Drug Resistance in Cancer: An Overview

Cancers have the ability to develop resistance to traditional therapies, and the increasing prevalence of these drug resistant cancers necessitates further research and treatment development. This paper outlines the current knowledge of mechanisms that promote or enable drug resistance, such as drug...

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Main Authors: Genevieve Housman, Shannon Byler, Sarah Heerboth, Karolina Lapinska, Mckenna Longacre, Nicole Snyder, Sibaji Sarkar
Format: Article
Language:English
Published: MDPI AG 2014-09-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/6/3/1769
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author Genevieve Housman
Shannon Byler
Sarah Heerboth
Karolina Lapinska
Mckenna Longacre
Nicole Snyder
Sibaji Sarkar
author_facet Genevieve Housman
Shannon Byler
Sarah Heerboth
Karolina Lapinska
Mckenna Longacre
Nicole Snyder
Sibaji Sarkar
author_sort Genevieve Housman
collection DOAJ
description Cancers have the ability to develop resistance to traditional therapies, and the increasing prevalence of these drug resistant cancers necessitates further research and treatment development. This paper outlines the current knowledge of mechanisms that promote or enable drug resistance, such as drug inactivation, drug target alteration, drug efflux, DNA damage repair, cell death inhibition, and the epithelial-mesenchymal transition, as well as how inherent tumor cell heterogeneity plays a role in drug resistance. It also describes the epigenetic modifications that can induce drug resistance and considers how such epigenetic factors may contribute to the development of cancer progenitor cells, which are not killed by conventional cancer therapies. Lastly, this review concludes with a discussion on the best treatment options for existing drug resistant cancers, ways to prevent the formation of drug resistant cancers and cancer progenitor cells, and future directions of study.
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spelling doaj.art-efd0a3195c894dabb69ef79ceca4264f2023-09-02T23:05:22ZengMDPI AGCancers2072-66942014-09-01631769179210.3390/cancers6031769cancers6031769Drug Resistance in Cancer: An OverviewGenevieve Housman0Shannon Byler1Sarah Heerboth2Karolina Lapinska3Mckenna Longacre4Nicole Snyder5Sibaji Sarkar6School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287, USACancer Center, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USACancer Center, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USACancer Center, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USAHarvard Medical School, Boston, MA 02115, USACancer Center, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USACancer Center, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USACancers have the ability to develop resistance to traditional therapies, and the increasing prevalence of these drug resistant cancers necessitates further research and treatment development. This paper outlines the current knowledge of mechanisms that promote or enable drug resistance, such as drug inactivation, drug target alteration, drug efflux, DNA damage repair, cell death inhibition, and the epithelial-mesenchymal transition, as well as how inherent tumor cell heterogeneity plays a role in drug resistance. It also describes the epigenetic modifications that can induce drug resistance and considers how such epigenetic factors may contribute to the development of cancer progenitor cells, which are not killed by conventional cancer therapies. Lastly, this review concludes with a discussion on the best treatment options for existing drug resistant cancers, ways to prevent the formation of drug resistant cancers and cancer progenitor cells, and future directions of study.http://www.mdpi.com/2072-6694/6/3/1769cancerdrug resistanceepigeneticsmethylationcancer progenitor cellscombination therapyreview
spellingShingle Genevieve Housman
Shannon Byler
Sarah Heerboth
Karolina Lapinska
Mckenna Longacre
Nicole Snyder
Sibaji Sarkar
Drug Resistance in Cancer: An Overview
Cancers
cancer
drug resistance
epigenetics
methylation
cancer progenitor cells
combination therapy
review
title Drug Resistance in Cancer: An Overview
title_full Drug Resistance in Cancer: An Overview
title_fullStr Drug Resistance in Cancer: An Overview
title_full_unstemmed Drug Resistance in Cancer: An Overview
title_short Drug Resistance in Cancer: An Overview
title_sort drug resistance in cancer an overview
topic cancer
drug resistance
epigenetics
methylation
cancer progenitor cells
combination therapy
review
url http://www.mdpi.com/2072-6694/6/3/1769
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AT nicolesnyder drugresistanceincanceranoverview
AT sibajisarkar drugresistanceincanceranoverview