2002
DOI: 10.1515/cclm.2002.161
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Overcoming Multidrug Resistance in Taxane Chemotherapy

Abstract: Paclitaxel (Taxol) and docetaxel (Taxotère) are currently two of the most important anticancer drugs in cancer chemotherapy. However, clinical treatment with these taxane agents often encounters undesirable side effects and multidrug resistance (MDR) caused by overexpression of P-glycoprotein (Pgp). Photoaffinity labeling of Pgp using photoreactive radiolabeled paclitaxel analogs along with molecular modeling has revealed a unique binding region for paclitaxel on the C-terminal half of Pgp. Highly efficient ta… Show more

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Cited by 69 publications
(49 citation statements)
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“…Paclitaxel has low water solubility (13) and has limited brain distribution primarily due to the BBB efflux transporter, P-gp (10,45,46). Several strategies have been used to circumvent P-gp at BBB, including chemical modification, (47) encapsulating in nanoparticles (48), and conjugating to peptide vectors (49)(50)(51)(52).…”
Section: Discussionmentioning
confidence: 99%
“…Paclitaxel has low water solubility (13) and has limited brain distribution primarily due to the BBB efflux transporter, P-gp (10,45,46). Several strategies have been used to circumvent P-gp at BBB, including chemical modification, (47) encapsulating in nanoparticles (48), and conjugating to peptide vectors (49)(50)(51)(52).…”
Section: Discussionmentioning
confidence: 99%
“…Tumor cells for example can develop resistance to antimitotic inhibitors that target tubulin such as taxanes and vinca alkaloids [42] through mutations in the drug binding site (i.e.  tubulin) [43,44] or by overexpression of the drug efflux pump, P-glycoprotein [45]. The ability to confer drug resistance by introducing mutations in the induced fit binding pocket of Eg5 raises the possibility that such mutations may be encountered in tumors during chemotherapy if Eg5 inhibitors were to enter the clinic.…”
Section: Monastrol and Stlc Have Been Characterized As Eg5 Specific Imentioning
confidence: 99%
“…As a result of these important new studies, docetaxel is currently the drug of choice in prostate cancer chemotherapy. Unfortunately, clinical treatment with docetaxel often encounters a number of undesirable side effects, including drug resistance (Miller and Ojima, 2001;Geney et al, 2002;Petrylak, 2005). Therefore, it has become essential to identify molecular events that may be associated with the development of docetaxel resistance.…”
Section: Introductionmentioning
confidence: 99%