Dhanavath Naresh, Bisht Priya, Jamadade Mohini Santosh, Murti Krishna, Wal Pranay, Kumar Nitesh
Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Export Promotion Industrial Park (EPIP), Zandaha Road, NH322, Hajipur, Bihar, 844102, India.
Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER), Export Promotion Industrial Park (EPIP), Zandaha Road, NH322, Hajipur, Bihar, 844102, India.
Mini Rev Med Chem. 2025;25(5):374-385. doi: 10.2174/0113895575318854241014101928.
Glioblastoma (GBM) is the most prevalent and deadly primary brain tumor. The current treatment for GBM includes adjuvant chemotherapy with temozolomide (TMZ), radiation therapy, and surgical tumor excision. There is still an issue because 50% of patients with GBM who get TMZ have low survival rates due to TMZ resistance. The activation of several DNA repair mechanisms, such as Base Excision Repair (BER), DNA Mismatch Repair (MMR), and O-6- Methylguanine-DNA Methyltransferase (MGMT), is the main mechanism via which TMZ resistance develops. The zinc-finger DNA-binding enzyme poly (ADP-ribose) polymerase-1 (PARP1), which is activated by binding to DNA breaks, affects the activation of the MGMT, BER, and MMR pathway deficiency, which results in TMZ resistance in GBM. PARP inhibitors have been studied recently as sensitizing medications to increase TMZ potency. The first member of the PARP inhibitor family to be identified was Olaparib. It inhibits PARP1 and PARP2, which causes apoptosis in cancer cells and DNA strand break. Olaparib is currently investigated as a radio- and/or chemo-sensitizer in addition to being used as a single agent because it may increase the cytotoxic effects of other treatments. This review addresses Olaparib and its significance in treating TMZ resistance in GBM.
胶质母细胞瘤(GBM)是最常见且致命的原发性脑肿瘤。目前GBM的治疗方法包括替莫唑胺(TMZ)辅助化疗、放射治疗和手术切除肿瘤。但仍存在一个问题,即50%接受TMZ治疗的GBM患者由于TMZ耐药而生存率较低。几种DNA修复机制的激活,如碱基切除修复(BER)、DNA错配修复(MMR)和O-6-甲基鸟嘌呤-DNA甲基转移酶(MGMT),是TMZ耐药产生的主要机制。锌指DNA结合酶聚(ADP-核糖)聚合酶-1(PARP1)通过与DNA断裂结合而被激活,它影响MGMT、BER和MMR途径缺陷的激活,从而导致GBM中的TMZ耐药。PARP抑制剂最近作为增敏药物进行了研究,以提高TMZ的效力。PARP抑制剂家族中第一个被鉴定的成员是奥拉帕尼。它抑制PARP1和PARP2,导致癌细胞凋亡和DNA链断裂。奥拉帕尼目前除了作为单一药物使用外,还被研究作为放射和/或化学增敏剂,因为它可能增加其他治疗的细胞毒性作用。本综述阐述了奥拉帕尼及其在治疗GBM中TMZ耐药方面的意义。