2015
DOI: 10.1080/01635581.2015.1002624
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Natural Product Modulators to Overcome Multidrug Resistance In Cancer

Abstract: Multidrug resistance (MDR) is a condition that makes cells simultaneously unresponsive to different drugs, unrelated to their chemical structure and mechanism of action. MDR caused by the presence and overexpression of ABC transporters makes obstacles in cancer treatment and lower the effectiveness of chemotherapy. Natural products are investigated by many researchers as MDR modulators for their low toxicity and potent, selective behavior. When coadministered, MDR modulators compete with cytotoxic agents for b… Show more

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Cited by 49 publications
(39 citation statements)
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References 137 publications
(133 reference statements)
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“…The beneficial activity of natural modulators on ABC transporters is mainly associated with synergism with other anti-tumor drugs. Natural compounds can act as competitors of active sites of efflux pumps, reducing the chemotherapeutic efflux [61]. Among the class of secondary metabolites, flavonoids stand out as efflux pump inhibitors particularly because they inhibit P-gp ATP-ase activity by interacting with the ATP-binding sites [62, 63].…”
Section: Phytometabolites Targeting Cscs Modulate Abc Transporters Kmentioning
confidence: 99%
“…The beneficial activity of natural modulators on ABC transporters is mainly associated with synergism with other anti-tumor drugs. Natural compounds can act as competitors of active sites of efflux pumps, reducing the chemotherapeutic efflux [61]. Among the class of secondary metabolites, flavonoids stand out as efflux pump inhibitors particularly because they inhibit P-gp ATP-ase activity by interacting with the ATP-binding sites [62, 63].…”
Section: Phytometabolites Targeting Cscs Modulate Abc Transporters Kmentioning
confidence: 99%
“…presented within the cancer cell membrane is associate with MDR 113115 . In many cancer types, nearly 40–50% of the patients diagnosed with cancer have ABCs overexpression in the malignant tissue 116, 117 .…”
Section: Use Peg-based Amphiphilic Nanostructures To Overcome Chemmentioning
confidence: 99%
“…These authors further report that tumor microenvironment‐induced selection pressure leads to the development of intrinsic MDR, while acquired resistance is a consequence of chronic chemotherapy administrations. Cort and Ozben as well as Dinic et al . state that natural product‐based drugs are important in overcoming or reversing MDR in cancer therapy.…”
Section: Introductionmentioning
confidence: 88%