2009
DOI: 10.1016/j.drup.2009.09.001
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Novel strategies for reversing platinum resistance

Abstract: Platinum based drugs continue to be the mainstay of therapy for ovarian cancer. Along with adverse effects, chemoresistance (intrinsic or acquired) has become a major limitation in the management of recurrent disease. Even though much is known about the effects of platinum drugs on cancer cells, the mechanisms underlying resistance are poorly understood. In this review, we summarize the current data on chemoresistance and discuss novel strategies to reverse resistance to platinum-based drugs. The most importan… Show more

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Cited by 58 publications
(43 citation statements)
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References 71 publications
(67 reference statements)
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“…Melanoma shows intrinsic resistance to cisplatin. A number of mechanisms of cisplatin resistance have been recognized in cancer cells: increased reflux, or increased inactivation by sulfhydryl molecules, such as glutathione; altered expression of proteins in signal transduction pathways that control apoptosis; increased DNA repair (Shahzad et al, 2009). An improved understanding of the mechanisms of resistance is needed to increase the utility of cisplatin for the treatment of cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Melanoma shows intrinsic resistance to cisplatin. A number of mechanisms of cisplatin resistance have been recognized in cancer cells: increased reflux, or increased inactivation by sulfhydryl molecules, such as glutathione; altered expression of proteins in signal transduction pathways that control apoptosis; increased DNA repair (Shahzad et al, 2009). An improved understanding of the mechanisms of resistance is needed to increase the utility of cisplatin for the treatment of cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Responses are observed in up to~80% of patients; however, 70-80% of responding patients will relapse, requiring further systemic chemotherapy [2]. Patients who relapse >6-12 months after completing platinum-based chemotherapy may respond again to platinum-based therapy, but repeated use of platinum agents can be limited due to acquired resistance or intolerance [3].…”
Section: Introductionmentioning
confidence: 99%
“…Chemoresistance, a common development in ovarian carcinomas, is a major hurdle that significantly hinders treatment success [5,6]. Recent evidence suggests that the dysregulation of pro-apoptotic genes is a key factor for the onset and maintenance of chemoresistance [5,7].…”
Section: Introductionmentioning
confidence: 99%