2020
DOI: 10.3390/cancers12123669
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Getting Lost in the Cell–Lysosomal Entrapment of Chemotherapeutics

Abstract: Despite extensive research, resistance to chemotherapy still poses a major obstacle in clinical oncology. An exciting strategy to circumvent chemoresistance involves the identification and subsequent disruption of cellular processes that are aberrantly altered in oncogenic states. Upon chemotherapeutic challenges, lysosomes are deemed to be essential mediators that enable cellular adaptation to stress conditions. Therefore, lysosomes potentially hold the key to disarming the fundamental mechanisms of chemoresi… Show more

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Cited by 10 publications
(7 citation statements)
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“…Most chemotherapeutics used in the clinic are lipophilic, weak-base drugs that can readily be sequestered in the acidic lysosomal compartment. Once in lysosomes, these unprotonated amine-containing compounds are rapidly protonated and remain trapped in these organelles, diminishing their cytotoxic effect (Zhai and El Hiani, 2020). The lysosomotropic nature of several drugs that are widely used in the clinic because of their superior bioavailability and pharmacokinetic parameters poses a major hurdle for cancer treatment.…”
Section: Chemoresistance and Cancer Evasion Through Lysosomal Pathwaysmentioning
confidence: 99%
See 1 more Smart Citation
“…Most chemotherapeutics used in the clinic are lipophilic, weak-base drugs that can readily be sequestered in the acidic lysosomal compartment. Once in lysosomes, these unprotonated amine-containing compounds are rapidly protonated and remain trapped in these organelles, diminishing their cytotoxic effect (Zhai and El Hiani, 2020). The lysosomotropic nature of several drugs that are widely used in the clinic because of their superior bioavailability and pharmacokinetic parameters poses a major hurdle for cancer treatment.…”
Section: Chemoresistance and Cancer Evasion Through Lysosomal Pathwaysmentioning
confidence: 99%
“…Tumor cells expressing MDR transporters effectively efflux lysosomotropic ionizable drugs that diffuse into the cytosol or are sequestered in lysosomes. Examples of hydrophobic, weak-base chemotherapeutics that are both Pgp substrates and lysosomotropic are doxorubicin, daunorubicin, vinblastine, sunitinib, vincristine, cisplatin, and sorafenib (Yamagishi et al, 2013;Colombo et al, 2014;Zhitomirsky and Assaraf, 2016;Geisslinger et al, 2020;Zhai and El Hiani, 2020). Treatment of tumor cells with these compounds induces expansion of the lysosomal system, thereby enhancing their lysosomal sequestration and drug resistance (Groth-Pedersen et al, 2007;Zhitomirsky and Assaraf, 2015;Zhao et al, 2020).…”
Section: Chemoresistance and Cancer Evasion Through Lysosomal Pathwaysmentioning
confidence: 99%
“…[62] In addition, in leukocytes, vacuoles are also reported upon exposure to various chemicals. [63,64] Indeed, many drugs used for oncologic treatment are weak bases that can be protonated and sequestered within lysosomes, thereby causing their vacuolation [65] and exerting chemoresistance in cancer cells. [66] Therefore, cytosolic vacuolation can be exploited for different purposes, including diagnosis.…”
Section: Conclusion and Discussionmentioning
confidence: 99%
“…On the other hand, lysosomes have a drug-sequestering function that diminish the availability of the drugs within cells including CDDP (Galluzzi et al, 2014; Geisslinger et al, 2020; Zhai & el Hiani, 2020; Zhitomirsky & Assaraf, 2016). Thus, the process of chemotherapy resistance may be driven by the sequestration of CDDP within lysosomes, leading to lysosomal dysfunction in A2780cis cells during the early stages of resistance acquisition (Fig.…”
Section: Discussionmentioning
confidence: 99%