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Mechanism of Action of PARP Inhibitors







             In HRR-deficient cancer cells treated with olaparib, double strand breaks can only be repaired using error-prone

                                                              pathways, which ultimately lead to cell death                      1




                                             PARP inhibitor                            Increase in
                                            PARP
                                                                              double strand breaks in
                                                                                   replicating cells






                           Trapped PARP on single                                                                                             PARP
                                 strand breaks                                                                                                 PARP inhibitor

                                                                                                                                          Double strand break





                                                        HRR-deficient cancer cell                                                              Normal cell



                       Reliance on error-prone pathways

                        leads to accumulation of genomic                                      Repair of double strand breaks via the              ✓
                                    instability and cell death                                            HRR pathway and cell survival





      HRR, homologous recombination repair; MOA, mechanism of action; PARP, poly(ADP-ribose) polymerase
      O’Connor MJ. Mol Cell 2015;60:547–60.
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