2001
DOI: 10.1007/s11912-001-0038-z
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Overcoming drug resistance in ovarian carcinoma

Abstract: Advanced epithelial ovarian carcinoma is treated with cytoreductive surgery and combination chemotherapy with a platinum compound and paclitaxel. Despite this treatment strategy, most women eventually relapse and die of resistant disease. Preclinical studies have shown that alterations in drug accumulation, drug metabolism, DNA repair, cellular targets and/or cell survival pathways may cause this resistance. Clinical studies have employed modulators of resistance in combination with chemotherapy as a means to … Show more

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Cited by 14 publications
(7 citation statements)
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“…In fact, besides blocking activation, glutathione competes with cisplatin for cellular targets, enhances formation of platinum‐coordination complexes, as well as facilitates its efflux (Kartalou and Essigmann, 2001; Siddik, 2003). There has been evidence that associates glutathione with cisplatin resistance in ovarian cancer cells (Fracasso, 2001). The cell line C200, which has acquired resistance by in vitro exposure to cisplatin, has five‐fold higher gluthathione than the parental cells.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, besides blocking activation, glutathione competes with cisplatin for cellular targets, enhances formation of platinum‐coordination complexes, as well as facilitates its efflux (Kartalou and Essigmann, 2001; Siddik, 2003). There has been evidence that associates glutathione with cisplatin resistance in ovarian cancer cells (Fracasso, 2001). The cell line C200, which has acquired resistance by in vitro exposure to cisplatin, has five‐fold higher gluthathione than the parental cells.…”
Section: Discussionmentioning
confidence: 99%
“…Ceramide has been shown to play a central role in both apoptotic and mitogenic pathways [2, 2932]. Ceramide is generated in mass in response to various stressors including cytokines, radiation, and chemotherapy [3336].…”
Section: Introductionmentioning
confidence: 99%
“…Tumor cell resistance to these drugs may involve reduced cellular accumulation, altered drug metabolism, altered DNA repair, and up-regulated cell survival pathways (2). In addition, the altered energy metabolism in tumor cells is now increasingly acknowledged as an important and general factor in drug resistance and, indeed, tumor progression (3)(4)(5).…”
Section: Introductionmentioning
confidence: 99%