PARP inhibitors: review of mechanisms of action and BRCA1/2 mutation targeting
Open accessAbstract
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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PARP inhibitors, notably olaparib, are significant therapeutic agents, particularly in cancers with defective DNA repair mechanisms, such as BRCA-mutated tumors.
“PARP inhibitors, notably olaparib, have emerged as significant therapeutic agents, particularly in cancers with defective DNA repair mechanisms, such as BRCA-mutated tumors [25].”
From Celastrol attenuates the invasion and migration and augments the anticancer effects of olaparib in prostate cancer (2024) · cites this paper as [25]
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- Authors
- Dziadkowiec, K. N., Gąsiorowska, E., Nowak-Markwitz, E., & Jankowska, A.
- Affiliations
- Poznan University of Medical Sciences (PL)
- Corresponding author
- Dziadkowiec, Karolina N.
- Venue
- Menopausal Review
- Publisher
- Termedia Sp. z.o.o.
- Published
- 2016
- Volume
- 4
- Issue
- 4
- Pages
- 215-219
- ISSN
- 1643-8876 (ISSN-L)
- PMC
- PMC5327624
- OpenAlex
- W2588625168
- Cited by
- 191
- References
- 39
- Citations by year
- 2026: 3 · 2025: 15 · 2024: 20 · 2023: 27 · 2022: 28 · 2021: 28 · 2020: 25 · 2019: 20 · 2018: 21 · 2017: 4
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Menopause Review/Przegląd Menopauzalny (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Oncology › PARP inhibition in cancer therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Keywords
- PARP inhibitors, poly(ADP-ribose) polymerase, BRCA1 mutation, BRCA2 mutation, DNA repair deficiency, olaparib, predictive biomarkers, platinum-sensitive ovarian cancer, maintenance therapy, mechanism of action
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