Resistance in cancer: a target for drug discovery
Mark Searcey1, Laurence H Patterson
1Department of Pharmaceutical and Biological Chemistry, School of Pharmacy, University of London, 29-39 Brunswick Square, London WC1N 1AX, UK mark.searcey@ulsop.ac.uk
Abstract:
Resistance remains a major problem in the clinical utility of cancer chemotherapy. However, it also represents a tumour cell phenotype that is in many ways different, and thus distinguishable, from the majority of normal cells. Two approaches to the targeting of resistant cells are described involving intratumoral P450 expression, mechanisms of drug-efflux and defective DNA repair. It is suggested that the view of the solid tumour as a complex organ rather than a collection of individual cells will inform future drug development and both overcome and target multiple resistance mechanisms.
Insights
Cancer chemotherapy resistance is a major clinical problem. New strategies targeting resistant tumor cells, focusing on intratumoral P450 expression, drug efflux, and DNA repair, offer promising therapeutic avenues.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Chemotherapy resistance significantly limits the effectiveness of cancer treatments.
- Resistant cancer cells exhibit distinct phenotypes compared to normal cells, presenting therapeutic targets.
Purpose of the Study:
- To explore novel strategies for targeting drug-resistant cancer cells.
- To investigate the potential of intratumoral P450 expression and DNA repair mechanisms in overcoming resistance.
Main Methods:
- Description of two distinct approaches for targeting resistant cells.
- Focus on mechanisms including intratumoral P450 expression, drug-efflux pumps, and DNA repair deficiencies.
Main Results:
- Identification of specific cellular mechanisms contributing to chemotherapy resistance.
- Demonstration of potential strategies to exploit these differences for therapeutic benefit.
Conclusions:
- Viewing solid tumors as complex organs, rather than simple cell collections, is crucial for future drug development.
- Targeting multiple resistance mechanisms simultaneously holds promise for improved cancer therapy outcomes.
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