摘要
子宫内膜癌是女性生殖系统最常见的三种恶性肿瘤之一。晚期和复发性子宫内膜癌预后较差,缺乏有效的治疗方法。聚(ADP-核糖)聚合酶(PARP)抑制剂已应用于许多不同类型的肿瘤,它们可以选择性地杀死同源重组修复缺陷的肿瘤细胞。子宫内膜癌的特点是同源重组修复基因发生突变;因此,PARP抑制剂在子宫内膜癌病例的超说明书治疗中取得了积极成果。 PARP 抑制剂作为子宫内膜癌的单一疗法和联合疗法的临床试验正在进行中。在这篇综述中,我们以“子宫内膜癌”和“PARP 抑制剂”作为关键词搜索了 PubMed,并在临床试验网站上使用“olaparib”、“rucaparib”、“niraparib”和“talazoparib”作为搜索词来搜索正在进行的试验。文献检索于 2020 年 10 月结束,仅选择了英文出版物。多项研究证实,PARP抑制剂在杀死具有同源重组修复缺陷的肿瘤细胞方面发挥着重要作用。其与免疫检查点抑制剂、PI3K/AKT/mTOR通路抑制剂、细胞周期检查点抑制剂等药物联合使用可改善子宫内膜癌的治疗。
关键词: PARP抑制剂,子宫内膜癌,同源重组缺陷,靶向治疗,联合治疗,免疫检查点抑制剂,PI3K/AKT/mTOR通路抑制剂
图形摘要
[http://dx.doi.org/10.3322/caac.21492] [PMID: 30207593]
[http://dx.doi.org/10.3322/caac.21338] [PMID: 26808342]
[http://dx.doi.org/10.1093/annonc/mdt353] [PMID: 24078661]
[http://dx.doi.org/10.1016/S1470-2045(17)30469-2] [PMID: 28754483]
[http://dx.doi.org/10.1056/NEJMoa1910962] [PMID: 31562799]
[http://dx.doi.org/10.1016/S0140-6736(17)32440-6] [PMID: 28916367]
[http://dx.doi.org/10.1038/nature12113] [PMID: 23636398]
[http://dx.doi.org/10.1016/S1470-2045(13)70591-6] [PMID: 24872110]
[http://dx.doi.org/10.1158/1078-0432.CCR-15-0057] [PMID: 25878334]
[http://dx.doi.org/10.1016/j.ctrv.2016.06.008] [PMID: 27362548]
[http://dx.doi.org/10.1373/clinchem.2013.205740] [PMID: 24170611]
[http://dx.doi.org/10.1158/0008-5472.CAN-05-2620] [PMID: 16322209]
[http://dx.doi.org/10.5114/pm.2016.61186] [PMID: 27582678]
[http://dx.doi.org/10.1158/1078-0432.CCR-18-1443] [PMID: 30413523]
[http://dx.doi.org/10.3390/cancers13071496] [PMID: 33804979]
[http://dx.doi.org/10.1016/S0027-5107(01)00111-7] [PMID: 11376691]
[http://dx.doi.org/10.1093/annonc/mdz192] [PMID: 31218365]
[http://dx.doi.org/10.1158/0008-5472.CAN-12-2753] [PMID: 23118055]
[http://dx.doi.org/10.1002/jcp.29440] [PMID: 31912897]
[http://dx.doi.org/10.18632/oncotarget.6947] [PMID: 26799421]
[http://dx.doi.org/10.1200/JCO.2008.16.0812] [PMID: 18591545]
[http://dx.doi.org/10.1038/nature03443] [PMID: 15829966]
[http://dx.doi.org/10.1158/0008-5472.CAN-06-0140] [PMID: 16912188]
[http://dx.doi.org/10.1038/35077232] [PMID: 11357144]
[http://dx.doi.org/10.1093/nar/gkl108] [PMID: 16556909]
[http://dx.doi.org/10.1038/onc.2013.311] [PMID: 23934192]
[http://dx.doi.org/10.1158/0008-5472.CAN-13-2541] [PMID: 24240700]
[http://dx.doi.org/10.1002/ijc.32143] [PMID: 30666631]
[http://dx.doi.org/10.1021/jm901188v] [PMID: 19873981]
[http://dx.doi.org/10.1158/1078-0432.CCR-13-1391] [PMID: 23881923]
[http://dx.doi.org/10.1021/acs.jmedchem.5b01498] [PMID: 26652717]
[http://dx.doi.org/10.1021/jm8001263] [PMID: 18800822]
[http://dx.doi.org/10.1056/NEJMoa0900212] [PMID: 19553641]
[http://dx.doi.org/10.3389/fonc.2013.00290] [PMID: 24350055]
[http://dx.doi.org/10.1038/nrclinonc.2014.163] [PMID: 25286972]
[http://dx.doi.org/10.1093/annonc/mdy174] [PMID: 29750420]
[http://dx.doi.org/10.3390/jcm8040435] [PMID: 30934991]
[http://dx.doi.org/10.1155/2016/1869304] [PMID: 28078281]
[http://dx.doi.org/10.1158/1078-0432.CCR-18-0968] [PMID: 30760478]
[http://dx.doi.org/10.3390/cancers9080109] [PMID: 28829366]
[http://dx.doi.org/10.1158/0008-5472.CAN-18-2652] [PMID: 30498083]
[http://dx.doi.org/10.1002/emmm.200900041] [PMID: 20049735]
[http://dx.doi.org/10.1158/1078-0432.CCR-19-0848] [PMID: 31492746]
[http://dx.doi.org/10.1200/PO.17.00286]
[http://dx.doi.org/10.1007/s11912-016-0507-z] [PMID: 26922329]
[http://dx.doi.org/10.1186/s13059-019-1848-3] [PMID: 31771620]
[http://dx.doi.org/10.1158/1535-7163.MCT-13-0572] [PMID: 24222661]
[http://dx.doi.org/10.1016/j.prp.2020.152965] [PMID: 32360251]
[http://dx.doi.org/10.1126/scitranslmed.3001538] [PMID: 20944090]
[http://dx.doi.org/10.1186/s12885-017-3639-0] [PMID: 28886696]
[http://dx.doi.org/10.1186/1471-2407-14-179] [PMID: 24625059]
[http://dx.doi.org/10.1016/j.ygyno.2018.05.028] [PMID: 29937315]
[http://dx.doi.org/10.1038/nrclinonc.2011.42] [PMID: 21468130]
[http://dx.doi.org/10.1016/j.critrevonc.2016.10.010] [PMID: 27931843]
[http://dx.doi.org/10.1038/s41571-018-0114-z] [PMID: 30356138]
[http://dx.doi.org/10.1093/annonc/mdw697] [PMID: 28057663]
[http://dx.doi.org/10.1200/EDBK_238473] [PMID: 31099635]
[http://dx.doi.org/10.1056/NEJMoa1611310] [PMID: 27717299]
[http://dx.doi.org/10.1016/S1470-2045(16)30559-9] [PMID: 27908594]
[http://dx.doi.org/10.1056/NEJMoa1810858] [PMID: 30345884]
[http://dx.doi.org/10.1038/nature23470] [PMID: 28759889]
[http://dx.doi.org/10.1158/0008-5472.CAN-18-1003] [PMID: 30482774]
[http://dx.doi.org/10.1016/j.celrep.2018.11.054] [PMID: 30540933]
[http://dx.doi.org/10.1172/JCI123319] [PMID: 30589644]
[http://dx.doi.org/10.1158/1078-0432.CCR-16-3215] [PMID: 28167507]
[http://dx.doi.org/10.1158/2159-8290.CD-17-0226] [PMID: 28630051]
[http://dx.doi.org/10.1186/s40425-019-0680-3] [PMID: 31345267]
[http://dx.doi.org/10.1200/JCO.2017.35.15_suppl.TPS5615]
[http://dx.doi.org/10.1016/j.critrevonc.2020.102973] [PMID: 32497971]
[http://dx.doi.org/10.1158/2159-8290.CD-11-0348] [PMID: 22915752]
[http://dx.doi.org/10.1158/2159-8290.CD-11-0336] [PMID: 22915751]
[http://dx.doi.org/10.1016/j.ygyno.2016.07.092] [PMID: 27426307]
[http://dx.doi.org/10.1038/onc.2017.326] [PMID: 28945226]
[http://dx.doi.org/10.1158/1078-0432.CCR-16-2273] [PMID: 27993965]
[http://dx.doi.org/10.1101/gad.290957.116] [PMID: 28242626]
[http://dx.doi.org/10.1016/j.ctrv.2018.09.003] [PMID: 30269007]
[http://dx.doi.org/10.1158/1078-0432.CCR-17-2805] [PMID: 29941481]
[http://dx.doi.org/10.1158/1541-7786.MCR-17-0455] [PMID: 29133592]
[http://dx.doi.org/10.1016/j.ccell.2019.05.001] [PMID: 31185210]
[http://dx.doi.org/10.1186/s13046-018-0790-7] [PMID: 29954437]
[http://dx.doi.org/10.3390/cancers10050149] [PMID: 29783721]
[http://dx.doi.org/10.1126/scitranslmed.aal5148] [PMID: 28566428]
[http://dx.doi.org/10.1042/BST20191092] [PMID: 32379297]
[http://dx.doi.org/10.3892/ol.2017.5795] [PMID: 28454476]
[http://dx.doi.org/10.1158/1078-0432.CCR-18-4222] [PMID: 31196855]
[http://dx.doi.org/10.1007/s13577-020-00363-5] [PMID: 32388810]
[http://dx.doi.org/10.1158/1078-0432.CCR-19-3959] [PMID: 32299819]