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Updated: Jul 17, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Identification of molecular determinants of tumor sensitivity and resistance to anticancer drugs
Luigi Quintieri1, Marianna Fantin, Csaba Vizler
1Pharmacology Section, Department of Pharmacology and Anesthesiology, University of Padova, Largo Meneghetti, 2, Italy. luigi.quintieri@unipd.it
Abstract:
Resistance to drugs is a major problem in cancer chemotherapy. Various cellular mechanisms of drug resistance have been identified in cultured tumor cell lines selected for growth in the presence of sublethal concentrations of various anticancer drugs. They involve drug transport and detoxification, qualitative or quantitative alterations of the drug target, repair of drug-induced DNA lesions, and alterations in signaling or execution of apoptosis. More recently, the possibility to simultaneously analyze the expression of thousands of genes using DNA microarrays has allowed exploring the relationships between gene expression and sensitivity to several anticancer drugs. A number of studies using microarrays for identifying genes governing tumor chemosensitivity focused on tumor cell lines. Some clinical studies have also been carried out to investigate whether tumor gene expression patterns could predict clinical response to chemotherapy. Results of these studies are encouraging, indicating that individualization of drug treatment based on multigenic response-predictive markers is feasible.
Insights
Drug resistance is a major challenge in cancer chemotherapy. Gene expression analysis shows promise for predicting patient response to anticancer drugs, enabling personalized treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Drug resistance significantly impedes effective cancer chemotherapy.
- Cellular mechanisms of resistance include altered drug transport, target modification, DNA repair, and apoptosis regulation.
- Advances in gene expression profiling offer new avenues for understanding chemosensitivity.
Purpose of the Study:
- To explore the relationship between gene expression patterns and anticancer drug sensitivity.
- To identify potential multigenic markers for predicting clinical response to chemotherapy.
Main Methods:
- Utilizing DNA microarrays to analyze the expression of thousands of genes simultaneously.
- Investigating gene expression in tumor cell lines selected for drug resistance.
- Conducting clinical studies correlating tumor gene expression with chemotherapy outcomes.
Main Results:
- Studies using microarrays have identified genes associated with tumor chemosensitivity.
- Clinical investigations suggest that gene expression patterns can predict chemotherapy response.
- Encouraging results indicate the feasibility of personalized cancer treatment.
Conclusions:
- Gene expression profiling is a valuable tool for understanding and overcoming drug resistance in cancer.
- Multigenic response-predictive markers hold potential for tailoring chemotherapy to individual patients.
- Personalized cancer therapy based on molecular profiling is a feasible future direction.
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