“…Several mechanisms of resistance to TRAIL have been reported in different cell lines, including TRAIL receptor mutations, cFLIP overexpression, caspase-8 deficiency, Bax deficiency, Bcl-2 overexpression, inhibitor of apoptosis (IAP) protein family overexpression, NF-B activation, protein kinase C activation, constitutive ERK 1/2 and AKT expression, and 98,104,[122][123][124][125][126][127][128][129][130][131][132][133][134][135][136] hypermethylation of the caspase-8 gene. TRAIL can be expressed aberrantly by tumor cells, including myeloid, lymphoid, breast, and brain tumor cells.…”