Table 1.

Preclinical data on the development of PARPi

ReferenceGenetics/studied parametersDiseaseSensitivity to PARPi/results
Esposito et al, 2015 Synthetic lethality of oncogenic transcription for leukemia treatment AML Sensitivity to PARPis of AML cells with low expression of members of the DDR pathway.
AML cells driven by repressive transcription factors, including AML1-ETO and PML-RARα fusion oncoproteins, are sensitive to PARPis.
Sensitivity to PARPis of AML cells with low expression of Rad51, ATM, BRCA1, and BRCA2.
Genetic or pharmacological inhibition of HOXA9 impairs DDR and sensitizes MML leukemia to PARPis. 
Zampieri et al, 2009 DNA methylation Ovarian cancer, breast cancer PARPis with HMAs lead to synergistic inhibition.
Inactivation and trapping of DNMT to DNA facilitates the role of BER machinery. 
Lord et al, 2017 Synthetic lethality, DNA repair Ovarian cancer, breast cancer PARPis trap PARP1 on DNA, preventing autoPARylation and PARP1 release from the site of damage of BRCA-mutant cells. 
Boussios et al, 2012 Synthetic lethality, DNA repair Ovarian cancer, breast cancer Tumors carrying mutations in BRCA1/2 implicated in homologous repair deficiency are particularly sensitive to PARPis. 
Meng et al, 2014 Apoptosis, knockdown of PARP1 and/or PARP2 AML Synergistic action of PARPi with death ligands results in enhanced expression of DR5 and Fas and sensitivity to treatment with multiple death ligands (agonistic anti-Fas antibody, recombinant human TRAIL, and agonistic anti-DR5 antibody). 
Faraoni et al, 2018 Apoptosis resistance, modulation of FAS and TRAIL receptors AML AML ΒΜ samples express FAS and DR5 transcripts at lower levels than normal BM.
Apoptosis triggered by olaparib is associated with a dose-dependent up-regulation 
Maifrede et al, 2017 PARP1 knockdown AML bearing MLL translocations inhibitors of PARP1 enhance the therapeutic effect of cytotoxic drugs against MLL leukemias. 
Molenaar et al, 2018 Correlation of IDH1/IDH2 mutations to DNA damage and responses to PARPis AML IDH1/2MUT cells are sensitive to PARPi as monotherapy or/and in combination with DNA-damaging agents.
Concomitant administration of IDH1/2MUT inhibitors during cytotoxic therapy decrease the efficacy of both agents in IDH1/2MUT AML. 
Faraoni et al, 2014 Αpoptosis, in vitro sensitivity to olaparib AML Olaparib induced cell death in the majority of AML samples (88%) and tested cell lines.
Olaparib preferentially killed leukemic blasts and did not affect the viability of normal BM and CD34 peripheral blood cells. 
Nieborowska-Skorska et al, 2017 DNA repair MPN PARPi combination with ruxolitinib-mediated inhibition of DSB repair and/or hydroxyurea causes accumulation of lethal DSBs, resulting in elimination of MPN cells. 
Patel et al, 2019 DNA repair, genomic instability MPN In veliparib and busulfan treated SET2 and HEL cells, veliparib decreased busulfan’s IC50.
Combination treatment of SET2 cells caused G2M arrest in 53% of cells, compared with 30% with veliparib alone and 35% with busulfan alone. 
Muvarak et al, 2016 DNA damage-related binding between DNMTs and PARP1 AML, breast cancer Combining DNMTi and PARPi (talazoparib) increases tight binding of PARP1 in chromatin, frequency of DSBs, and synergistic cytotoxicity while it decreases clonogenicity 
Zhao et al, 2017 Synthetic lethality AML driven by MLL fusion proteins Combining olaparib with DNMT inhibitor induce cell-cycle block and apoptosis.
Olaparib can sensitize MLL leukemic cells to both DNMT inhibitors and chemotherapy agents. 
ReferenceGenetics/studied parametersDiseaseSensitivity to PARPi/results
Esposito et al, 2015 Synthetic lethality of oncogenic transcription for leukemia treatment AML Sensitivity to PARPis of AML cells with low expression of members of the DDR pathway.
AML cells driven by repressive transcription factors, including AML1-ETO and PML-RARα fusion oncoproteins, are sensitive to PARPis.
Sensitivity to PARPis of AML cells with low expression of Rad51, ATM, BRCA1, and BRCA2.
Genetic or pharmacological inhibition of HOXA9 impairs DDR and sensitizes MML leukemia to PARPis. 
Zampieri et al, 2009 DNA methylation Ovarian cancer, breast cancer PARPis with HMAs lead to synergistic inhibition.
Inactivation and trapping of DNMT to DNA facilitates the role of BER machinery. 
Lord et al, 2017 Synthetic lethality, DNA repair Ovarian cancer, breast cancer PARPis trap PARP1 on DNA, preventing autoPARylation and PARP1 release from the site of damage of BRCA-mutant cells. 
Boussios et al, 2012 Synthetic lethality, DNA repair Ovarian cancer, breast cancer Tumors carrying mutations in BRCA1/2 implicated in homologous repair deficiency are particularly sensitive to PARPis. 
Meng et al, 2014 Apoptosis, knockdown of PARP1 and/or PARP2 AML Synergistic action of PARPi with death ligands results in enhanced expression of DR5 and Fas and sensitivity to treatment with multiple death ligands (agonistic anti-Fas antibody, recombinant human TRAIL, and agonistic anti-DR5 antibody). 
Faraoni et al, 2018 Apoptosis resistance, modulation of FAS and TRAIL receptors AML AML ΒΜ samples express FAS and DR5 transcripts at lower levels than normal BM.
Apoptosis triggered by olaparib is associated with a dose-dependent up-regulation 
Maifrede et al, 2017 PARP1 knockdown AML bearing MLL translocations inhibitors of PARP1 enhance the therapeutic effect of cytotoxic drugs against MLL leukemias. 
Molenaar et al, 2018 Correlation of IDH1/IDH2 mutations to DNA damage and responses to PARPis AML IDH1/2MUT cells are sensitive to PARPi as monotherapy or/and in combination with DNA-damaging agents.
Concomitant administration of IDH1/2MUT inhibitors during cytotoxic therapy decrease the efficacy of both agents in IDH1/2MUT AML. 
Faraoni et al, 2014 Αpoptosis, in vitro sensitivity to olaparib AML Olaparib induced cell death in the majority of AML samples (88%) and tested cell lines.
Olaparib preferentially killed leukemic blasts and did not affect the viability of normal BM and CD34 peripheral blood cells. 
Nieborowska-Skorska et al, 2017 DNA repair MPN PARPi combination with ruxolitinib-mediated inhibition of DSB repair and/or hydroxyurea causes accumulation of lethal DSBs, resulting in elimination of MPN cells. 
Patel et al, 2019 DNA repair, genomic instability MPN In veliparib and busulfan treated SET2 and HEL cells, veliparib decreased busulfan’s IC50.
Combination treatment of SET2 cells caused G2M arrest in 53% of cells, compared with 30% with veliparib alone and 35% with busulfan alone. 
Muvarak et al, 2016 DNA damage-related binding between DNMTs and PARP1 AML, breast cancer Combining DNMTi and PARPi (talazoparib) increases tight binding of PARP1 in chromatin, frequency of DSBs, and synergistic cytotoxicity while it decreases clonogenicity 
Zhao et al, 2017 Synthetic lethality AML driven by MLL fusion proteins Combining olaparib with DNMT inhibitor induce cell-cycle block and apoptosis.
Olaparib can sensitize MLL leukemic cells to both DNMT inhibitors and chemotherapy agents. 

AML-ETO, acute myeloid leukemia-eight twenty-one oncoprotein; ATM, ataxia-telangiectasia mutated; BER, base excision repair; BM, bone marrow; DR5, death receptor 5; FAS, FS-7-associated surface antigen; HEL, hevein-like preprotein; IC50, half-maximal inhibitory concentration; MML, myelomastocytic leukemia; PML-RARα, promyelocytic leukemia/retinoic acid receptor α; TRAIL, tumor necrosis factor-related apoptosis inducing ligand; SET2, nucleosomal histone H3-selective methyltransferase.

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