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Updated: Aug 15, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
[Multiple drug resistance of tumor cells: manifestations, genetic basis, clinical aspects]
Abstract:
Data are reviewed concerning the results of study of multidrug-resistant (MDR) tumor cells. MDR often develops in the course of chemotherapy or in vitro selection of tumor cells by vincristine, adriamycin, actinomycin D, colchicine, etc. MDR cells are resistant to all these drugs though their targets and mechanisms of toxic action are quite different. Resistance is due to the decreased accumulation by MDR cells of these compounds. The genetic basis for MDR is amplification of a large genomic region that contains a number of genes coding for products and functions that are under extensive study. Specific karyotype and amplified DNA alterations occur during the development of MDR imitating the processes of appearance and variability of multigene families. The obtained data demonstrate the ways of overcoming of tumor multidrug resistance in clinic.
Insights
Multidrug-resistant (MDR) tumor cells develop resistance through decreased drug accumulation, often linked to gene amplification. Understanding these genetic alterations offers potential strategies to overcome MDR in cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Context:
- Multidrug resistance (MDR) is a significant challenge in cancer chemotherapy.
- MDR arises from cellular exposure to various chemotherapeutic agents like vincristine and adriamycin.
- MDR cells exhibit cross-resistance to drugs with diverse targets and mechanisms.
Purpose:
- To review the mechanisms underlying multidrug resistance in tumor cells.
- To explore the genetic basis of multidrug resistance, focusing on gene amplification.
- To discuss potential strategies for overcoming multidrug resistance in clinical settings.
Summary:
- Multidrug resistance (MDR) in tumor cells is characterized by reduced intracellular accumulation of chemotherapeutic drugs.
- The development of MDR is associated with the amplification of specific genomic regions, leading to alterations in gene expression.
- These genetic alterations mimic the evolution of multigene families, contributing to the complex nature of MDR.
Impact:
- The findings highlight the genetic underpinnings of MDR, providing insights into its development.
- Understanding MDR mechanisms is crucial for designing more effective cancer therapies.
- This review offers potential avenues for overcoming tumor multidrug resistance in clinical practice.
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