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Updated: Mar 19, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Nano-based strategies to overcome p-glycoprotein-mediated drug resistance
Mehri Niazi1, Parvin Zakeri-Milani2, Saeedeh Najafi Hajivar1
1a Student Research Committee, Faculty of Advanced Medical Sciences and Research Center for Pharmaceutical Nanotechnology , Tabriz University of Medical Sciences , Tabriz , Iran.
Introduction:
The discussion about cancer treatment has a long history. Chemotherapy, one of the promising approaches in cancer therapy, is limited in the clinic as plenty of factors evolve and prevent appropriate therapeutic response to drugs. Multi-drug resistance (MDR), which is mostly P-glycoprotein-mediated, is described as the most well-known impediment in this contribution. It extrudes several agents out of cells, arising MDR and decreasing the bioavailability of drugs. Hence, cancer cells become insensitive to chemotherapy.
Areas Covered:
Many agents have been developed to reverse MDR, but it is difficult to deliver them into cancer sites and cancer cells. The emerging nano-based drug delivery systems have been more effective to overcome P-glycoprotein-mediated MDR by increasing the intracellular delivery of these agents. Here, we represent systems including siRNA-targeted inhibition of P-gp, monoclonal antibodies, natural extracts, conventional inhibitors, hard nanoparticles and soft nanoparticles as delivery systems in addition to a novel approach applying cell penetrating peptides.
Expert Opinion:
Overcoming cancer drug resistance using innovative nanotechnology is being increasingly used and developed. Among resistance mechanisms, drug efflux transporter inhibitors and MDR gene expression silencing are among the those being investigated. In the near future, it seems some of these nanomedical approaches might become the mainstay of effective treatment of important human conditions like cancer.
Insights
Nanotechnology offers solutions to overcome multi-drug resistance (MDR) in cancer chemotherapy. Novel nano-based systems effectively deliver agents to combat P-glycoprotein-mediated MDR, improving drug bioavailability and cancer cell sensitivity.
Area of Science:
- Oncology
- Nanotechnology
- Drug Delivery
Background:
- Chemotherapy is a key cancer treatment, but its efficacy is often limited by multi-drug resistance (MDR).
- P-glycoprotein-mediated MDR is a major challenge, causing cancer cells to extrude drugs and become insensitive to treatment.
- Developing effective strategies to overcome MDR is crucial for improving patient outcomes.
Purpose of the Study:
- To review and highlight the role of nano-based drug delivery systems in overcoming P-glycoprotein-mediated MDR.
- To discuss various nanomedical approaches for enhancing the delivery of MDR-reversing agents into cancer cells.
- To explore the potential of nanotechnology in revolutionizing cancer treatment by addressing drug resistance.
Main Methods:
- Investigated nano-based systems for delivering MDR-reversing agents, including siRNA, antibodies, natural extracts, and inhibitors.
- Examined the use of hard and soft nanoparticles as drug delivery vehicles.
- Considered novel approaches like cell-penetrating peptides for enhanced intracellular delivery.
Main Results:
- Nano-based delivery systems demonstrate increased efficacy in overcoming P-glycoprotein-mediated MDR.
- These systems enhance the intracellular delivery of agents designed to reverse drug resistance.
- Nanotechnology provides a promising platform for improving the bioavailability and effectiveness of chemotherapy.
Conclusions:
- Nanotechnology is increasingly vital for overcoming cancer drug resistance.
- Targeting drug efflux transporters and silencing MDR genes are key areas of research.
- Nanomedical approaches hold significant potential to become a cornerstone of future cancer therapy.
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