Myelodysplastic Syndromes 2016
DOI: 10.5772/63483
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Different Mechanisms of Drug Resistance in Myelodysplastic Syndromes and Acute Myeloid Leukemia

Abstract: Myelodysplastic syndromes (MDSs) represent clonal hematopoietic stem cell (HSC) disorders in which genetic and/or epigenetic alteration are involved in the normal function of hematopoietic stem and progenitor cells. This results in the development of blood cytopenias and bone marrow dysplasia.

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Cited by 6 publications
(9 citation statements)
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References 84 publications
(111 reference statements)
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“…Multidrug resistance represents a major obstacle in the effective treatment of neoplastic diseases including blood malignancies [ 5 ]. Until now, the diverse but well understood mechanisms of MDR have been identified [ 4 ], from which the efflux activity of overexpressed P-gp represents the most frequently occurring molecular cause [ 6 , 7 ]. Therefore, searching for substances that are effective also in cells with overexpressed P-gp represents an important assignment for medicinal chemistry.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Multidrug resistance represents a major obstacle in the effective treatment of neoplastic diseases including blood malignancies [ 5 ]. Until now, the diverse but well understood mechanisms of MDR have been identified [ 4 ], from which the efflux activity of overexpressed P-gp represents the most frequently occurring molecular cause [ 6 , 7 ]. Therefore, searching for substances that are effective also in cells with overexpressed P-gp represents an important assignment for medicinal chemistry.…”
Section: Discussionmentioning
confidence: 99%
“…Nevertheless, even if the impressive responses of these therapies were fulfilled, several individuals are non-responders and show signs of drug resistance that may occur due to the phenotypic plasticity of cancer cells [ 3 ]. Neoplastic cells use several mechanisms to escape from the cell death effects of anticancer drugs [ 4 ]. Malignant cells could develop resistance to a wide group of structurally unrelated substances with different mechanisms of anticancer action—multidrug resistance (MDR) [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…The mechanism of AZA and DAC action has not been fully elucidated. In addition to direct effects as cytosine derivatives incorporated into DNA when demethylation is induced, these substances may alter the immunological response to the presence of neoplastically transformed cells or induce several cytotoxic effects, including disruption of nucleic acid and protein metabolism, which leads to apoptosis [ 8 , 9 , 10 ]. These responses make HMA therapy response prediction difficult, and until now, specific molecular assays for distinguishing responders from nonresponders were unavailable [ 6 , 11 ].…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, we have described less pronounced apoptosis progression induced by cisplatin (cisPt, not a P-gp substrate) in two P-gp-positive mouse leukemia cell variants, obtained either by selection with VCR (L1210/R) or by transfection with the human gene encoding P-gp (L1210/T) when compared with P-gp-negative parental L1210 cells (Gibalova et al , 2012. This additional role enables P-gp to reduce cell sensitivity to some drugs that are not P-gp substrates up to several times (Messingerova et al 2016). …”
Section: Introductionmentioning
confidence: 99%