2007
DOI: 10.1002/cmdc.200600308
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Paclitaxel And Docetaxel Resistance: Molecular Mechanisms and Development of New Generation Taxanes

Abstract: Taxanes represent one of the most promising classes of anticancer agents. Unfortunately, their clinical success has been limited by the insurgence of cellular resistance, mainly mediated by the expression of the MDR phenotype or by microtubule alterations. However, the remarkable relevance of paclitaxel and docetaxel in clinical oncology stimulated intensive efforts in the last decade to identify new derivatives endowed with improved activities towards resistant tumor cells, resulting in a huge number of novel… Show more

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Cited by 154 publications
(116 citation statements)
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References 161 publications
(155 reference statements)
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“…Silencing of PHB1 renders cells sensitive to paclitaxel both in vitro and in vivo. We do not propose that PHB1 is the only modulator of taxane sensitivity in human cancers as other mediators have been reported including increased levels of GSTπ (6,43,44) (confirmed in this study), tubulin mutations, and alterations in the MDR pathway (4,5). For some tumors, however, alterations in PHB1 levels or interference with PHB1 localization may result in increased sensitivity of human tumors to taxane treatment.…”
Section: Discussionmentioning
confidence: 40%
See 1 more Smart Citation
“…Silencing of PHB1 renders cells sensitive to paclitaxel both in vitro and in vivo. We do not propose that PHB1 is the only modulator of taxane sensitivity in human cancers as other mediators have been reported including increased levels of GSTπ (6,43,44) (confirmed in this study), tubulin mutations, and alterations in the MDR pathway (4,5). For some tumors, however, alterations in PHB1 levels or interference with PHB1 localization may result in increased sensitivity of human tumors to taxane treatment.…”
Section: Discussionmentioning
confidence: 40%
“…Several molecular mechanisms of paclitaxel resistance have been suggested in vitro. These include the expression of the multidrug resistance (MDR) phenotype and alterations in the microtubule system (4,5). However, attempts to extend these in vitro data to identify useful clinical markers of paclitaxel resistance and to develop other therapeutic strategies to reverse paclitaxel resistance are still ongoing or have yielded disappointing results.…”
mentioning
confidence: 99%
“…Unfortunately, over time, most patients still progress to develop resistance to docetaxel. Much of this resistance is thought to be mediated through expression of the multidrug-resistance transporter, P-glycoprotein or by microtubule alterations (21). In addition to inducing apoptosis in a variety of cancerous cell types (5-9) and impairing tumour growth in vivo (11,12), novel pyrrolo-1,5-benzoxazepine (PBOX) compounds possess the added benefit of inducing cytotoxicity in multidrug-resistant cancer cells expressing P-glycoprotein with similar potency as in P-glycoprotein-negative cancer cells (14).…”
Section: Discussionmentioning
confidence: 99%
“…The expression of the multidrug resistance (MDR) phenotype is a main mechanism involved in resistance to taxanes (9)(10)(11)(12). ABCB1 (P-glycoprotein) is an ATP-binding cassette (ABC) drug pump (13), and is currently the most extensively studied MDR-related transporter protein (14,15), mediating the ATP-dependent efflux of a wide range of hydrophobic drugs such as taxanes (16)(17)(18).…”
Section: Introductionmentioning
confidence: 99%