2021
DOI: 10.3390/cancers13040683
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Mechanisms of Resistance to Conventional Therapies for Osteosarcoma

Abstract: Osteosarcoma (OS) is the most common primary bone tumor, mainly occurring in children and adolescents. Current standard therapy includes tumor resection associated with multidrug chemotherapy. However, patient survival has not evolved for the past decades. Since the 1970s, the 5-year survival rate is around 75% for patients with localized OS but dramatically drops to 20% for bad responders to chemotherapy or patients with metastases. Resistance is one of the biological processes at the origin of therapeutic fa… Show more

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Cited by 91 publications
(88 citation statements)
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References 219 publications
(245 reference statements)
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“…The combination of surgery and chemotherapy markedly improves patients' prognosis [18]. However, local invasion, metastasis, and drug resistance are still to be improved [18,19]. Exploring an effective therapeutic target is an urgent and critical issue.…”
Section: Discussionmentioning
confidence: 99%
“…The combination of surgery and chemotherapy markedly improves patients' prognosis [18]. However, local invasion, metastasis, and drug resistance are still to be improved [18,19]. Exploring an effective therapeutic target is an urgent and critical issue.…”
Section: Discussionmentioning
confidence: 99%
“…Despite improved outcomes from neoadjuvant chemotherapy in the treatment of osteosarcoma, the average survival of patients with metastasis has remained poor over the last three decades [ 5 , 6 , 7 ]. Immunotherapy and targeted therapy have recently demonstrated significant results in the treatment of certain cancer types [ 8 , 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…Osteosarcoma (OS) is the most aggressive bone malignancy in children and adolescents, resulting in significant morbidity and mortality [ 1 ]. Despite advances of surgery and neoadjuvant chemotherapy during the past few decades, the overall survival rates of OS have reached a plateau [ 2 ]. However, these treatments still leave much to be improved, such as multi-drug resistance and severe side effects [ 3 ].…”
Section: Introductionmentioning
confidence: 99%