2004
DOI: 10.1200/jco.2004.12.001
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Epothilones: Mechanism of Action and Biologic Activity

Abstract: Drugs that target microtubules are among the most commonly prescribed anticancer therapies. Although the mechanisms by which perturbation of microtubule function leads to selective death of cancer cells remain unclear, several new microtubule-targeting compounds are undergoing clinical testing. In part, these efforts focus on overcoming some of the problems associated with taxane-based therapies, including formulation and administration difficulties and susceptibility to resistance conferred by P-glycoprotein.… Show more

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Cited by 310 publications
(183 citation statements)
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“…Epothilones have been reported to trigger apoptotic cell death in several cancer cell lines in vitro and to inhibit tumor cell growth in vivo (2,3). Like paclitaxel (Taxol), epothilones have been reported to block the cell cycle at G 2 -M and to subsequently induce apoptotic cell death in several cancer cells (2,4). However, the biochemical mechanisms that underlie epothiloneinduced cancer cell growth inhibition are not well understood.…”
Section: Introductionmentioning
confidence: 99%
“…Epothilones have been reported to trigger apoptotic cell death in several cancer cell lines in vitro and to inhibit tumor cell growth in vivo (2,3). Like paclitaxel (Taxol), epothilones have been reported to block the cell cycle at G 2 -M and to subsequently induce apoptotic cell death in several cancer cells (2,4). However, the biochemical mechanisms that underlie epothiloneinduced cancer cell growth inhibition are not well understood.…”
Section: Introductionmentioning
confidence: 99%
“…Epothilones suppress microtubule dynamics and are able to trigger a mitotic arrest (8,9). The roles of Aurora kinases in either mitotic arrest or cell death induced by epothilones have not been tested.…”
Section: Taxol and Epothilone B-induced Mitotic Death Requires A Checmentioning
confidence: 99%
“…Epothilones, a relatively new class of drugs, are currently under development for the treatment of cancer. The epothilones may be more effective than taxanes because they are more water-soluble and not subject to P-glycoprotein-mediated resistance (8). Epothilones share a binding site on β-tubulin with Taxol and may induce cell death by similar mechanisms (9).…”
Section: Introductionmentioning
confidence: 99%
“…However, taxanes are often of limited efficacy because of the development of cellular resistance such as that mediated by P-glycoprotein-dependent drug efflux (Goodin et al, 2004). The action of TZT-1027 has been suggested to be less affected by multidrug resistance factors, including overexpression of P-glycoprotein, than that of other tubulin inhibitors (Watanabe et al, 2006a), suggesting that TZT-1027 may be effective in the treatment of taxane-refractory tumours.…”
Section: Discussionmentioning
confidence: 99%