“…The most important protein playing a role in this phenomenon is BCRP (breast cancer resistant protein) encoded by the ABCG2 gene [ 16 , 17 , 18 , 19 ]. Previously, we reported that the expression of the ABCB1 ( MDR1 ) gene, encoding the P-gp protein, may also be related to TOP resistance [ 18 , 19 , 20 ]. Another important mechanism of TOP resistance involves mutations in DNA topoisomerases or decreased expression of these enzymes, making them less sensitive to drugs [ 21 ].…”