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PARP and PD-1/PD-L1 checkpoint inhibition in recurrent or metastatic endometrial cancer.

Abstract
The prognosis of recurrent or metastatic endometrial cancer is poor, with five-year survival of only 10-20 %. First-line therapy consists of either platinum-based chemotherapy or hormonal therapy. No standard subsequent-line therapy has been identified. In recent years, significant progress has been made in the knowledge on underlying molecular biology of endometrial cancer and potential targets for therapy have been identified. Targeted therapies as poly (ADP-ribose) polymerase (PARP) inhibitors and immunotherapy as PD-1/PD-L1 checkpoint inhibitors have the potential to be effective against specific subtypes of endometrial cancer. Preclinical studies have shown that combining these agents may result in a synergistic effect. In this review, we focus on the molecular basis of checkpoint inhibition and targeted therapy as PARP inhibition in endometrial cancer and summarize available clinical data, and ongoing and planned clinical trials that investigate these agents as mono- or combination therapies in endometrial cancer and where relevant, other gynecological cancers.
AuthorsCathalijne C B Post, Anneke M Westermann, Tjalling Bosse, Carien L Creutzberg, Judith R Kroep
JournalCritical reviews in oncology/hematology (Crit Rev Oncol Hematol) Vol. 152 Pg. 102973 (Aug 2020) ISSN: 1879-0461 [Electronic] Netherlands
PMID32497971 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved.
Chemical References
  • B7-H1 Antigen
  • Poly(ADP-ribose) Polymerase Inhibitors
  • Programmed Cell Death 1 Receptor
  • Proteins
  • poly(ADP)-ribosylated proteins
  • Poly Adenosine Diphosphate Ribose
Topics
  • B7-H1 Antigen
  • Endometrial Neoplasms
  • Female
  • Humans
  • Immunotherapy
  • Poly Adenosine Diphosphate Ribose
  • Poly(ADP-ribose) Polymerase Inhibitors
  • Programmed Cell Death 1 Receptor
  • Proteins

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