Title:Insight into the Basic Mechanisms and Various Modulation Strategies
Involved in Cancer Drug Resistance
Volume: 23
Issue: 10
Author(s): Devdhar Yadav, Gudhanti Siva Naga Koteswara Rao*, Deepika Paliwal, Amit Singh and Sumbul Shadab
Affiliation:
- Department of Pharmacy, School of Medical & Allied Science, Galgotias University, Greater Noida, Uttar Pradesh, India
- Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, V.L. Mehta
Road, Vile Parle (W), Mumbai, 400056, India
Keywords:
Cancer, drug resistance, epigenetic/genetic determinants, apoptosis, breast cancer, leukaemia, ovarian cancer.
Abstract: It is possible for tumors to develop resistance to currently used drugs. However, its increasing
incidence necessitates further study and the development of novel therapies This review explores
our current understanding of the factors that enable drug resistance, which include, inactivation of the
drug, reduced drug uptake, increased drug efflux, metabolic effect, inhibition of apoptosis, epithelialmesenchymal
transition, modified membrane transport, and heterogeneity of inherent tumor cell. This
manuscript will also explore some genetic and epigenetic alterations that may encourage drug resistance
and fundamental mechanisms of the reluctance of drugs in leukemia, ovarian and breast cancer
and it concludes with a few solutions for managing drug resistance.