Biosciences Laboratory (Onco-hematology Unit), Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
J Hematol Oncol. 2020 Sep 21;13(1):126. doi: 10.1186/s13045-020-00959-2.
The inhibition of the DNA damage response (DDR) pathway in the treatment of cancer has recently gained interest, and different DDR inhibitors have been developed. Among them, the most promising ones target the WEE1 kinase family, which has a crucial role in cell cycle regulation and DNA damage identification and repair in both nonmalignant and cancer cells. This review recapitulates and discusses the most recent findings on the biological function of WEE1/PKMYT1 during the cell cycle and in the DNA damage repair, with a focus on their dual role as tumor suppressors in nonmalignant cells and pseudo-oncogenes in cancer cells. We here report the available data on the molecular and functional alterations of WEE1/PKMYT1 kinases in both hematological and solid tumors. Moreover, we summarize the preclinical information on 36 chemo/radiotherapy agents, and in particular their effect on cell cycle checkpoints and on the cellular WEE1/PKMYT1-dependent response. Finally, this review outlines the most important pre-clinical and clinical data available on the efficacy of WEE1/PKMYT1 inhibitors in monotherapy and in combination with chemo/radiotherapy agents or with other selective inhibitors currently used or under evaluation for the treatment of cancer patients.
抑制 DNA 损伤反应 (DDR) 途径在癌症治疗中最近引起了关注,并且已经开发出了不同的 DDR 抑制剂。其中,最有前途的抑制剂靶向 WEE1 激酶家族,该家族在细胞周期调节以及非恶性和癌细胞中的 DNA 损伤识别和修复中起着关键作用。本综述回顾和讨论了 WEE1/PKMYT1 在细胞周期和 DNA 损伤修复中的最新生物学功能发现,重点讨论了其在非恶性细胞中作为肿瘤抑制因子和在癌细胞中作为伪癌基因的双重作用。我们在此报告了关于血液系统和实体肿瘤中 WEE1/PKMYT1 激酶的分子和功能改变的现有数据。此外,我们总结了 36 种化疗/放疗药物的临床前信息,特别是它们对细胞周期检查点和细胞 WEE1/PKMYT1 依赖性反应的影响。最后,本综述概述了 WEE1/PKMYT1 抑制剂在单药治疗以及与化疗/放疗药物联合或与其他用于治疗癌症患者的选择性抑制剂联合治疗中的有效性的最重要的临床前和临床数据。