Multi-drug resistance in cancer chemotherapeutics: Mechanisms and lab approaches

Abstract Multi-drug resistance (MDR) has become the largest obstacle to the success of cancer chemotherapies. The mechanisms of MDR and the approaches to test MDR have been discovered, yet not fully understood. This review covers the in vivo and in vitro approaches for the detection of MDR in the la...

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Veröffentlicht in:Cancer letters 2014-06, Vol.347 (2), p.159-166
Hauptverfasser: Wu, Qiong, Yang, Zhiping, Nie, Yongzhan, Shi, Yongquan, Fan, Daiming
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container_end_page 166
container_issue 2
container_start_page 159
container_title Cancer letters
container_volume 347
creator Wu, Qiong
Yang, Zhiping
Nie, Yongzhan
Shi, Yongquan
Fan, Daiming
description Abstract Multi-drug resistance (MDR) has become the largest obstacle to the success of cancer chemotherapies. The mechanisms of MDR and the approaches to test MDR have been discovered, yet not fully understood. This review covers the in vivo and in vitro approaches for the detection of MDR in the laboratory and the mechanisms of MDR in cancers. This study also envisages the future developments toward the clinical and therapeutic applications of MDR in cancer treatment. Future therapeutics for cancer treatment will likely combine the existing therapies with drugs originated from MDR mechanisms such as anti-cancer stem cell drugs, anti-miRNA drugs or anti-epigenetic drugs. The challenges for the clinical detection of MDR will be to find new biomarkers and to determine new evaluation systems before the drug resistance emerges.
doi_str_mv 10.1016/j.canlet.2014.03.013
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Antineoplastic Agents - therapeutic use
Apoptosis
Autophagy
Biomarker
Breast cancer
Cancer
Chemotherapy
Colleges & universities
Drug Resistance, Multiple - genetics
Drug Resistance, Multiple - immunology
Drug Resistance, Neoplasm - genetics
Drug Resistance, Neoplasm - immunology
Epigenesis, Genetic
Hematology, Oncology and Palliative Medicine
Humans
Lab approach
Mechanism
Medical research
MicroRNAs - genetics
Multi-drug resistance (MDR)
Ovarian cancer
title Multi-drug resistance in cancer chemotherapeutics: Mechanisms and lab approaches
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