2011
DOI: 10.1016/j.drudis.2011.07.001
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The challenge of developing robust drugs to overcome resistance

Abstract: Drug resistance is problematic in microbial disease, viral disease and cancer. Understanding at the outset that resistance will impact the effectiveness of any new drug that is developed for these disease categories is imperative. In this Feature, we detail approaches that have been taken with selected drug targets to reduce the susceptibility of new drugs to resistance mechanisms. We will also define the concepts of robust drugs and resilient targets, and discuss how the design of robust drugs and the selecti… Show more

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Cited by 17 publications
(13 citation statements)
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“…However, it is likely that heterogeneity and cooperation of cancer cells in patient tumours drives tumour invasion through remodelling of the extracellular matrix ( Chapman et al , 2014). Thus, cancer is represented by cells that vary in their proliferative, invasive and metastatic phenotype, which contributes both to tumour growth and also emergence of drug resistance ( Anderson et al , 2011). However, it is often not feasible to investigate the effect of tumour cell heterogeneity in mouse xenograft models as large numbers of patient primary tumour cells are required for successful engraftment.…”
Section: Discussionmentioning
confidence: 99%
“…However, it is likely that heterogeneity and cooperation of cancer cells in patient tumours drives tumour invasion through remodelling of the extracellular matrix ( Chapman et al , 2014). Thus, cancer is represented by cells that vary in their proliferative, invasive and metastatic phenotype, which contributes both to tumour growth and also emergence of drug resistance ( Anderson et al , 2011). However, it is often not feasible to investigate the effect of tumour cell heterogeneity in mouse xenograft models as large numbers of patient primary tumour cells are required for successful engraftment.…”
Section: Discussionmentioning
confidence: 99%
“…That the emergence of antimicrobial resistance is a challenge that must be faced urgently has been recently recognised [1] and, as a result, there is an ongoing need for new antibacterial drugs [2,3,4]. Unfortunately, this realisation has come at a time when the antibacterial pipeline is poorly populated [5], and key pharmaceutical players are exiting the area.…”
Section: Introductionmentioning
confidence: 99%
“…infections. There are several reviews appeared in literature [10][11][12][13][14][15][16][17][18][19] describing the approaches to design the inhibitors of GyrB and ParE enzymes. High resolution structural information on GyrB and ParE has been instrumental in stimulating the research effort for new synthetic chemotypes that inhibits these enzymes but currently there are no compounds in the clinic.…”
Section: Introductionmentioning
confidence: 99%