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Precision Oncology with Drugs Targeting the Replication Stress, ATR, and Schlafen 11.

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TLDR
In this article, the authors provide background information on the molecular processes of DNA replication and its checkpoints, and discuss how to target replication, checkpoint, and repair pathways with ATR inhibitors and exploit Schlafen 11 (SLFN11) as a predictive biomarker.
Abstract
Precision medicine aims to implement strategies based on the molecular features of tumors and optimized drug delivery to improve cancer diagnosis and treatment. DNA replication is a logical approach because it can be targeted by a broad range of anticancer drugs that are both clinically approved and in development. These drugs increase deleterious replication stress (RepStress); however, how to selectively target and identify the tumors with specific molecular characteristics are unmet clinical needs. Here, we provide background information on the molecular processes of DNA replication and its checkpoints, and discuss how to target replication, checkpoint, and repair pathways with ATR inhibitors and exploit Schlafen 11 (SLFN11) as a predictive biomarker.

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Discovery of small-molecule ATR inhibitors for potential cancer treatment: a patent review from 2014 to present

TL;DR: This article surveys the patents published since 2014 aiming to analyze the structural features of scaffolds and the patent space and discusses the recent clinical developments and provides perspectives on the challenges and the future directions.
Journal ArticleDOI

Reconsidering the mechanisms of action of PARP inhibitors based on clinical outcomes

Hiroshi Onji, +1 more
- 29 Jun 2022 - 
TL;DR: The reasons for variable indications of PARPis resulting from clinical outcomes are considered, the mechanisms of action for PARPIS as anticancer agents are reviewed and the importance of SLFN11 in PARPi sensitivity is shown.
Journal ArticleDOI

TOP1-DNA Trapping by Exatecan and Combination Therapy with ATR Inhibitor

TL;DR: In this paper , the molecular pharmacology of exatecan compared with the clinically approved topoisomerase I (TOP1) inhibitors and preclinical models for validating biomarkers and the combination of Exatecan with ataxia telangiectasia and Rad3-related kinase (ATR) inhibitors were reported.
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Integrative epigenomic analyses of small cell lung cancer cells demonstrates the clinical translational relevance of gene body methylation

TL;DR: This paper examined global DNA methylation beyond the generally used promoter areas in human small cell lung cancer (SCLC) and find that gene body methylation is a robust positive predictor of gene expression.
Journal ArticleDOI

Structural, molecular, and functional insights into Schlafen proteins

TL;DR: Schlafen (SLFN) genes belong to a vertebrate gene family encoding proteins with high sequence homology and are involved in various cellular and tissue-specific processes, including DNA replication, proliferation, immune and interferon responses, viral infections, and sensitivity to DNA-targeted anticancer agents as mentioned in this paper .
References
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TL;DR: Recognition of the widespread applicability of these concepts will increasingly affect the development of new means to treat human cancer.
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The Cancer Cell Line Encyclopedia enables predictive modelling of anticancer drug sensitivity

TL;DR: The results indicate that large, annotated cell-line collections may help to enable preclinical stratification schemata for anticancer agents and the generation of genetic predictions of drug response in the preclinical setting and their incorporation into cancer clinical trial design could speed the emergence of ‘personalized’ therapeutic regimens.
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Targeting the DNA repair defect in BRCA mutant cells as a therapeutic strategy

TL;DR: BRCA1 or BRCA2 dysfunction unexpectedly and profoundly sensitizes cells to the inhibition of PARP enzymatic activity, resulting in chromosomal instability, cell cycle arrest and subsequent apoptosis, illustrating how different pathways cooperate to repair damage.
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Specific killing of BRCA2-deficient tumours with inhibitors of poly(ADP-ribose) polymerase

TL;DR: It is proposed that, in the absence of PARP1, spontaneous single-strand breaks collapse replication forks and trigger homologous recombination for repair and exploited in order to kill BRCA2-deficient tumours by PARP inhibition alone.
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Systematic identification of genomic markers of drug sensitivity in cancer cells

TL;DR: It was found that mutated cancer genes were associated with cellular response to most currently available cancer drugs, and systematic pharmacogenomic profiling in cancer cell lines provides a powerful biomarker discovery platform to guide rational cancer therapeutic strategies.
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