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For instance, research shows that HRD tumor cells, after platinum treatment, may evade drug effects by restoring HRR functionality or upregulating multi-drug resistance-related genes ( Furthermore, changes in the tumor microenvironment, intercellular signaling, and gene expression alterations can also promote the development of resistance

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Speake PF, Glazier JD, Ayuk PT-Y, Reade M, Sibley CP, DSouza SW (2003) L-Arginine transport across the basal plasma membrane of the syncytiotrophoblast of the human placenta from normal and preeclamptic pregnancies