Faculty of Medicine, Université de Montréal, Montreal, QC H3C 3T5, Canada.
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), l'Institut de Cancer de Montreal, Montreal, QC H2X 0A9, Canada.
Int J Mol Sci. 2024 Aug 20;25(16):9032. doi: 10.3390/ijms25169032.
Poly (ADP-Ribose) Polymerase (PARP) inhibitors have changed the outcomes and therapeutic strategy for several cancer types. As a targeted therapeutic mainly for patients with mutations, PARP inhibitors have commonly been exploited for their capacity to prevent DNA repair. In this review, we discuss the multifaceted roles of PARP-1 and PARP-2 beyond DNA repair, including the impact of PARP-1 on chemokine signalling, immune modulation, and transcriptional regulation of gene expression, particularly in the contexts of angiogenesis and epithelial-to-mesenchymal transition (EMT). We evaluate the pre-clinical role of PARP inhibitors, either as single-agent or combination therapies, to block the metastatic process. Efficacy of PARP inhibitors was demonstrated via DNA repair-dependent and independent mechanisms, including DNA damage, cell migration, invasion, initial colonization at the metastatic site, osteoclastogenesis, and micrometastasis formation. Finally, we summarize the recent clinical advancements of PARP inhibitors in the prevention and progression of distant metastases, with a particular focus on specific metastatic sites and PARP-1 selective inhibitors. Overall, PARP inhibitors have demonstrated great potential in inhibiting the metastatic process, pointing the way for greater use in early cancer settings.
聚(ADP-核糖)聚合酶(PARP)抑制剂改变了几种癌症类型的预后和治疗策略。PARP 抑制剂作为一种主要针对 突变患者的靶向治疗药物,通常被用于预防 DNA 修复。在这篇综述中,我们讨论了 PARP-1 和 PARP-2 在 DNA 修复之外的多方面作用,包括 PARP-1 对趋化因子信号、免疫调节和基因表达转录调控的影响,特别是在血管生成和上皮-间充质转化(EMT)的背景下。我们评估了 PARP 抑制剂作为单一药物或联合治疗药物在阻断转移过程中的临床前作用。PARP 抑制剂的疗效通过 DNA 修复依赖性和非依赖性机制来证明,包括 DNA 损伤、细胞迁移、侵袭、转移部位的初始定植、破骨细胞生成和微转移形成。最后,我们总结了 PARP 抑制剂在预防和进展为远处转移方面的最新临床进展,特别关注特定的转移部位和 PARP-1 选择性抑制剂。总体而言,PARP 抑制剂在抑制转移过程方面显示出巨大的潜力,为在早期癌症治疗中更广泛地应用指明了方向。