2011
DOI: 10.1158/2159-8274.cd-11-0048
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Stumbling Blocks on the Path to Personalized Medicine in Breast Cancer: The Case of PARP Inhibitors for BRCA1/2-Associated Cancers

Abstract: The popular vision for the future of oncology includes the rational design of therapies inhibiting specific targets, for which development would be less expensive and the chance of success greater because the agent, the target, and a population predicted to benefit maximally would be known from the outset. In the breast cancer arena, successful targeted therapies have entered clinical practice. Recently, patients with BRCA -associated cancers have been identified as eligible for novel investigational therapies… Show more

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Cited by 42 publications
(23 citation statements)
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“…Recent studies have highlighted the utility of combining DNAdamaging chemotherapy with PARP inhibition (30)(31)(32). PARP inhibitors were initially evaluated in BRCA-deficient breast cancers based on the predicted "synthetic lethality" between PARPdependent largely single-strand break repair and BRCA-associated DSB repair (31).…”
Section: Discussionmentioning
confidence: 99%
“…Recent studies have highlighted the utility of combining DNAdamaging chemotherapy with PARP inhibition (30)(31)(32). PARP inhibitors were initially evaluated in BRCA-deficient breast cancers based on the predicted "synthetic lethality" between PARPdependent largely single-strand break repair and BRCA-associated DSB repair (31).…”
Section: Discussionmentioning
confidence: 99%
“…PARP is an single-strand DNA breaks (SSBs) repair enzyme. In normal cells, the cells are well resistant against the DNA damage caused by PARP inhibitors, because there is a functional compensation effect from the HR-mediated DNA repair pathway, but the BRCA1/2-deficient cells, which are HR-repair-defective, can't cope with the increasing DNA damage, and then this cells show more hypersensitive to the DNA damage generated by PARP inhibitors (Farmer et al, 2005;McCabe et al, 2006;Balmaña et al, 2011;Basu et al, 2012). It had been proved that the knock down of MCPH1 can impair BRCA1-CHK1 DNA repair pathway and lead to defective HR repair .…”
Section: Discussionmentioning
confidence: 99%
“…These original observations have led to PARP inhibitors entering subsequent phase II clinical trials in breast and ovarian cancer patients, with or without BRCA mutations [8-10]. At present, the data from clinical studies are not as favorable as promised by the preliminary results [11,12]. Though there might be various causes explaining the clinical performance of the different PARP inhibitors, one of the challenging issues remains on how to identify those patients most receptive to these treatments [13].…”
Section: Introductionmentioning
confidence: 99%