2008
DOI: 10.1007/s10549-008-0005-6
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Impact, mechanisms, and novel chemotherapy strategies for overcoming resistance to anthracyclines and taxanes in metastatic breast cancer

Abstract: Despite advances in treatment of patients with metastatic breast cancer (MBC), prognosis remains poor and median survival is 2-3 years. Resistance to antineoplastics mediated by many factors, potentially including overexpression of drug efflux proteins or altered beta-tubulin isotype expression limits the effectiveness of MBC chemotherapy. Capecitabine, approved for anthracycline- and taxane-resistant MBC, has produced modest responses, highlighting the need for more effective treatments for MBC resistant to m… Show more

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Cited by 93 publications
(62 citation statements)
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“…Chemotherapy is a standard treatment option for patients with cancers. However, resistance to chemotherapy is a major problem in the management of breast cancer (Perez 2009). Therefore, the development of novel effective agents that can suppress breast cancer growth is urgent and necessary to improve clinical outcome of patients.…”
Section: Introductionmentioning
confidence: 99%
“…Chemotherapy is a standard treatment option for patients with cancers. However, resistance to chemotherapy is a major problem in the management of breast cancer (Perez 2009). Therefore, the development of novel effective agents that can suppress breast cancer growth is urgent and necessary to improve clinical outcome of patients.…”
Section: Introductionmentioning
confidence: 99%
“…More importantly, MDR can occur after repeated exposure to chemotherapeutic agents. In the drug-resistant cells, ATPbinding cassette proteins can actively translocate a variety of structurally different substrates outside the cell membrane utilizing the energy from ATP hydrolysis, 6 leading to accelerated drug efflux and decreased net drug accumulation in tumor. 32 It is, generally, believed that upregulation of the drug transporter proteins in the cell membrane is responsible for the increased efflux.…”
Section: Discussionmentioning
confidence: 99%
“…MDR has become a major obstacle in the treatment of breast cancer, where prolonged exposure to one type of chemotherapeutic agent can lead to the resistance to not only that drug but also many other anticancer compounds of different structure and mechanism of action. 6 Furthermore, most anticancer compounds have severe side effects to healthy tissues if delivered systemically.…”
mentioning
confidence: 99%
“…1 Many patients with advanced disease become refractory to conventional chemotherapeutic agents, resulting in recurrence and resistance to the treatment. [2][3][4] Cisplatin and its analogues are chemotherapeutic drugs used widely in cancer treatment. Cisplatin can form interstrand crosslinks (ICL), which stall the progression of replication forks during DNA replication.…”
Section: Introductionmentioning
confidence: 99%