Frontiers in Oncology,
Journal Year:
2024,
Volume and Issue:
14
Published: July 29, 2024
Advanced
epithelial
ovarian
cancer
is
the
commonest
cause
of
gynaecological
deaths.
First-line
treatment
for
advanced
disease
includes
a
combination
platinum-taxane
chemotherapy
(post-operatively
or
peri-operatively)
and
maximal
debulking
surgery
whenever
feasible.
Initial
response
rate
to
high
(up
80%)
but
most
patients
will
develop
recurrence
(approximately
70-90%)
succumb
disease.
Recently,
poly-ADP-ribose
polymerase
(PARP)
inhibition
(by
drugs
such
as
Olaparib,
Niraparib
Rucaparib)
directed
synthetic
lethality
approach
in
Nature,
Journal Year:
2022,
Volume and Issue:
604(7907), P. 749 - 756
Published: April 20, 2022
Amplification
of
the
CCNE1
locus
on
chromosome
19q12
is
prevalent
in
multiple
tumour
types,
particularly
high-grade
serous
ovarian
cancer,
uterine
tumours
and
gastro-oesophageal
cancers,
where
high
cyclin
E
levels
are
associated
with
genome
instability,
whole-genome
doubling
resistance
to
cytotoxic
targeted
therapies
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: Sept. 8, 2023
Genome
instability
has
been
identified
as
one
of
the
enabling
hallmarks
in
cancer.
DNA
damage
response
(DDR)
network
is
responsible
for
maintenance
genome
integrity
cells.
As
cancer
cells
frequently
carry
DDR
gene
deficiencies
or
suffer
from
replicative
stress,
targeting
processes
could
induce
excessive
damages
(or
unrepaired
DNA)
that
eventually
lead
to
cell
death.
Poly
(ADP-ribose)
polymerase
(PARP)
inhibitors
have
brought
impressive
benefit
patients
with
breast
(BRCA)
mutation
homologous
recombination
deficiency
(HRD),
which
proves
concept
synthetic
lethality
treatment.
Moreover,
other
two
scenarios
inhibitor
application,
replication
stress
and
combination
chemo-
radio-
therapy,
are
under
active
clinical
exploration.
In
this
review,
we
revisited
progress
therapy
beyond
launched
first-generation
PARP
inhibitors.
Next
generation
PARP1
selective
inhibitors,
maintain
efficacy
while
mitigating
side
effects,
may
diversify
application
clinic.
Albeit
unavoidable
on-mechanism
toxicities,
several
small
molecules
checkpoints
(gatekeepers)
shown
great
promise
preliminary
results,
warrant
further
evaluations.
addition,
repair
pathways
(caretakers)
also
preclinical
development.
With
these
progresses
efforts,
envision
a
new
wave
innovations
within
come
age.
Journal of Medicinal Chemistry,
Journal Year:
2024,
Volume and Issue:
67(14), P. 11488 - 11521
Published: July 2, 2024
In
recent
years,
synthetic
lethality
has
been
recognized
as
a
solid
paradigm
for
anticancer
therapies.
The
discovery
of
growing
number
lethal
targets
led
to
significant
expansion
in
the
use
lethality,
far
beyond
poly(ADP-ribose)
polymerase
inhibitors
used
treat
BRCA1/2-defective
tumors.
particular,
molecular
within
DNA
damage
response
have
provided
source
that
rapidly
reached
clinical
trials.
This
Perspective
focuses
on
most
progress
and
their
inhibitors,
response,
describing
design
associated
therapeutic
strategies.
We
will
conclude
by
discussing
current
challenges
new
opportunities
this
promising
field
research,
stimulate
discussion
medicinal
chemistry
community,
allowing
investigation
reach
its
full
potential.
ACS Medicinal Chemistry Letters,
Journal Year:
2024,
Volume and Issue:
15(4), P. 436 - 440
Published: March 25, 2024
Structure-based
virtual
screening
has
gained
momentum
again
as
the
high
attrition
rate
at
every
stage
of
drug
discovery
drives
need
to
explore
a
greater
chemical
space.
From
Bayesian
perspective,
its
shortcomings
viable
strategy
for
sustainable
hit
are
discussed,
with
regard
prior
rates
libraries
and
performance
computational
methods.
Lessons
shared
in
selecting
hits
experimental
validation
learned
from
series
eight
successful
campaigns,
one
which
impacted
candidate
currently
clinical
trials.
NAR Cancer,
Journal Year:
2023,
Volume and Issue:
5(3)
Published: June 9, 2023
Abstract
Ovarian
cancer
is
driven
by
genetic
alterations
that
necessitate
protective
DNA
damage
and
replication
stress
responses
through
cell
cycle
control
genome
maintenance.
This
creates
specific
vulnerabilities
may
be
exploited
therapeutically.
WEE1
kinase
a
key
kinase,
it
has
emerged
as
promising
therapy
target.
However,
adverse
effects
have
limited
its
clinical
progress,
especially
when
tested
in
combination
with
chemotherapies.
A
strong
interaction
between
PKMYT1
led
us
to
hypothesize
multiple
low-dose
approach
utilizing
joint
inhibition
would
allow
exploitation
of
the
synthetic
lethality.
We
found
exhibited
synergistic
eradicating
ovarian
cells
organoid
models
at
low
dose.
The
synergistically
promoted
CDK
activation.
Furthermore,
combined
treatment
exacerbated
catastrophe,
leading
increase
genomic
instability
inflammatory
STAT1
signalling
These
findings
suggest
new
harness
potency
lethal
contribute
development
treatments
for
cancer.
Molecular Cancer Therapeutics,
Journal Year:
2024,
Volume and Issue:
23(10), P. 1494 - 1510
Published: May 23, 2024
Abstract
Endocrine
therapies
(ET)
with
cyclin-dependent
kinase
4/6
(CDK4/6)
inhibition
are
the
standard
treatment
for
estrogen
receptor-α-positive
(ER+)
breast
cancer,
however
drug
resistance
is
common.
In
this
study,
proteogenomic
analyses
of
patient-derived
xenografts
(PDXs)
from
patients
22
ER+
cancer
demonstrated
that
protein
kinase,
membrane-associated
tyrosine/threonine
one
(PKMYT1),
a
WEE1
homolog,
estradiol
(E2)
regulated
in
E2-dependent
PDXs
and
constitutively
expressed
when
growth
E2-independent.
clinical
samples,
high
PKMYT1
mRNA
levels
associated
to
both
ET
CDK4/6
inhibition.
The
inhibitor
lunresertib
(RP-6306)
gemcitabine
selectively
synergistically
reduced
viability
palbociclib-resistant
cells
without
functional
p53.
vitro
combination
increased
DNA
damage
apoptosis.
palbociclib-resistant,
TP53
mutant
PDX-derived
organoids
PDXs,
RP-6306
low-dose
induced
greater
tumor
volume
reduction
compared
either
single
agent.
Our
study
demonstrates
potential
resistant
cancer.
Nature Communications,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: April 1, 2025
Abstract
Ovarian
cancers
(OVCAs)
and
endometrial
(EMCAs)
with
CCNE1-
amplification
are
often
resistant
to
standard
treatment
represent
an
unmet
clinical
need.
Synthetic-lethal
screening
identified
loss
of
the
CDK1
regulator,
PKMYT1,
as
synthetically
lethal
CCNE1
-amplification.
We
hypothesize
that
-amplification
associated
replication
stress
will
be
more
effectively
targeted
by
combining
PKMYT1
inhibitor
lunresertib
(RP-6306),
ATR
camonsertib
(RP-3500/RG6526).
Low
dose
combination
RP-6306
RP-3500
synergistically
increases
cytotoxicity
so
in
-amplified
compared
non-amplified
cells.
Combination
produces
durable
antitumor
activity,
reduces
metastasis
survival
patient-derived
OVCA
EMCA
xenografts.
Mechanistically,
low
doses
increase
activation
than
monotherapy,
triggering
rapid
robust
induction
premature
mitosis,
DNA
damage,
apoptosis
a
-dependent
manner.
These
findings
suggest
targeting
activity
is
effective
therapeutic
approach
treat
-amplifed
OVCAs
EMCAs.