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Poly [ADP-ribose] polymerase 1, 2, and 3 (PARP-1/2/3)

Target
PARP-1/2/3
Molecular classification
Enzyme [12, 13], Poly [ADP-ribose] polymerase [12, 13], ADP-ribosyltransferase [12, 14, 16]
01

Overview

Poly [ADP-ribose] polymerase 1, 2, and 3 (PARP-1/2/3) are nuclear enzymes that serve as critical sensors and mediators of the cellular DNA damage response [7, 12]. PARP-1 is the most abundant and active member, responsible for the majority of cellular poly(ADP-ribosyl)ation (PARylation), a post-translational modification where ADP-ribose units from NAD+ are transferred onto target proteins to facilitate the recruitment of DNA repair machinery [8, 17]. PARP-2 and PARP-3 also contribute to DNA repair pathways, with PARP-3 specifically implicated in the repair of double-strand breaks and the regulation of PARP-1 activity [8, 14]. In oncology, these enzymes are the primary targets of PARP inhibitors, which exploit the principle of synthetic lethality in tumors with defective homologous recombination, such as those harboring BRCA1 or BRCA2 mutations [1, 3, 4]. By inhibiting the enzymatic activity and trapping PARP proteins on DNA, these drugs cause the collapse of replication forks and the accumulation of lethal DNA damage in cancer cells [1, 2, 11]. Beyond their role in DNA repair, PARP-1/2/3 are involved in transcriptional regulation, chromatin remodeling, and cell death pathways, making them significant targets in cancer, inflammation, and neurodegenerative diseases [7, 9, 17].

Other names
PARP1PARP2PARP3ARTD1ARTD2ARTD3Poly(ADP-ribose) synthetaseADPRTADPRTL1ADPRTL2ADPRTL3PPOL
02

Mechanism of action

Competitive inhibition of the PARP catalytic domain (competing with NAD+) and PARP trapping on DNA, leading to the accumulation of unrepaired DNA breaks and synthetic lethality in homologous recombination-deficient cells [1, 2, 3, 11].

03

Biological functions

DNA repair (Base Excision Repair, Single-Strand Break Repair, Double-Strand Break Repair) [7, 8, 11]Genomic stability maintenance [7, 11]Apoptosis and programmed cell death [1, 9, 13]Transcription regulation [7, 11, 17]Chromatin remodeling and plasticity [7, 12, 14]Cell cycle regulation [9, 11]RNA metabolism [14]
04

Disease associations

Cancer (Ovarian, Breast, Prostate, Pancreatic, Lung) [3, 4, 5, 11]Inflammation [7, 17]Neurodegenerative disease [7, 17]Cardiovascular disease [17]
05

Safety considerations

Hematologic toxicity (Anemia, Neutropenia, Thrombocytopenia) [6, 8, 10, 11]Gastrointestinal toxicity (Nausea, Vomiting, Constipation) [8, 10, 11]Fatigue and asthenia [8, 10, 11]Secondary malignancies (Myelodysplastic syndrome, Acute myeloid leukemia) [6, 9]Teratogenicity [6]Hepatotoxicity (transient ALT/AST elevations) [8]
06

Interacting drugs

Olaparib [3, 6, 8, 10]

6 more in the full profile.

07

Biomarkers

BRCA1 mutation [3, 4, 8]BRCA2 mutation [3, 4, 8]Homologous recombination deficiency (HRD) status [3, 6, 8]PARP1 expression levels [7, 9]Poly(ADP-ribose) (PAR) levels [9]Gamma-H2AX (gamma-H2AX) levels [9]

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