PolyADP-ribose polymerase (PARP) plays a keyrole in the repair of DNA single-strand breaks. In the pres-ence of the PARP inhibitor olaparib, single-strand breaksaccumulate. When a replication fork encounters a sin-gle-strand break, it converts it to a double-strand break,which in normal cells is then repaired by homologousrecombination. In cells defective for homologous recom-bination, however, inhibition of PARP triggers cell death.Patients who have only one functional copy of theBrca1 gene, which is required for homologous recombina-tion, are at much higher risk for cancer of the breast andovary. Cancers that arise in these tissues in these patientscan be treated successfully with olaparib. Explain how it isthat treatment with olaparib kills the cancer cells in thesepatients, but does not harm their normal cells.

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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PolyADP-ribose polymerase (PARP) plays a key
role in the repair of DNA single-strand breaks. In the pres-
ence of the PARP inhibitor olaparib, single-strand breaks
accumulate. When a replication fork encounters a sin-
gle-strand break, it converts it to a double-strand break,
which in normal cells is then repaired by homologous
recombination. In cells defective for homologous recom-
bination, however, inhibition of PARP triggers cell death.
Patients who have only one functional copy of the
Brca1 gene, which is required for homologous recombina-
tion, are at much higher risk for cancer of the breast and
ovary. Cancers that arise in these tissues in these patients
can be treated successfully with olaparib. Explain how it is
that treatment with olaparib kills the cancer cells in these
patients, but does not harm their normal cells.

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