[Place of PARP inhibitors in the treatment of endometrial and cervical cancers]

Bull Cancer. 2022 Jan;109(1):65-75. doi: 10.1016/j.bulcan.2021.09.011. Epub 2021 Nov 17.
[Article in French]

Abstract

New molecular therapeutic approaches have emerged in recent years for advanced gynaecological cancers, including targeted therapies such as poly-ADP-ribose polymerase inhibitors (PARPi). These have demonstrated efficacy in high-grade serous ovarian cancers in patients carrying a mutation in the BRCA gene, which predisposes them to breast and ovarian cancers. Clinical and pre-clinical data suggest that the activity of PARPi inhibitors may not be limited to BRCA mutated tumours and may involve the homologous recombination pathway. These data raise the question of the potential efficacy of PARPi in advanced endometrial and cervical cancers where treatment options are currently limited. At present, there are few data available on the activity of PARPi in endometrial and cervical cancers, but some results seem promising. In this review, we present a synthesis of the available studies concerning PARPi in endometrial and cervical cancer.

Keywords: Cancer de l’endomètre; Cancer du col utérin PARPi; Cervical cancer; Endometrial cancer; Inhibiteurs de PARP; PARPi.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Cell Line, Tumor / drug effects
  • Cisplatin / therapeutic use
  • Clinical Trials as Topic
  • DNA Damage
  • DNA Repair-Deficiency Disorders / genetics
  • Endometrial Neoplasms / drug therapy*
  • Endometrial Neoplasms / genetics
  • Female
  • Humans
  • Indazoles / therapeutic use
  • Indoles / therapeutic use
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / genetics
  • Papillomavirus Infections / complications
  • Phthalazines / therapeutic use
  • Piperazines / therapeutic use
  • Piperidines / therapeutic use
  • Poly(ADP-ribose) Polymerase Inhibitors / pharmacology
  • Poly(ADP-ribose) Polymerase Inhibitors / therapeutic use*
  • Uterine Cervical Neoplasms / drug therapy*
  • Uterine Cervical Neoplasms / genetics
  • Uterine Cervical Neoplasms / virology

Substances

  • Antineoplastic Agents
  • Indazoles
  • Indoles
  • Phthalazines
  • Piperazines
  • Piperidines
  • Poly(ADP-ribose) Polymerase Inhibitors
  • rucaparib
  • talazoparib
  • niraparib
  • Cisplatin
  • olaparib