In search of effective therapies to overcome resistance to Temozolomide in brain tumours

Glioblastoma multiforme is the most common and lethal brain tumour-type. The current standard of care includes Temozolomide (TMZ) chemotherapy. However, inherent and acquired resistance to TMZ thwart successful treatment. The direct repair protein methylguanine DNA methyltransferase (MGMT) removes t...

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Veröffentlicht in:Cancer Drug Resistance 2019-01, Vol.2 (4), p.1018-1031
Hauptverfasser: Bouzinab, Kaouthar, Summers, Helen, Zhang, Jihong, Stevens, Malcolm F G, Moody, Christopher J, Turyanska, Lyudmila, Thomas, Neil R, Gershkovich, Pavel, Ashford, Marianne B, Vitterso, Emily, Storer, Lisa C D, Grundy, Richard, Bradshaw, Tracey D
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container_end_page 1031
container_issue 4
container_start_page 1018
container_title Cancer Drug Resistance
container_volume 2
creator Bouzinab, Kaouthar
Summers, Helen
Zhang, Jihong
Stevens, Malcolm F G
Moody, Christopher J
Turyanska, Lyudmila
Thomas, Neil R
Gershkovich, Pavel
Ashford, Marianne B
Vitterso, Emily
Storer, Lisa C D
Grundy, Richard
Bradshaw, Tracey D
description Glioblastoma multiforme is the most common and lethal brain tumour-type. The current standard of care includes Temozolomide (TMZ) chemotherapy. However, inherent and acquired resistance to TMZ thwart successful treatment. The direct repair protein methylguanine DNA methyltransferase (MGMT) removes the cytotoxic -methylguanine ( 6-MeG) lesion delivered by TMZ and so its expression by tumours confers TMZ-resistance. DNA mismatch repair (MMR) is essential to process 6-MeG adducts and MMR-deficiency leads to tolerance of lesions, resistance to TMZ and further DNA mutations. In this article, two strategies to overcome TMZ resistance are discussed: (1) synthesis of imidazotetrazine analogues - designed to retain activity in the presence of MGMT or loss of MMR; (2) preparation of imidazotetrazine-nanoparticles to deliver TMZ preferably to the brain and tumour site. Our promising results encourage belief in a future where better prognoses exist for patients diagnosed with this devastating disease.
doi_str_mv 10.20517/cdr.2019.64
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title In search of effective therapies to overcome resistance to Temozolomide in brain tumours
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