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2019
DOI: 10.3390/cancers11030407
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Mechanisms of Anticancer Drug Resistance in Hepatoblastoma

Abstract: The most frequent liver tumor in children is hepatoblastoma (HB), which derives from embryonic parenchymal liver cells or hepatoblasts. Hepatocellular carcinoma (HCC), which rarely affects young people, causes one fourth of deaths due to cancer in adults. In contrast, HB usually has better prognosis, but this is still poor in 20% of cases. Although more responsive to chemotherapy than HCC, the failure of pharmacological treatment used before and/or after surgical resection is an important limitation in the man… Show more

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Cited by 45 publications
(55 citation statements)
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References 149 publications
(208 reference statements)
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“…Chemoresistance arises after long-time exposures to anticancer drugs [81,82]. The difference between temporary treatment and continuous treatment leads to different levels of ROS homeostasis in cancer cells.…”
Section: Redox Homeostasis In Tumorigenesismentioning
confidence: 99%
See 1 more Smart Citation
“…Chemoresistance arises after long-time exposures to anticancer drugs [81,82]. The difference between temporary treatment and continuous treatment leads to different levels of ROS homeostasis in cancer cells.…”
Section: Redox Homeostasis In Tumorigenesismentioning
confidence: 99%
“…The EMT process allows metastatic tumor cells to migrate to organs. Altered intracellular ROS levels may lead to the promotion of EMT in cancer cell lines that are resistant to anti-cancer drugs [81,108]. Several proteins function in the development of chemoresistance in metastatic advanced carcinomas [151,152].…”
Section: Redox-mediated Mechanism Of Chemoresistancementioning
confidence: 99%
“…Most drugs based on the mechanisms of anticancer resistance in HB will act on pathways such as p53, tyrosine kinase, cell cycle control, and transcriptional and translational events. A specific gene,CYP3A4, upregulated in Set-3, is related to five drugs used in the treatment of HBs 44 , particularly etoposide (a drug used in neoadjuvant chemotherapy), which causes demethylation in liver cells 45,46 , and Sorafenib, a kinase inhibitor mainly oxidized by CYP3A4 , with the collaboration ofCYP1A1 and CYP1B1 47 . Vincristine, Cyclophosphamide and Isofosfamide are also metabolized by CYP3A4 [48][49][50][51] .…”
Section: Discussionmentioning
confidence: 99%
“…In HB patients, the high-risk group is characterized by a marked chemoresistance and poor outcome [75]. Multidrug resistance often occurs after four cycles of chemotherapy [12].…”
Section: Nk-1r Antagonists As Anti-hb Drugs: Mechanisms Of Actionmentioning
confidence: 99%