Cancer Drug Discovery and Development
DOI: 10.1007/978-1-59745-035-5_18
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Resistance To Taxanes

Abstract: Resistance to two taxanes, paclitaxel and docetaxel, is frequently observed in cancer patients and limits successful therapy. In experimental systems, resistance to paclitaxel and docetaxel are mediated by alterations in tubulin (the primary site of action of taxanes), proteins that interact with microtubules, energy-dependent efflux pumps, apoptotic proteins, and signal transduction pathways. Clinical correlations with some of these alterations exist, but have not been fully elucidated. Strategies to overcome… Show more

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Cited by 15 publications
(18 citation statements)
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References 183 publications
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“…With respect to taxanes, overexpression of drug efflux pumps and mutations in ␤-tubulin have been implicated as mechanisms that enable cancer cells to adapt to and survive taxane inhibition (Greenberger and Sampath, 2006). Our panel of DU145 cells up-regulated Pgp in response to selection with both paclitaxel and docetaxel.…”
Section: Discussionmentioning
confidence: 94%
See 1 more Smart Citation
“…With respect to taxanes, overexpression of drug efflux pumps and mutations in ␤-tubulin have been implicated as mechanisms that enable cancer cells to adapt to and survive taxane inhibition (Greenberger and Sampath, 2006). Our panel of DU145 cells up-regulated Pgp in response to selection with both paclitaxel and docetaxel.…”
Section: Discussionmentioning
confidence: 94%
“…With respect to taxanes, several mechanisms of inherent or acquired resistance have been implicated in their limited activity in prostate cancer (Greenberger and Sampath, 2006). Included among these resistance mechanisms are altered expression of drug efflux pumps and qualitative changes in the microtubules themselves, which may affect drug-target interactions.…”
Section: Introductionmentioning
confidence: 99%
“…Five of them are as follows: (i) there can be alterations to membrane lipids, which would give rise to compartmentalization and prevent the passive diffusion of paclitaxel. (ii) Point mutation occurs at the tubulin gene site (Greenberger & Sampath 2006, Ganguly et al 2010). (iii) TLR4 negatively regulates paclitaxel chemotherapy by increasing transcriptional factors and gene inductions (e.g.…”
Section: B-tubulinmentioning
confidence: 99%
“…Ursäch-lich könnte eine niedrige Affinität gegenüber dem ATP-abhängigen Medikamentenefflux P-Glykoprotein (P-gp) sein, welchem eine mögliche Verantwortung für die Docetaxel-Resistenz zugeschrieben wird [15,31].…”
Section: Cabazitaxelunclassified