2003
DOI: 10.1038/sj.onc.1206933
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Cisplatin: mode of cytotoxic action and molecular basis of resistance

Abstract: Cisplatin is one of the most potent antitumor agents known, displaying clinical activity against a wide variety of solid tumors. Its cytotoxic mode of action is mediated by its interaction with DNA to form DNA adducts, primarily intrastrand crosslink adducts, which activate several signal transduction pathways, including those involving ATR, p53, p73, and MAPK, and culminate in the activation of apoptosis. DNA damage-mediated apoptotic signals, however, can be attenuated, and the resistance that ensues is a ma… Show more

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Cited by 2,919 publications
(2,646 citation statements)
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References 169 publications
(154 reference statements)
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“…A high accumulation of platinum-DNA adducts has been observed in the nuclei of marginal cells of the stria vascularis, but not in OHCs that have been discussed as the main target of cisplatin-induced cell damage (Thomas et al, 2006). The augmented adduct levels in the nuclei of marginal cells are not caused by their inability to repair such DNA lesions (Siddik, 2003). When disregarding the impact of repair mechanisms, the level of DNA platination products is directly linked to the intracellular concentration, which can be increased by both excessive influx and decreased export.…”
Section: Discussionmentioning
confidence: 98%
“…A high accumulation of platinum-DNA adducts has been observed in the nuclei of marginal cells of the stria vascularis, but not in OHCs that have been discussed as the main target of cisplatin-induced cell damage (Thomas et al, 2006). The augmented adduct levels in the nuclei of marginal cells are not caused by their inability to repair such DNA lesions (Siddik, 2003). When disregarding the impact of repair mechanisms, the level of DNA platination products is directly linked to the intracellular concentration, which can be increased by both excessive influx and decreased export.…”
Section: Discussionmentioning
confidence: 98%
“…[36][37][38][39] Indeed, native or acquired resistance to cisplatin can occur in cancer cells and MT overexpression is often part of this multi-factorial resistance. [36][37][38][39] Clearly, overexpression of MT reduces many of the subchronic toxic effects of cisplatin in rodents, 17,19,40 including DNA damage, 21 which is the suspected therapeutic mode of action for cisplatin. 37 Conversely, MT deficiency enhances subchronic 18,20 or chronic (present work) cisplatin toxicity in rodents.…”
Section: Discussionmentioning
confidence: 99%
“…[36][37][38][39] Clearly, overexpression of MT reduces many of the subchronic toxic effects of cisplatin in rodents, 17,19,40 including DNA damage, 21 which is the suspected therapeutic mode of action for cisplatin. 37 Conversely, MT deficiency enhances subchronic 18,20 or chronic (present work) cisplatin toxicity in rodents. Based on the results of our present study, however, one of the characteristics that might make an initial tumor sensitive to cisplatin (i.e., low MT) may well predispose a host tissue to a second tumor as a delayed toxic effect.…”
Section: Discussionmentioning
confidence: 99%
“…This study intends to understand the underlying mechanism of individual differences in response to cisplatin. Cisplatin is widely used to treat a variety of cancers and kills cells by directly or indirectly inducing apoptosis, DNA damage, and cell cycle arrest (Siddik, 2003). However, individual differences in response to cisplatin are an obstacle to effective cancer treatment.…”
Section: Resultsmentioning
confidence: 99%
“…In addition, the performance of the patient–drug two‐layer integrated network was generalizable and could be used to estimate drug responses effectively. Furthermore, we focused on cisplatin which is widely used to treat a variety of cancers and kills cells by directly or indirectly inducing apoptosis, DNA damage, and cell cycle arrest (Siddik, 2003). However, individual differences in response to cisplatin are an obstacle to effective cancer treatment.…”
Section: Discussionmentioning
confidence: 99%