WebOct 7, 2024 · These resistance mechanisms reveal molecular vulnerabilities, which may be targeted to re-sensitize EOC to PARPi treatment. Promising therapeutic strategies include ATR inhibition, epigenetic re-sensitisation through DNMT inhibition, cell cycle checkpoint inhibition, combination with anti-angiogenic therapy and BET inhibition. WebBackground. Poly(ADP-ribose) polymerases inhibitor (PARPi) have shown clinical efficacy in ovarian carcinoma, especially in those harboring defects in homologous recombination (HR) repair, including BRCA1 and BRCA2 mutated tumors. There is increasing evidence however that PARPi resistance is common and develops through multiple mechanisms.
Understanding and overcoming resistance to PARP inhibitors in …
WebMar 1, 2024 · One of the best described mechanisms of resistance to PARPi is the restoration of a functional HR, mainly due to epigenetic events leading to the re … WebJan 13, 2013 · And as the current study shows, resistance is likely just as complex when it comes to PARPi. Previous studies have identified 2 mechanisms of resistance to PARPi in preclinical models and patients: secondary mutations that partially restore BRCA function and overexpression of Pgp ( 3, 5 ). taxis in llandudno
PARP inhibitor resistance: the underlying mechanisms and clinical
WebMar 1, 2024 · Mechanisms of resistance to PARPi. (a) The most common is the restoration of HR genes such as BRCA and RAD51. (b) Alterations in drug efflux pumps and the … WebPreclinical data reveal cross-resistance between PARPi and platinum chemotherapy and, in an unselected patient population in the PANOPTIMOX study, reintroduction of FOLFIRINOX (folinic acid + 5-FU + irinotecan + oxaliplatin) upon disease progression led to a marginal benefit of 1.4 months in terms of median PFS [PFS1 (defined as time to first ... WebOne of the major mechanisms of PARPi and platinum-based chemotherapy resistance is the restoration of HR capability re-enabling cancer cells to repair DSBs, thereby reducing genomic instability and sensitivity to PARPi ( Figure 1 ). 17,18 Restoration of HR might occur due to epigenetic events leading to re-expression of HR genes or to secondary … taxis in livingston