Tumor Progression and Metastasis 2020
DOI: 10.5772/intechopen.89395
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Recent Approaches Encompassing the Phenotypic Cell Heterogeneity for Anticancer Drug Efficacy Evaluation

Abstract: Despite the advancements in biomarker-based personalized cancer therapy, the inadequacy of molecular and genetic profiling in identifying effective drug combinations was defined in most cases. Drug resistance remains a major limitation of the current predictive oncology. Emerging reports indicate that the success of anticancer therapy is usually limited by intratumoral heterogeneity which is not captured by the existing cancer cell biomarker-based approaches. Cell heterogeneity, not only genetic but also pheno… Show more

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Cited by 2 publications
(3 citation statements)
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References 246 publications
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“…A variety of non-genetic mechanisms of cell resistance influencing drug responses have been described in many cancers. Usually, phenotype switching, cell dynamic state, and extracellular contacts, along with the identification of molecular mechanisms, are assessed during the evaluation of drug effectiveness ( 1 ). We rely on the opinion that cell state-specific therapy is one of the essential approaches in modern cancer treatment ( 29 ), where cell fate may be determined by the activity of MEK/ERK and PI3K/AKT signaling pathways, influenced by cell-specific intrinsic and extrinsic sources.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A variety of non-genetic mechanisms of cell resistance influencing drug responses have been described in many cancers. Usually, phenotype switching, cell dynamic state, and extracellular contacts, along with the identification of molecular mechanisms, are assessed during the evaluation of drug effectiveness ( 1 ). We rely on the opinion that cell state-specific therapy is one of the essential approaches in modern cancer treatment ( 29 ), where cell fate may be determined by the activity of MEK/ERK and PI3K/AKT signaling pathways, influenced by cell-specific intrinsic and extrinsic sources.…”
Section: Discussionmentioning
confidence: 99%
“…They encompass various aspects of the phenomenon, such as resistance to conventional and targeted drugs, hormone therapy, and immune oncology agents in various types of tumors. Various causes, modes, and mechanisms of resistance, ranging from genetic to phenotypic, have been described in many reviews, including ours (1). There is no doubt that, in addition to genetic changes, the acquisition of non-genetic causes of resistance determines the outcome of cancer treatment.…”
Section: Introductionmentioning
confidence: 99%
“…It has been accepted that the heterogeneity of cancer population crucially influences the relatively low success rate of current anticancer drugs [ 11 ]. The subpopulation of cancer stem-like cells (CSCs) within tumor tissue is imbued with stemness features of self-renewal and multilineage differentiation, thus allowing tumor initiation from the remaining CSCs after chemotherapy [ 12 ].…”
Section: Introductionmentioning
confidence: 99%