2020
DOI: 10.1098/rsif.2019.0722
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Mitigating temozolomide resistance in glioblastoma via DNA damage-repair inhibition

Abstract: Glioblastomas are among the most lethal cancers, with a 5 year survival rate below 25%. Temozolomide is typically used in glioblastoma treatment; however, the enzymes alkylpurine-DNA- N -glycosylase (APNG) and methylguanine-DNA-methyltransferase (MGMT) efficiently mediate the repair of DNA damage caused by temozolomide, reducing treatment efficacy. Consequently, APNG and MGMT inhibition has been proposed as a way of overcoming chemotherapy resistance. Here, we develop a mechanistic math… Show more

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Cited by 17 publications
(10 citation statements)
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“…Although the use of TMZ improves the general survival rate of patients [ 12 ], the overall therapeutic effect and prognosis are unsatisfactory. The main factor limiting clinical efficiency is the development of resistance to TMZ in the majority of GBM patients [ 13 , 14 ], Overcoming this problem has become a key target for GBM research.…”
Section: Introductionmentioning
confidence: 99%
“…Although the use of TMZ improves the general survival rate of patients [ 12 ], the overall therapeutic effect and prognosis are unsatisfactory. The main factor limiting clinical efficiency is the development of resistance to TMZ in the majority of GBM patients [ 13 , 14 ], Overcoming this problem has become a key target for GBM research.…”
Section: Introductionmentioning
confidence: 99%
“…The 5-year survival rate is still very low. Current therapeutic strategies for GBM, such as surgery followed by radiation or chemotherapy, usually turn out to be invalid owing to low response or resistance 6 . In a short period of time, GBM cells are able to migrate and invade the surrounding normal brain tissue.…”
Section: Discussionmentioning
confidence: 99%
“…The main mechanism of TMZ for treating glioma is to first deliver its methyl group to tumor cell DNA, causing DNA methylation and DNA damage in tumor cells. This in turn inhibits tumor cell proliferation, while inducing cell apoptosis ( 62 , 69 ). TMZ destroys the DNA of tumor cells by delivering the active methyl groups to O 6 and N 7 position of guanine and the N 3 position of adenine to form cytotoxic O 6 -methylguanine ( O 6 -MeG), N 7 -methylguanine ( N 7 -MeG) and N 3 -methyladenine ( N 3 -MeA) ( 70 ).…”
Section: Temozolomidementioning
confidence: 99%