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Published on: September 8, 2017
Paclitaxel and docetaxel resistance: molecular mechanisms and development of new generation taxanes
Elena Galletti1, Matteo Magnani, Michela L Renzulli
1Dipartimento Farmaco Chimico Tecnologico, Università degli Studi di Siena, Via Alcide de Gasperi, 2, I-53100 Siena, Italy.
Abstract:
Taxanes represent one of the most promising classes of anticancer agents. Unfortunately, their clinical success has been limited by the insurgence of cellular resistance, mainly mediated by the expression of the MDR phenotype or by microtubule alterations. However, the remarkable relevance of paclitaxel and docetaxel in clinical oncology stimulated intensive efforts in the last decade to identify new derivatives endowed with improved activities towards resistant tumor cells, resulting in a huge number of novel natural and synthetic taxanes. Among them, several structurally different derivatives were found to exhibit a promising behavior against the MDR phenotype in terms of either MDR inhibiting properties, or enhanced cytotoxicity compared to parental drugs, or both. On the other hand, only in more recent years have the first taxanes retaining activity against resistant cancer cells bearing alterations of the tubulin/microtubule system emerged. This review describes the main molecular mechanisms of resistance to paclitaxel and docetaxel identified so far, focusing on the advances achieved in the development of new taxanes potentially useful for the treatment of resistant tumors.
Insights
New taxane derivatives show promise in overcoming cancer resistance. These novel compounds target multidrug resistance (MDR) and microtubule alterations, offering hope for treating resistant tumors.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Taxanes, including paclitaxel and docetaxel, are vital anticancer agents.
- Clinical efficacy is hampered by multidrug resistance (MDR) and microtubule alterations.
- Development of novel taxanes is crucial for overcoming treatment resistance.
Purpose of the Study:
- To review molecular mechanisms of taxane resistance.
- To highlight advances in developing new taxane derivatives against resistant tumors.
- To discuss taxanes with activity against MDR and microtubule-altered cancer cells.
Main Methods:
- Literature review of taxane resistance mechanisms.
- Analysis of novel natural and synthetic taxane derivatives.
- Evaluation of taxane activity against MDR and tubulin-mutated cancer models.
Main Results:
- Several novel taxane derivatives exhibit MDR-inhibiting properties or enhanced cytotoxicity.
- Newer taxanes demonstrate efficacy against cancer cells with altered tubulin/microtubule systems.
- Understanding resistance mechanisms guides the design of improved taxanes.
Conclusions:
- Novel taxane derivatives offer potential therapeutic strategies for resistant cancers.
- Targeting MDR and microtubule alterations is key to overcoming taxane resistance.
- Continued research into taxane development is essential for advancing cancer treatment.
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