Saturday, November 2, 2019

FASCINATING ADVENTURES IN PARP-INHIBITION


AN EARLY CAMPING TRIP
Wasn't she beautiful

Faithful readers of this blog (and there are at least six of you – not counting my 176 avid  Italians, of course) will know that immunotherapy is the current big thing in the war against cancer, but that it hasn’t moved the ball much where ovarian cancer, and many other solid tumors are concerned.  Those same faithful followers will know about PARP inhibitors (PARPi) and how they work to stifle cancer by “inhibiting” nature’s way to repair things known as double-stranded DNA breaks.  Since these broken double-stranded things occur as mistakes made during cellular reproduction, and as cancer does a lot of reproducing, inhibiting PARP is a good way to slow down tumor growth.

Well, the article cited below reports on encouraging clinical trials that show that PARPi drugs  used as “maintenance  therapy” extend remission times in OVCA by quite significant amounts – several years in some cases.  It also appears that PARPi drugs may be useful as front-line therapy, as well.  Neither way is it a cure (yet), but PARPi drugs certainly can be useful.  Here are some of the drugs discussed:  niraparib (Zejula), olaparib (Lynparza), and valiparib.  There were three massive clinical trials involved in this research.  More wrinkles are being investigated; stay tuned

The moral of the story is that, if you brush up against OVCA, remember that there are things to do, and maybe trials to join.  Make sure your medical support is up to snuff.

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