CDR 2020
DOI: 10.20517/cdr.2020.64
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Key genes and drug delivery systems to improve the efficiency of chemotherapy

Abstract: Cancer cells can develop resistance to anticancer drugs, thereby becoming tolerant to treatment through different mechanisms. The biological mechanisms leading to the generation of anticancer treatment resistance include alterations in transmembrane proteins, DNA damage and repair mechanisms, alterations in target molecules, and genetic responses, among others. The most common anti-cancer drugs reported to develop resistance to cancer cells include cisplatin, doxorubicin, paclitaxel, and fluorouracil. These an… Show more

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Cited by 3 publications
(3 citation statements)
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References 225 publications
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“…In the course of evolution, living organisms have developed multiple mechanisms of response to harmful chemicals present in the environment [ 31 ]. Activation of the cell’s defense pathways subsequently leads to an increase in the resistance of cells to various chemicals [ 32 ], often with fundamentally different structures and mechanisms of action, which is called multidrug resistance [ 11 ]. The development of drug resistance, when present in neoplastically transformed human cells, is a real obstacle to anticancer treatment [ 12 ].…”
Section: Cell Resistance To Multiple Drugsmentioning
confidence: 99%
“…In the course of evolution, living organisms have developed multiple mechanisms of response to harmful chemicals present in the environment [ 31 ]. Activation of the cell’s defense pathways subsequently leads to an increase in the resistance of cells to various chemicals [ 32 ], often with fundamentally different structures and mechanisms of action, which is called multidrug resistance [ 11 ]. The development of drug resistance, when present in neoplastically transformed human cells, is a real obstacle to anticancer treatment [ 12 ].…”
Section: Cell Resistance To Multiple Drugsmentioning
confidence: 99%
“…There are several types of treatment for GB ( Torres-Martinez et al, 2021 ), of which the standard of care includes surgical resection, followed by RT and concomitant administration of temozolomide (TMZ) ( Fernandes et al, 2017 ). Regardless the addition of secondary treatment using other agents such as receptor tyrosin kinases (RTK) inhibitors and the multidisciplinary treatment, the majority of patients experience a tumor progression with median survival of not more than 15 months ( Stupp et al, 2005 ).…”
Section: Introductionmentioning
confidence: 99%
“…On the other hand, anticancer drugs selectively target fast-replicating cells (13). Another reason for chemotherapy drugs' poor e cacy in hypoxic conditions is the transcription factor HIF 1α, that activates the p53 pathway, which causes apoptosis (14,15).…”
Section: Introductionmentioning
confidence: 99%