“…Experimental evidence suggests that ATM holds promise as a predictive biomarker for the efficacy of PARPi in GC, especially in the context of ATM mutations. The use of PARPi can selectively target P53-deficient GC cells that exhibit sensitivity [99,100]. BRCA, as the pioneering "synthetic lethal" gene targeted by PARPi, exhibits significant differences in risk score, NtAI score, HRD-LOH score, LST score, and HRD score between wild-type and mutant cases of BRCA2 in GC patients, making it a predictive biomarker for the response to DNA-damaging agents in these patients [101,102].…”