: post-PARP inhibitor treatment strategies in ovarian cancer
Journal Title
Therapeutic Advances in Medical Oncology
Publication Type
epub ahead of print
Abstract
Poly (ADP-ribose) polymerase inhibitors (PARPis) represent a therapeutic milestone in the management of epithelial ovarian cancer. The concept of 'synthetic lethality' is exploited by PARPi in tumors with defects in DNA repair pathways, particularly homologous recombination deficiency. The use of PARPis has been increasing since its approval as maintenance therapy, particularly in the first-line setting. Therefore, resistance to PARPi is an emerging issue in clinical practice. It brings an urgent need to elucidate and identify the mechanisms of PARPi resistance. Ongoing studies address this challenge and investigate potential therapeutic strategies to prevent, overcome, or re-sensitize tumor cells to PARPi. This review aims to summarize the mechanisms of resistance to PARPi, discuss emerging strategies to treat patients post-PARPi progression, and discuss potential biomarkers of resistance.
Publisher
SAGE Journals
Keywords
PARP inhibitor; biomarkers; homologous recombination deficiency; ovarian cancer; replication stress
Research Division(s)
Bioinformatics; Cancer Biology And Stem Cells
PubMed ID
36872947
Open Access at Publisher's Site
https://doi.org/10.1177/17588359231157644
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2023-03-29 08:34:13
Last Modified: 2023-03-29 09:06:01
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