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Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
Pathological transition as the arising mechanism for drug resistance in lung cancer
Yueqing Chen1,2, Waiying Yvonne Tang3, Xinyuan Tong1,2
1State Key Laboratory of Cell Biology, CAS Center for Excellence on Molecular Cell Science, Innovation Center for Cell Signaling Network, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, 200031, P. R. China.
Abstract:
Despite the tremendous efforts for improving therapeutics of lung cancer patients, its prognosis remains disappointing. This can be largely attributed to the lack of comprehensive understanding of drug resistance leading to insufficient development of effective therapeutics in clinic. Based on the current progresses of lung cancer research, we classify drug resistance mechanisms into three different levels: molecular, cellular and pathological level. All these three levels have significantly contributed to the acquisition and evolution of drug resistance in clinic. Our understanding on drug resistance mechanisms has begun to change the way of clinical practice and improve patient prognosis. In this review, we focus on discussing the pathological changes linking to drug resistance as this has been largely overlooked in the past decades.
Insights
Understanding lung cancer drug resistance is key to improving patient outcomes. This review highlights pathological changes, often overlooked, that contribute significantly to treatment failure.
Area of Science:
- Oncology
- Pharmacology
- Pathology
Background:
- Lung cancer prognosis remains poor despite therapeutic advances.
- Drug resistance significantly limits treatment efficacy.
- A comprehensive understanding of resistance mechanisms is lacking.
Purpose of the Study:
- To classify lung cancer drug resistance mechanisms.
- To emphasize the role of pathological changes in drug resistance.
- To provide insights for developing more effective lung cancer therapeutics.
Main Methods:
- Review of current lung cancer research.
- Classification of drug resistance into molecular, cellular, and pathological levels.
- Focus on pathological alterations contributing to resistance.
Main Results:
- Drug resistance in lung cancer occurs at molecular, cellular, and pathological levels.
- Pathological changes are a critical, yet underappreciated, factor in drug resistance.
- Improved understanding of resistance mechanisms can alter clinical practice.
Conclusions:
- Addressing pathological changes in drug resistance is crucial for improving lung cancer treatment.
- Further research into the pathological aspects of drug resistance is warranted.
- Enhanced understanding will lead to better therapeutic strategies and patient prognosis.
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