Defective DNA repair mechanisms in prostate cancer: impact of olaparib
- PMID: 28280302
- PMCID: PMC5338854
- DOI: 10.2147/DDDT.S110264
Defective DNA repair mechanisms in prostate cancer: impact of olaparib
Abstract
The field of prostate oncology has continued to change dramatically. It has truly become a field that is intensely linked to molecular genetic alterations, especially DNA-repair defects. Germline breast cancer 1 gene (BRCA1) and breast cancer 2 gene (BRCA2) mutations are implicated in the highest risk of prostate cancer (PC) predisposition and aggressiveness. Poly adenosine diphosphate ribose polymerase (PARP) proteins play a key role in DNA repair mechanisms and represent a valid target for new therapies. Olaparib is an oral PARP inhibitor that blocks DNA repair pathway and coupled with BRCA mutated-disease results in tumor cell death. In phase II clinical trials, including patients with advanced castration-resistant PC, olaparib seems to be efficacious and well tolerated. Waiting for randomized phase III trials, olaparib should be considered as a promising treatment option for PC.
Keywords: BRCA; DNA-repair; PARP; castration resistant; metastatic disease; olaparib; prostate cancer.
Conflict of interest statement
Disclosure The authors report no conflicts of interest in this work.
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