2003
DOI: 10.1038/sj.onc.1206946
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Resistance to antifolates

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Cited by 238 publications
(258 citation statements)
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References 281 publications
(232 reference statements)
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“…Unfortunaltely, the resistance in cancer cells often compromises the efficacy of the anticancer therapy with MTX (Zhao and Goldman 2003). In addition, the conventional MTX delivery strategies often lead to undesirable shortcomings, such as the severe side effects associate with the treatment, including neurologic toxicity, renal failure and mucositis (Banerjee et al 2002;Rubino 2001).…”
Section: Introductionmentioning
confidence: 99%
“…Unfortunaltely, the resistance in cancer cells often compromises the efficacy of the anticancer therapy with MTX (Zhao and Goldman 2003). In addition, the conventional MTX delivery strategies often lead to undesirable shortcomings, such as the severe side effects associate with the treatment, including neurologic toxicity, renal failure and mucositis (Banerjee et al 2002;Rubino 2001).…”
Section: Introductionmentioning
confidence: 99%
“…Consistently, alternative phosphorylations also have been reported to render Sp1 a transcriptional repressor. 29,30 An important mechanism of antifolate resistance in ALL 31 and other malignancies 32 is impaired antifolate transport due to loss of RFC function, 2,33 resulting from mutational inactivation 34 and/or transcriptional silencing. [9][10][11] This loss of function, as we have recently shown in multiple antifolate-resistant human leukemia cell lines with defective antifolate uptake, is due either to mutations in the RFC gene 34 or decreased RFC mRNA levels caused by a methylation-independent transcriptional silencing of the RFC gene.…”
Section: Introductionmentioning
confidence: 99%
“…After its entry into cells, MTX is rapidly converted to γ -glutamyl polyglutamates through the action of folylpolyglutamate synthetase, which sequentially adds up to six glutamyl residues to MTX (Goldman et al 1968;Shane 1989;Zhao and Goldman 2003). This γ -linked sequential addition of glutamic acid residues enhances the intracellular retention of MTX.…”
Section: Extraction Of Mtx and Mtx-pgs From Rbcmentioning
confidence: 99%