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Volume 361:1707-1708 October 22, 2009 Number 17
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Inhibition of Poly(ADP-Ribose) Polymerase in BRCA Mutation Carriers

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 by Fong, P. C.
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To the Editor: Fong et al. (July 9 issue),1 who used the poly(adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor olaparib to treat tumors in patients who were carriers of BRCA mutations, state that two deaths "were deemed unlikely to be related to olaparib." However, it is possible that the second patient died of impaired immunity induced by olaparib. Chemotactic cytokines, or chemokines, mediate the recruitment of inflammatory cells to inflamed sites. TRPM2, a plasma membrane Ca2+-permeable channel, controls chemokine production induced by reactive oxygen species in monocytes.2 TRPM2 channel opening in response to oxidative stress depends on activation of PARP.3,4 . . . [Full Text of this Article]




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