Garje Rohan, Vaddepally Raju Kumar, Zakharia Yousef
Division of Hematology, Oncology, and Blood and Marrow Transplant, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, United States.
Yuma Regional Medical Center, Yuma, AZ, United States.
Front Oncol. 2020 Feb 7;10:114. doi: 10.3389/fonc.2020.00114. eCollection 2020.
Poly(ADP-ribose) polymerase (PARP) inhibitors targeting DNA repair gene mutations have shown significant clinical benefit in patients with ovarian and breast cancers. In metastatic prostate cancers, the prevalence of DNA repair gene mutations is up to 20%, and early phase studies have shown clinical activity of PARP inhibitors. Numerous clinical trials with either PARP monotherapy or in combination with other therapeutic agents are ongoing in prostate cancer. In this comprehensive review, we provide the rationale, efficacy, and safety data of PARP inhibitors in prostate as well as urothelial cancers.
靶向DNA修复基因突变的聚(ADP - 核糖)聚合酶(PARP)抑制剂已在卵巢癌和乳腺癌患者中显示出显著的临床益处。在转移性前列腺癌中,DNA修复基因突变的发生率高达20%,早期研究已显示PARP抑制剂具有临床活性。目前在前列腺癌领域正在进行多项关于PARP单药治疗或与其他治疗药物联合使用的临床试验。在这篇综述中,我们提供了PARP抑制剂在前列腺癌以及尿路上皮癌中的理论依据、疗效和安全性数据。