Le Gac Marjolaine, Koual Meriem, Delanoy Nicolas, Perkins Géraldine, Nguyen-Xuan Huyên-Thu, Blons Hélène, Le Frère-Belda Marie-Aude, Laurent-Puig Pierre, Bentivegna Enrica, Durdux Catherine, Azaïs Henri, Bats Anne-Sophie
Université de Paris, faculté de médecine Paris-Descartes, 15, rue de l'École-de-Médecine, 75006 Paris, France.
Université de Paris, faculté de médecine Paris-Descartes, 15, rue de l'École-de-Médecine, 75006 Paris, France; APHP centre, hôpital Européen Georges-Pompidou, chirurgie cancérologique gynécologique et du sein, 75015 Paris, France; Inserm UMR-S 1124, université de Paris, centre universitaire des Saints-Pères, 45, rue des Saints-Pères, 75006 Paris, France.
Bull Cancer. 2022 Jan;109(1):65-75. doi: 10.1016/j.bulcan.2021.09.011. Epub 2021 Nov 17.
New molecular therapeutic approaches have emerged in recent years for advanced gynaecological cancers, including targeted therapies such as poly-ADP-ribose polymerase inhibitors (PARPi). These have demonstrated efficacy in high-grade serous ovarian cancers in patients carrying a mutation in the BRCA gene, which predisposes them to breast and ovarian cancers. Clinical and pre-clinical data suggest that the activity of PARPi inhibitors may not be limited to BRCA mutated tumours and may involve the homologous recombination pathway. These data raise the question of the potential efficacy of PARPi in advanced endometrial and cervical cancers where treatment options are currently limited. At present, there are few data available on the activity of PARPi in endometrial and cervical cancers, but some results seem promising. In this review, we present a synthesis of the available studies concerning PARPi in endometrial and cervical cancer.
近年来,针对晚期妇科癌症出现了新的分子治疗方法,包括聚-ADP-核糖聚合酶抑制剂(PARPi)等靶向治疗。这些疗法已在携带BRCA基因突变的高级别浆液性卵巢癌患者中显示出疗效,该基因突变使患者易患乳腺癌和卵巢癌。临床和临床前数据表明,PARPi抑制剂的活性可能不限于BRCA突变肿瘤,可能涉及同源重组途径。这些数据提出了PARPi在晚期子宫内膜癌和宫颈癌中潜在疗效的问题,目前这两种癌症的治疗选择有限。目前,关于PARPi在子宫内膜癌和宫颈癌中活性的数据很少,但一些结果似乎很有前景。在这篇综述中,我们总结了关于PARPi在子宫内膜癌和宫颈癌方面的现有研究。