“…The main mechanisms described are the reversion of BRCA and HRR gene mutations to wild-type, the demethylation of promoter of HR genes, the mitigation of replication stress, the mutations in PARP itself and/or drug efflux pumps [ 75 , 76 , 77 ]. In preclinical patient-derived BRCAm-xenograft (PDX) models, the detection of RAD51 foci, a surrogate biomarker of HRR functionality, correlated with resistance to PARPis regardless of the underlying mechanism restoring HRR function [ 78 , 79 , 80 , 81 , 82 ]. By using in vitro and in vivo models of intrinsic resistance to PARPis, Yu-Yi Chu et al described the role of proteins like RTK, c-MET in PARP inhibition resistance [ 83 , 84 ].…”