The rediscovery of platinum-based cancer therapy.


Journal

Nature reviews. Cancer
ISSN: 1474-1768
Titre abrégé: Nat Rev Cancer
Pays: England
ID NLM: 101124168

Informations de publication

Date de publication:
01 2021
Historique:
accepted: 22 09 2020
pubmed: 1 11 2020
medline: 2 2 2021
entrez: 31 10 2020
Statut: ppublish

Résumé

Platinum (Pt) compounds entered the clinic as anticancer agents when cisplatin was approved in 1978. More than 40 years later, even in the era of precision medicine and immunotherapy, Pt drugs remain among the most widely used anticancer drugs. As Pt drugs mainly target DNA, it is not surprising that recent insights into alterations of DNA repair mechanisms provide a useful explanation for their success. Many cancers have defective DNA repair, a feature that also sheds new light on the mechanisms of secondary drug resistance, such as the restoration of DNA repair pathways. In addition, genome-wide functional screening approaches have revealed interesting insights into Pt drug uptake. About half of cisplatin and carboplatin but not oxaliplatin may enter cells through the widely expressed volume-regulated anion channel (VRAC). The analysis of this heteromeric channel in tumour biopsies may therefore be a useful biomarker to stratify patients for initial Pt treatments. Moreover, Pt-based approaches may be improved in the future by the optimization of combinations with immunotherapy, management of side effects and use of nanodelivery devices. Hence, Pt drugs may still be part of the standard of care for several cancers in the coming years.

Identifiants

pubmed: 33128031
doi: 10.1038/s41568-020-00308-y
pii: 10.1038/s41568-020-00308-y
doi:

Substances chimiques

Antineoplastic Agents 0
Organoplatinum Compounds 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

37-50

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Auteurs

Sven Rottenberg (S)

Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Bern Center for Precision Medicine, University of Bern, Bern, Switzerland.

Carmen Disler (C)

Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

Paola Perego (P)

Molecular Pharmacology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. paola.perego@istitutotumori.mi.it.

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