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Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
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Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
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Targeted Cancer Therapies

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Updated: Jun 19, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
08:46

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms

Published on: December 9, 2015

Clusterin and chemoresistance.

Julie Y Djeu1, Sheng Wei

  • 1Department of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida 33612, USA.

Advances in Cancer Research
|November 3, 2009
PubMed
Summary
This summary is machine-generated.

Clusterin (CLU) promotes chemoresistance in various cancers by preventing apoptosis. Targeting the secretory form of clusterin (sCLU) may overcome drug resistance and improve cancer therapy outcomes.

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Last Updated: Jun 19, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
08:46

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms

Published on: December 9, 2015

Looking for Driver Pathways of Acquired Resistance to Targeted Therapy: Drug Resistant Subclone Generation and Sensitivity Restoring by Gene Knock-down
08:59

Looking for Driver Pathways of Acquired Resistance to Targeted Therapy: Drug Resistant Subclone Generation and Sensitivity Restoring by Gene Knock-down

Published on: December 11, 2017

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Anticancer agent resistance is a major obstacle in cancer treatment.
  • Both intrinsic and acquired resistance mechanisms contribute to therapeutic failure.
  • Clusterin (CLU) is increasingly recognized as a key factor in chemoresistance.

Purpose of the Study:

  • To investigate the role of clusterin (CLU) in chemoresistance.
  • To elucidate the specific form of CLU involved in resistance.
  • To explore CLU as a potential therapeutic target for overcoming drug resistance.

Main Methods:

  • Analysis of CLU expression in various cancer types and stages.
  • Investigating the correlation between CLU expression and resistance to different chemotherapeutic agents.
  • Examining the antiapoptotic function of secretory CLU (sCLU) by studying its interaction with proteins like Bax and Ku70.

Main Results:

  • Secretory CLU (sCLU) is upregulated in advanced and metastatic cancers.
  • sCLU confers broad-based resistance to unrelated chemotherapeutic agents and targeted therapies.
  • sCLU prevents apoptosis by stabilizing Ku70/Bax complexes, inhibiting cytochrome c release.

Conclusions:

  • sCLU plays a critical role in preventing apoptosis induced by cytotoxic agents.
  • sCLU expression is a significant mechanism contributing to chemoresistance in diverse cancers.
  • Targeting sCLU presents a promising strategy for enhancing the efficacy of cancer therapy.