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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.