2015
DOI: 10.2217/hep.15.41
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Mechanisms of doxorubicin resistance in hepatocellular carcinoma

Abstract: Hepatocellular carcinoma, one of the most common solid tumors worldwide, is poorly responsive to available chemotherapeutic approaches. While systemic chemotherapy is of limited benefit, intra-arterial delivery of doxorubicin to the tumor frequently produces tumor shrinkage. Its utility is limited, in part, by the frequent emergence of doxorubicin resistance. The mechanisms of this resistance include increased expression of multidrug resistance efflux pumps, alterations of the drug target, topoisomerase, and m… Show more

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Cited by 124 publications
(91 citation statements)
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References 147 publications
(129 reference statements)
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“…As with many chemotherapeutic agents, acquisition of resistance is a major problem. Doxorubicin resistance in human cells is due, in some cases, to upregulation of ABC transporters (multidrug resistance pumps) MRP1 (76) and MDR1/P-glycoprotein (77), but other proteins also have been implicated (78, 79). A prior study with S.…”
Section: Discussionmentioning
confidence: 99%
“…As with many chemotherapeutic agents, acquisition of resistance is a major problem. Doxorubicin resistance in human cells is due, in some cases, to upregulation of ABC transporters (multidrug resistance pumps) MRP1 (76) and MDR1/P-glycoprotein (77), but other proteins also have been implicated (78, 79). A prior study with S.…”
Section: Discussionmentioning
confidence: 99%
“…One of the major reasons for the low efficacy of clinical HCC chemotherapy is the resistance to anticancer agents, such as doxorubicin [28]. In addition to its function in controlling HCC growth and apoptosis, modulation of HANR expression also significantly influenced the sensitivity of both hepatoma cells and in vivo tumors to doxorubicin.…”
Section: Discussionmentioning
confidence: 99%
“…Chemoresistance is a very thorny problem in tumor treatment, doxorubicin is one of major agents for anti-HCC [28], we investigated the role of HANR in 1Îźg/ml doxorubicin treated 24h to induced cell growth retardation. As expected, doxorubicin incubation significantly reduced viable cell number and the proliferative rate of both Hep3B and Huh-7 cells, which were assessed by MTT, immunoblotting and the doubling times observe assay.…”
Section: Overexpression Of Hanr Can Promotes Hcc Chemoresistance In Vmentioning
confidence: 99%
“…A recent study by M Chartrain et al (2012) showed that melanoma cells enriched after temozolomide treatment showed high expression of ABCB5 channels, which increased their anticytotoxic properties and stem-like characteristics 32 . According to a study of Cox et al (2012) on the mechanism of doxorubicin resistance in liver carcinoma cells, it has been shown that in cancer cell populations, there are cells capable of pumping drugs out via the ABC transporter family 33 . These channels need ATP to pump drugs out, protecting cells from toxins.…”
Section: Discussionmentioning
confidence: 99%