2020
DOI: 10.3389/fonc.2020.578095
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New Perspectives for Resistance to PARP Inhibitors in Triple-Negative Breast Cancer

Abstract: Poly (ADP-ribose) polymerase (PARP) inhibitors are a therapeutic milestone exerting a synthetic lethal effect in the treatment of cancer involving BRCA1/2 mutation. Theoretically, PARP inhibitors (PARPi) eliminate tumor cells by disrupting DNA damage repair through either PARylation or the homologous recombination (HR) pathway. However, resistance to PARPi greatly hinders therapeutic effectiveness in triple-negative breast cancer (TNBC). Owing to the high heterogeneity and few genetic targets in TNBC, there ha… Show more

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Cited by 45 publications
(33 citation statements)
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“…Currently, PARPi are recommended for the treatment of TNBC (olaparib and talazoparib) and epithelial ovarian cancers (olaparib, niraparib, and rucaparib) harboring BRCA1/2 mutations ( 22 ), but their long-term efficacies are variable and independent of the HR status ( 23 , 169 , 170 ). Although, restoration of HR and replication fork stalling are the most common mechanisms of PARPi resistance, HR-independent escape strategies are not rare ( 171 ). Recent work by Fleury et al.…”
Section: Effect Of Tis On the Efficacies Of Immune- And Ddr-directed Therapies In Tnbcmentioning
confidence: 99%
“…Currently, PARPi are recommended for the treatment of TNBC (olaparib and talazoparib) and epithelial ovarian cancers (olaparib, niraparib, and rucaparib) harboring BRCA1/2 mutations ( 22 ), but their long-term efficacies are variable and independent of the HR status ( 23 , 169 , 170 ). Although, restoration of HR and replication fork stalling are the most common mechanisms of PARPi resistance, HR-independent escape strategies are not rare ( 171 ). Recent work by Fleury et al.…”
Section: Effect Of Tis On the Efficacies Of Immune- And Ddr-directed Therapies In Tnbcmentioning
confidence: 99%
“…Given our results, that show extensive redundancy between RAD51AP1 and RAD54, we predict that the simultaneous inactivation of both RAD51AP1 and RAD54 will more significantly sensitize cancer cells to chemotherapy and thereby could lead to the muchwanted reduction in dose with the consequence of diminished side effects. Targeting both RAD51AP1 and RAD54 may be particularly effective against tumors with overactive HDR (Raderschall et al 2002;Xu et al 2005;Klein 2008;Marsden et al 2016), cancerous cells which maintain their telomeres by the ALT pathway (Barroso-Gonzalez et al 2019;Mason-Osann et al 2020;Recagni et al 2020), and BRCA1/2mutant tumors that have regained HDR proficiency and developed resistance to PARPi (Han et al 2020;Kim et al 2021).…”
Section: )mentioning
confidence: 99%
“…Two PARP inhibitors (olaparib and talazoparib) have also been approved for TNBC patients with germinal BRCA1/2 mutation. 25 More recently, in 2020, Trodelvy, an antibody‐drug conjugate that links the monoclonal antibody sacituzumab that targets the Trop‐2 protein found in more than 90% of TNBC to the topoisomerase I inhibitor SN‐38 chemotherapy, has also been approved for the treatment of adult patients with metastatic TNBC. 26 Nonetheless, TNBC, which is molecularly, clinically, and histologically heterogeneous, displays extremely severe outcomes compared to all other subtypes of breast cancers because of the lack of relevant drug targets and remains an area of high unmet medical need.…”
Section: Introductionmentioning
confidence: 99%
“…For patients whose tumors are PD‐L1 positive, Tecentriq (atezolizumab) in combination with Abraxane (nab‐paclitaxel) is available under accelerated approval. Two PARP inhibitors (olaparib and talazoparib) have also been approved for TNBC patients with germinal BRCA1/2 mutation 25 . More recently, in 2020, Trodelvy, an antibody‐drug conjugate that links the monoclonal antibody sacituzumab that targets the Trop‐2 protein found in more than 90% of TNBC to the topoisomerase I inhibitor SN‐38 chemotherapy, has also been approved for the treatment of adult patients with metastatic TNBC 26 .…”
Section: Introductionmentioning
confidence: 99%