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Published on: April 7, 2017
The relationship between platinum drug resistance and epithelial-mesenchymal transition
1Division of Molecular Biology, Ruđer Bošković Institute, Bijenička 54, 10000, Zagreb, Croatia. brozovic@irb.hr.
Abstract:
One of the most commonly used chemotherapeutics, platinum drugs are used to treat a wide range of cancer types. Although many cancers initially respond well to those drugs, drug resistance occurs frequently and different molecular mechanisms have been associated with it. However, predictive biomarkers of cellular response in specific tumour types still do not exist. Epithelial-mesenchymal transition (EMT) is a malignant cancer phenotype characterized by aggressive invasion and metastasis, and resistance to apoptosis. Recent studies indicate that EMT accompanies the development of drug resistance to a number of cancer chemotherapies. The link between these two phenomena is still not elucidated, although several important molecules involved in both these complex processes, such as transcription factors (SNAIL, TWIST, ZEB, etc.) and miRNAs (miRNA-200 family, miR-15, miR-186, etc.) have been recognized as important. This article reviews numerous unresolved issues regarding platinum drugs resistance and EMT, the complexity of the signalling networks that regulate those two phenomena and their importance in tumour response and spreading which are becoming focuses of interest of many scientists. This article also presents molecules involved in platinum resistance and EMT as possible targets for new cancer therapy.
Insights
Platinum drugs are vital cancer treatments, but resistance is common. This review explores the link between epithelial-mesenchymal transition (EMT) and platinum drug resistance, highlighting potential therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Platinum-based chemotherapy is a cornerstone in treating various cancers.
- Frequent development of drug resistance limits the long-term efficacy of platinum drugs.
- Predictive biomarkers for cellular response to platinum drugs remain elusive in specific tumor types.
Purpose of the Study:
- To review the complex relationship between epithelial-mesenchymal transition (EMT) and platinum drug resistance.
- To elucidate the molecular mechanisms and signaling networks connecting EMT and platinum resistance.
- To identify potential therapeutic targets for overcoming platinum resistance in cancer.
Main Methods:
- Literature review of existing studies on platinum drug resistance and EMT.
- Analysis of molecular mechanisms, including transcription factors and miRNAs, involved in both processes.
- Synthesis of current knowledge on signaling pathways regulating EMT and drug resistance.
Main Results:
- Epithelial-mesenchymal transition (EMT), a phenotype associated with cancer invasion and metastasis, is increasingly linked to chemoresistance.
- Shared molecular players, such as SNAIL, TWIST, ZEB transcription factors, and the miRNA-200 family, are implicated in both EMT and platinum resistance.
- The intricate signaling networks governing these phenomena are complex and not fully understood.
Conclusions:
- Understanding the interplay between EMT and platinum resistance is crucial for improving cancer treatment outcomes.
- Identifying molecules involved in both EMT and platinum resistance offers promising avenues for novel therapeutic strategies.
- Further research into these molecular targets may lead to more effective treatments for platinum-resistant cancers.
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