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Preclinical studies demonstrated

that HR can be suppressed by

hypoxia through downregulation

of HR repair proteins such as

BRCA1

and

RAD51

Further

studies

showed

sensitivity to PARP inhibitors

enhanced under

hypoxia

condition.

PARP inhibitors and anti-

angiogenics may have synergistic

effects

1. Bindra RS et al.

Cancer Res

. 2005; 2. Bindra RS et al.

Mol Cell Biol.

2004

3. Chan N.

Clin Cancer Res.

2010; 4. Hegan DC et al.

Proc Natl Acad Sci U S A.

2010

HR 0.42(

95% CI 0.23–0.76), p=0.005

Liu JF et al.

Eur J Cancer.

2013

Liu JF et al.

Lancet Oncol.

2014

Combination of PARPi and anti-angiogenic agent