Targeting Drug Chemo-Resistance in Cancer Using Natural Products
Wamidh H Talib1, Ahmad Riyad Alsayed1, Muna Barakat1
1Department of Clinical Pharmacy and Therapeutic, Applied Science Private University, Amman 11931-166, Jordan.
Abstract:
Cancer is one of the leading causes of death globally. The development of drug resistance is the main contributor to cancer-related mortality. Cancer cells exploit multiple mechanisms to reduce the therapeutic effects of anticancer drugs, thereby causing chemotherapy failure. Natural products are accessible, inexpensive, and less toxic sources of chemotherapeutic agents. Additionally, they have multiple mechanisms of action to inhibit various targets involved in the development of drug resistance. In this review, we have summarized the basic research and clinical applications of natural products as possible inhibitors for drug resistance in cancer. The molecular targets and the mechanisms of action of each natural product are also explained. Diverse drug resistance biomarkers were sensitive to natural products. P-glycoprotein and breast cancer resistance protein can be targeted by a large number of natural products. On the other hand, protein kinase C and topoisomerases were less sensitive to most of the studied natural products. The studies discussed in this review will provide a solid ground for scientists to explore the possible use of natural products in combination anticancer therapies to overcome drug resistance by targeting multiple drug resistance mechanisms.
Insights
Natural products offer a promising strategy to combat cancer drug resistance, a major cause of mortality. This review highlights their potential in combination therapies by targeting diverse resistance mechanisms.
Area of Science:
- Oncology
- Pharmacology
- Natural Products Chemistry
Background:
- Cancer drug resistance significantly contributes to patient mortality.
- Chemotherapy failure arises from cancer cells employing mechanisms to evade drug effects.
- Natural products present accessible, cost-effective, and less toxic alternatives for cancer treatment.
Purpose of the Study:
- To review the research and clinical applications of natural products in overcoming cancer drug resistance.
- To elucidate the molecular targets and mechanisms of action of natural products against drug resistance.
- To explore the potential of natural products in combination anticancer therapies.
Main Methods:
- Comprehensive literature review of basic research and clinical studies.
- Analysis of molecular targets and mechanisms of action for various natural products.
- Evaluation of natural product sensitivity across different drug resistance biomarkers.
Main Results:
- Natural products demonstrate efficacy in inhibiting multiple cancer drug resistance mechanisms.
- P-glycoprotein and breast cancer resistance protein are frequently targeted by natural products.
- Protein kinase C and topoisomerases showed less sensitivity to most natural products studied.
Conclusions:
- Natural products hold significant potential for overcoming cancer drug resistance.
- Targeting diverse resistance mechanisms with natural products can enhance therapeutic outcomes.
- Further research into natural products is crucial for developing novel combination anticancer strategies.
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