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. 2021 Oct 26;40:338. doi: 10.1186/s13046-021-02139-7

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© The Author(s) 2021

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Acquired resistance to PARPi can develop via three general mechanisms: restoration of HRR owing to (i) revertant mutations, (ii) demethylation of BRCA1 promoter or (iii) regulation of DNA end resection and cell cycle; replication fork protection; and drug target-related effects, such as (i) upregulation of drug efflux pumps or (ii) phosphorylation of PARP1