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HRR 与非同源末端连接的失衡以及复制叉的保护作用                                colorectal cancer[J]. Neoplasia,2020,22(9):365-375.
        等 [57-59] 。通过上述联合用药研究结果来看,PARP 抑制                   [13]  KAPLAN A R,GUEBLE S E,LIU Y F,et al. Cediranib
        剂与放疗或其他药物的结合或许可以克服这种局限。                                  suppresses  homology-directed  DNA  repair  through
        通过相关的临床试验,比如定期进行液体活检取样等,                                 down-regulation of BRCA1/2 and RAD51[J]. Sci Transl
                                                                 Med,2019,11(492):eaav4508.
        及时发现耐药机制并优化靶向药物组合依然是十分必
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            [59]
        要的 。相信随着研究的不断深入,会有更多安全且有
                                                                 BRCA1 and HSP90 cooperate in homologous and non-
        效的 PARP 抑制剂联合干预方案得以应用,从而使更多
                                                                 homologous DNA double-strand-break repair and G2/M
        的患者获益。
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        ·1534 ·  China Pharmacy 2022 Vol. 33 No. 12                                 中国药房    2022年第33卷第12期
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