Triterpenoids as reversal agents for anticancer drug resistance treatment
Xiao-Jian Yan1, Li-Hua Gong1, Fei-Yun Zheng1
1Department of Gynecology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang 325000, China.
Abstract:
Overexpression of ATP-binding cassette (ABC) transporters in cancer cells results in multidrug resistance (MDR), which is one of the major obstacles in the treatment of cancer patients. None of the strategies to overcome MDR has been successfully applied in the clinic until now. Plenty of evidence shows that some triterpenoids function as reversal agents of MDR for anticancer drug resistance treatment. Here, we review the latest findings of reversing cancer MDR with triterpenoids. Findings are summarized showing that triterpenoids are MDR modulators and potential chemosensitizers. Finally, we contemplate future prospects of modulating MDR in the clinic.
Insights
Triterpenoids show promise in overcoming multidrug resistance (MDR) in cancer by acting as MDR modulators and chemosensitizers, offering potential new strategies for cancer treatment.
Area of Science:
- Pharmacology
- Oncology
- Biochemistry
Background:
- Multidrug resistance (MDR) in cancer, driven by ATP-binding cassette (ABC) transporters, significantly hinders chemotherapy efficacy.
- Current strategies to overcome MDR have not translated successfully into clinical practice.
- Triterpenoids are emerging as potential agents to reverse MDR and enhance anticancer drug sensitivity.
Purpose of the Study:
- To review recent findings on the role of triterpenoids in reversing cancer multidrug resistance.
- To evaluate triterpenoids as modulators of MDR and potential chemosensitizers.
- To discuss future clinical prospects for triterpenoid-based MDR modulation.
Main Methods:
- Literature review of studies investigating triterpenoids and their effects on MDR.
- Analysis of evidence demonstrating triterpenoids as MDR reversal agents.
- Synthesis of current knowledge on triterpenoids' mechanisms in overcoming drug resistance.
Main Results:
- Triterpenoids exhibit significant potential as modulators of multidrug resistance.
- These compounds act as chemosensitizers, enhancing the efficacy of anticancer drugs.
- Evidence supports their role in overcoming resistance mediated by ABC transporters.
Conclusions:
- Triterpenoids represent a promising class of compounds for reversing cancer multidrug resistance.
- Their application as chemosensitizers warrants further investigation for clinical translation.
- Future research should focus on optimizing triterpenoid-based strategies for MDR modulation in cancer therapy.
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