Poly(ADP-ribose) polymerase inhibitors in Ewing sarcoma

PURPOSE OF REVIEW: In 2012, two publications revealed a particular sensitivity of Ewing sarcoma cells to the inhibition of poly(ADP-ribose) polymerase (PARP). This review updates the reader on PARP function, the development of PARP inhibitors (PARPi) and the evidence for targeting PARP in Ewing sarcoma. It concludes with a description of ongoing/emerging PARPi clinical trials in patients with Ewing sarcoma.

RECENT FINDINGS: PARP has a major role in DNA repair, and is a transcription regulator. The oncoprotein in Ewing sarcoma, EWS-FLI1, is proposed to interact with PARP-1, driving PARP-1 expression, which further promotes transcriptional activation by EWS-FLI1. Thus, there are two rationales for PARPi in the treatment of Ewing sarcoma: to disrupt the interaction between EWS-FLI1 and PARP, and for chemo-potentiation or radio-potentiation. The first clinical trial with a single agent PARPi failed to show significant responses, but preclinical evidence for combinations of PARPi with chemotherapy or radiotherapy is very promising.

SUMMARY: Despite initial excitement for the potential of PARPi as single agent therapy in Ewing sarcoma, the emerging preclinical data now strongly support testing PARPi in combination with chemo/radiotherapy clinically.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Current opinion in oncology - 26(2014), 4 vom: 19. Juli, Seite 428-33

Sprache:

Englisch

Beteiligte Personen:

Vormoor, Britta [VerfasserIn]
Curtin, Nicola J [VerfasserIn]

Links:

Volltext

Themen:

Antineoplastic Agents
EC 2.4.2.30
Enzyme Inhibitors
Journal Article
Poly(ADP-ribose) Polymerase Inhibitors
Poly(ADP-ribose) Polymerases
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 04.02.2015

Date Revised 11.03.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/CCO.0000000000000091

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM238366863