Wu Lingya, Deng Yixuan, Lei Zhe, Wang Yuhong, Huang Shan
Department of Pathology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
J Cell Mol Med. 2025 Aug;29(16):e70756. doi: 10.1111/jcmm.70756.
Synthetic lethality (SL) not only addresses the challenge of drug resistance associated with classical targeted therapies but also offers innovative therapeutic approaches for previously 'undruggable' targets, such as deletion mutations in tumour suppressor genes. Advances in technology have significantly enhanced our understanding of gene-gene interactions in cancer cells, enabling the identification of synthetic lethal targets and the development of drugs targeting these mechanisms. Following the extensive clinical application of PARP inhibitors-the first synthetic lethal targeted drugs approved for clinical use-emerging targets such as ATR, WEE1 and WRN have demonstrated promising clinical potential. This review examines the functions and molecular mechanisms underlying these targets and discusses recent advancements in the theory of synthetic lethality. Additionally, it emphasises the integration of synthetic lethal drugs with traditional cancer treatments, highlighting the clinical benefits of this combined strategy and its potential to facilitate more precise and individualised cancer treatment modalities in the future.
合成致死性(SL)不仅解决了与传统靶向治疗相关的耐药性挑战,还为以前“不可成药”的靶点提供了创新的治疗方法,例如肿瘤抑制基因的缺失突变。技术的进步显著增强了我们对癌细胞中基因-基因相互作用的理解,使得能够识别合成致死靶点并开发针对这些机制的药物。继PARP抑制剂(首批获批用于临床的合成致死靶向药物)广泛应用于临床之后,诸如ATR、WEE1和WRN等新兴靶点已显示出有前景的临床潜力。本综述探讨了这些靶点的功能和分子机制,并讨论了合成致死理论的最新进展。此外,它强调了合成致死药物与传统癌症治疗方法的整合,突出了这种联合策略的临床益处及其未来促进更精确和个性化癌症治疗模式的潜力。