2011
DOI: 10.1517/14728222.2011.566216
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Overcoming drug resistance in pancreatic cancer

Abstract: Introduction Pancreatic cancer has the worst survival rate of all cancers. The current standard care for metastatic pancreatic cancer is gemcitabine, however, the success of this treatment is poor and overall survival has not improved for decades. Drug resistance (both intrinsic and acquired) is thought to be a major reason for the limited benefit of most pancreatic cancer therapies. Areas covered Previous studies have indicated various mechanisms of drug resistance in pancreatic cancer, including changes in… Show more

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Cited by 201 publications
(183 citation statements)
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“…Most patients develop resistance to gemcitabine (21), which has strong toxic side effect and is very expensive. The success of this treatment is poor and overall survival has not improved for decades (22). In recent years, much attention was paid to Chinese traditional medicine monomers (CTMM).…”
Section: Discussionmentioning
confidence: 99%
“…Most patients develop resistance to gemcitabine (21), which has strong toxic side effect and is very expensive. The success of this treatment is poor and overall survival has not improved for decades (22). In recent years, much attention was paid to Chinese traditional medicine monomers (CTMM).…”
Section: Discussionmentioning
confidence: 99%
“…It is approved as the first line single agent treatment for advanced pancreatic cancer and for combination therapy against non-small cell lung, breast and ovarian cancers. 1 Although gemcitabine is one of the primary standard drugs used to treat various solid tumors, drug resistance often limits its efficacy, 2 making it clinically important to understand the mechanisms of gemcitabine resistance and to develop novel strategies to overcome the resistance.…”
Section: Introductionmentioning
confidence: 99%
“…[27][28][29] However, tumor resistance of gemcitabine often seriously limits its effect. 30 These drugs may interact with DNA in two ways: by acting as structural analogs of the precursors and intermediates for the synthetic pathway, and therefore interfering with the synthesis of purines and pyrimidines, or by acting as false bases in the assembly of the DNA double helix during replication and transcription.…”
Section: Antimetabolitesmentioning
confidence: 99%