2011
DOI: 10.1097/ppo.0b013e318212dd3d
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Mechanism of Cell Adaptation

Abstract: Chemotherapy treatments are considered essential tools to defeat cancer progression and dissemination to improve patients’ quality of life and survival. Although most malignancies initially respond to chemotherapeutic treatments, after an unpredictable period, tumor cells develop mechanisms of resistance to the treatment. Different cell compartments are involved in the mechanism of chemoresistance, and multiple mechanisms can be activated by single cells at different times of the cancer progression. Alteration… Show more

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Cited by 162 publications
(65 citation statements)
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“…Most chemotherapeutic drugs work by impairing mitosis, effectively targeting fast-dividing cancer cells, however, tumor cells can develop resistance to the treatment by alteration of drug metabolism. 39 Radiation therapy works by damaging the DNA of cancerous cells through free radicals. Oxygen is a potent radio-sensitizer, increasing the effectiveness of a given dose of radiation by forming free radicals.…”
Section: Resultsmentioning
confidence: 99%
“…Most chemotherapeutic drugs work by impairing mitosis, effectively targeting fast-dividing cancer cells, however, tumor cells can develop resistance to the treatment by alteration of drug metabolism. 39 Radiation therapy works by damaging the DNA of cancerous cells through free radicals. Oxygen is a potent radio-sensitizer, increasing the effectiveness of a given dose of radiation by forming free radicals.…”
Section: Resultsmentioning
confidence: 99%
“…Hence, it may be said that the MDM2-P53 interaction functions as a negative feedback loop for maintaining optimal P53 level 75. Examples of the kind are too numerous to be discussed here 76. On the level of a tumor as a whole, multiple feedback loops are activated between the tumor cells and extracellular matrix, vasculature, other tumor cells and tumor microenvironment.…”
Section: Tumor As a Robust Intelligent Superorganismmentioning
confidence: 99%
“…Our current understanding of drug resistance in cancer is that tumor heterogeneity and complex genetic and epigenetic changes contribute to the development of multidrug resistance (MDR). When this occurs, the cell becomes resistant to a variety of structurally and mechanistically unrelated drugs in addition to the drug initially administered (see [12, 14]).…”
Section: Introductionmentioning
confidence: 99%