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PEBC Report - Programa de Epigenética y Biología del Cáncer

PEBC Report - Programa de Epigenética y Biología del Cáncer

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Alan Ashworth<br />

Professor Alan Ashworth FRS, is<br />

Professor of Molecular Biology<br />

and Director of The Breakthrough<br />

Breast Cancer Research Centre<br />

at The Institute of Cancer<br />

Research, London. The Centre<br />

contains around 120 scientists and<br />

researchers working on aspects of<br />

breast cancer ranging from basic<br />

molecular and cellular biology<br />

through to translational research and clinical trials.<br />

Ashworth contributed to the discovery of the BRCA2 gene<br />

in 1995 and ten years later, Prof. Ashworth’s team i<strong>de</strong>ntified<br />

the synthetic lethal relationship between BRCA mutations<br />

and PARP inhibitors. The exquisite sensitivity of BRCA1 or<br />

BRCA2 mutant cells to PARP inhibitors forms the rationale<br />

behind clinical trials that are now assessing the potential of<br />

these agents. Ashworth’s other research interests are wi<strong>de</strong><br />

ranging and inclu<strong>de</strong> high-throughput genomic and functional<br />

approaches to the study of cancer.<br />

Ashworth is an elected member of EMBO and the Aca<strong>de</strong>my<br />

of Medical Sciences. In 2008, he was elected a Fellow of the<br />

Royal Society for his contributions to mammalian genetics<br />

and the <strong>de</strong>velopments of new therapeutic approaches for<br />

cancer.<br />

Breakthrough Breast Cancer Research Centre<br />

The Institute of Cancer Research<br />

London, UK<br />

Synthetic Lethal Approaches to the<br />

Development of New Therapies Targeting DNA<br />

Repair Deficiencies in Cancer<br />

Many tumours harbour <strong>de</strong>fects in their ability to maintain<br />

genomic integrity. This contributes to the mutational bur<strong>de</strong>n<br />

and likely fosters pathogenesis. We have been exploring<br />

therapeutic strategies to exploit these <strong>de</strong>fects. We<br />

have used a synthetic lethal approach to target the <strong>de</strong>fect<br />

in DNA repair by homologous recombination in tumours<br />

with a BRCA1 or BRCA2 mutation. This strategy using<br />

PARP inhibitors is showing consi<strong>de</strong>rable promise in the<br />

clinic. Here, I will <strong>de</strong>scribe the approach as well recent<br />

work <strong>de</strong>fining <strong>de</strong>terminants of sensitivity and resistance to<br />

PARP inhibitors. The application of the synthetic lethal<br />

approach to other cancer types will also be discussed.<br />

Selected publications<br />

Turner N, Tutt A, Ashworth, A (2004) Hallmarks of 'BRCAness'<br />

in sporadic cancers. Nat Rev Cancer 4: 814-819<br />

Farmer H, McCabe N, Lord CJ, Tutt AN, Johnson DA,<br />

Richardson TB, Santarosa M, Dillon KJ, Hickson I, Knights C,<br />

Martin NM, Jackson SP, Smith GC, Ashworth, A (2005)<br />

Targeting the DNA repair <strong>de</strong>fect in BRCA mutant cells as a<br />

therapeutic strategy. Nature 434: 917-921<br />

Iorns, E., Lord, C.J., Turner, N. and Ashworth, A (2007) Utilizing<br />

RNA interference to enhance cancer drug <strong>de</strong>velopment. Nat<br />

Rev Drug Disc, 6, 556-568.<br />

Edwards, S., Brough, R., Lord, C.J., Natrajan, R., Vatcheva, R.,<br />

Levine, D.A., Boyd, J., Reis-Filho, J.S. and Ashworth, A.<br />

(2007) Resistance to Therapy caused by Intragenic Deletion<br />

in BRCA2. Nature, 451 (7182): 1111-5<br />

Ashworth A (2008) A synthetic lethal therapeutic approach:<br />

poly(ADP) ribose polymerase inhibitors for the treatment of<br />

cancers <strong>de</strong>ficient in DNA double-strand break repair. J Clin<br />

Oncol, 26: 3785-3790<br />

Cancer Epigenetics and Biology Symposium<br />

14 28, 29 May 2009, Barcelona

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