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1639-Overcoming PARP Inhibitor Resistance in TNBC

This paper describe how PARP inhibitors, while effective at treating BRCA-associated triple-negative breast cancer (TNBC), inadvertently trigger an immunosuppressive tumor microenvironment dominated by macrophages. High-dimensional profiling reveals that these tumors are heavily infiltrated by macrophages and T cells, yet the treatment causes metabolic reprogramming that enhances the pro-tumor characteristics of these myeloid cells. Specifically, the research identifies that PARP inhibition increases the expression of CSF1R and PD-L1, which contributes to drug resistance and transitory…

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