The Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland.
The Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Curr Oncol Rep. 2024 Feb;26(2):103-113. doi: 10.1007/s11912-023-01488-0. Epub 2024 Jan 2.
In the last decade, poly (ADP-ribose) polymerase (PARP) inhibitors have been approved in the treatment of several cancers, such as breast and ovarian cancer. This article aims to discuss the current uses, limitations, and future directions for PARP inhibitors (PARPis) in the treatment of breast cancer.
Following the results of the OlympiAD and EMBRACA trials, PARPis were approved in HER2-negative breast cancer with a germline BRCA mutation. We reviewed this class of drugs' mechanism of action, efficacy, and limitations, as well as further studies that discussed resistance, impaired homologous recombination repair (HRR), and the combination of PARPis with other drugs. Improving understanding of HRR, increasing the ability to target resistance, and combining PARPis with other novel agents are continuing to increase the clinical utility of PARPis.
在过去十年中,聚(ADP-核糖)聚合酶(PARP)抑制剂已被批准用于治疗多种癌症,如乳腺癌和卵巢癌。本文旨在讨论 PARP 抑制剂(PARPi)在乳腺癌治疗中的现有用途、局限性和未来方向。
OlympiAD 和 EMBRACA 试验的结果公布后,PARPi 获批用于携带胚系 BRCA 突变的 HER2 阴性乳腺癌。我们综述了该类药物的作用机制、疗效和局限性,以及进一步探讨耐药性、同源重组修复缺陷和 PARPi 与其他药物联合应用的研究。不断提高对 HRR 的认识、提高靶向耐药性的能力以及将 PARPi 与其他新型药物联合应用,正在不断提高 PARPi 的临床应用价值。