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Updated: May 5, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Towards defining biomarkers indicating resistances to targeted therapies
Franziska Stehle1, Kristin Schulz1, Barbara Seliger1
1Martin Luther University Halle-Wittenberg, Institute of Medical Immunology, Magdeburger Str. 2, D-06112 Halle, Saale, Germany.
Abstract:
An impressive, but often short objective response was obtained in many tumor patients treated with different targeted therapies, but most of the patients develop resistances against these drugs. So far, a number of distinct mechanisms leading to intrinsic as well as acquired resistances have been identified in tumors of distinct origin. These can arise from genetic alterations, like mutations, truncations, and amplifications or due to deregulated expression of various proteins and signal transduction pathways, but also from cellular heterogeneity within tumors after an initial response. Therefore, biomarkers are urgently needed for cancer prognosis and personalized cancer medicine. The application of "ome"-based technologies including cancer (epi)genomics, next generation sequencing, cDNA microarrays and proteomics might led to the predictive or prognostic stratification of patients to categorize resistance mechanisms and to postulate combinations of treatment strategies. This review discusses the implementation of proteome-based analysis to identify markers of pathway (in)activation in tumors and the resistance mechanisms, which represent major clinical problems as a tool to optimize individually tailored therapies based on targeted drugs. This article is part of a Special Issue entitled: Biomarkers: A Proteomic Challenge.
Insights
Targeted cancer therapies show promise but often face resistance. Proteomics offers a way to identify biomarkers for predicting and overcoming drug resistance in personalized medicine.
Area of Science:
- Oncology
- Proteomics
- Biomarker Discovery
Background:
- Targeted therapies yield initial tumor responses but acquired resistance limits efficacy.
- Mechanisms of resistance include genetic alterations, protein expression changes, and tumor heterogeneity.
- Biomarkers are crucial for cancer prognosis and personalized treatment strategies.
Purpose of the Study:
- To review the implementation of proteome-based analysis for identifying resistance mechanisms.
- To highlight the role of proteomics in stratifying patients and optimizing targeted therapies.
- To discuss proteomic biomarkers for predicting and overcoming drug resistance.
Main Methods:
- Review of existing literature on targeted therapies and resistance mechanisms.
- Focus on "ome"-based technologies, particularly proteomics.
- Analysis of proteomic data for pathway (in)activation markers.
Main Results:
- Proteomics can identify specific markers associated with intrinsic and acquired resistance.
- Proteomic profiling aids in categorizing resistance mechanisms across different tumor types.
- Identification of biomarkers can guide the selection of combination treatment strategies.
Conclusions:
- Proteome-based analysis is a valuable tool for understanding and overcoming drug resistance.
- Biomarkers identified through proteomics enable personalized cancer medicine.
- Optimizing individually tailored therapies relies on robust biomarker discovery.
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