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Publication : Homologous Recombination Deficiency: Exploiting the Fundamental Vulnerability of Ovarian Cancer.

First Author  Konstantinopoulos PA Year  2015
Journal  Cancer Discov Volume  5
Issue  11 Pages  1137-54
PubMed ID  26463832 Mgi Jnum  J:231489
Mgi Id  MGI:5771630 Doi  10.1158/2159-8290.CD-15-0714
Citation  Konstantinopoulos PA, et al. (2015) Homologous Recombination Deficiency: Exploiting the Fundamental Vulnerability of Ovarian Cancer. Cancer Discov 5(11):1137-54
abstractText  Approximately 50% of epithelial ovarian cancers (EOC) exhibit defective DNA repair via homologous recombination (HR) due to genetic and epigenetic alterations of HR pathway genes. Defective HR is an important therapeutic target in EOC as exemplified by the efficacy of platinum analogues in this disease, as well as the advent of PARP inhibitors, which exhibit synthetic lethality when applied to HR-deficient cells. Here, we describe the genotypic and phenotypic characteristics of HR-deficient EOCs, discuss current and emerging approaches for targeting these tumors, and present challenges associated with these approaches, focusing on development and overcoming resistance. SIGNIFICANCE: Defective DNA repair via HR is a pivotal vulnerability of EOC, particularly of the high-grade serous histologic subtype. Targeting defective HR offers the unique opportunity of exploiting molecular differences between tumor and normal cells, thereby inducing cancer-specific synthetic lethality; the promise and challenges of these approaches in ovarian cancer are discussed in this review.
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