2018
DOI: 10.1002/jcp.26289
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Molecular mechanisms of drug resistance in ovarian cancer

Abstract: Ovarian cancer is the most lethal malignancy among the gynecological cancers, with a 5-year survival rate, mainly due to being diagnosed at advanced stages, recurrence and resistance to the current chemotherapeutic agents. Drug resistance is a complex phenomenon and the number of known involved genes and cross-talks between signaling pathways in this process is growing rapidly. Thus, discovering and understanding the underlying molecular mechanisms involved in chemo-resistance are crucial for management of tre… Show more

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Cited by 171 publications
(134 citation statements)
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“…Gene products responsible for reduced cellular internalization of drugs, altered drug metabolism, dysregulation of cell metabolism, alteration of cell death mechanisms, alteration of DNA repair, modification of epigenetic and DNA repair machineries, dysregulated expression of noncoding RNAs represent common mechanism of cancer cell generation [2]. Recently, also the spreading of oncogenic molecules (non-coding RNAs for example) via lipid vesicles like exosomes has been proposed as a mechanism of tumor dissemination [3].…”
Section: Bodymentioning
confidence: 99%
“…Gene products responsible for reduced cellular internalization of drugs, altered drug metabolism, dysregulation of cell metabolism, alteration of cell death mechanisms, alteration of DNA repair, modification of epigenetic and DNA repair machineries, dysregulated expression of noncoding RNAs represent common mechanism of cancer cell generation [2]. Recently, also the spreading of oncogenic molecules (non-coding RNAs for example) via lipid vesicles like exosomes has been proposed as a mechanism of tumor dissemination [3].…”
Section: Bodymentioning
confidence: 99%
“…Interestingly, it is now evident that only 2% of the human genome encodes proteins and 98% is actively transcribed into RNA molecules that lost their protein coding capacity, and called non‐coding RNAs (ncRNA) (Morceau, Chateauvieux, Gaigneaux, Dicato, & Diederich, ). MiRNAs, as the most widely described ncRNAs, are a class of small molecules with 19–24 nucleotides in length, playing important roles in many biological pathways (Norouzi‐Barough et al, ). Lin‐4 was the first miRNA, identified by Ambros, and colleagues in C. elegans in 1993, and since then miRNAs have been considerably examined in many studies (Lee, Feinbaum, & Ambros, ).…”
Section: Micrornas: Definition Biogenesis and Functionsmentioning
confidence: 99%
“…The major pathways involved in EMT are TGF-β, HIF1-Îą, Wnt/β-catenin, and Notch, which have also been associated with platinum resistance (102,103). General resistance mechanisms include reprogramming of metabolism and mitochondrial dysregulation, suppression of apoptotic mediators, up-regulated efflux pumps, reduced drug uptake, or intracellular detoxification (104). The molecular alterations leading to the platinum-resistant phenotype rarely include single nucleotide mutations in the known driver or resistance genes.…”
Section: Lncrnas Involved In Platinum-resistancementioning
confidence: 99%