2019
DOI: 10.1016/j.bbagen.2019.06.007
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The biochemical and molecular mechanisms involved in the role of tumor micro-environment stress in development of drug resistance

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Cited by 30 publications
(21 citation statements)
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“…Although some drugs and treatments have clinical significance, in the process of continuous treatment, some remaining cells continue to proliferate and, then, acquire drug resistance [154]. Autophagy which is essential to the efficacy of anticancer drugs, as well as drug resistance can have a prosurvival role in response to metabolic and therapeutic stresses [155]. Xia et al demonstrated that the mitotic kinase NEK2 is involved in the development of MDR by regulating autophagy in multiple myeloma (MM).…”
Section: The Pivotal Role Of Ulk In the Development Of Drug Resistancmentioning
confidence: 99%
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“…Although some drugs and treatments have clinical significance, in the process of continuous treatment, some remaining cells continue to proliferate and, then, acquire drug resistance [154]. Autophagy which is essential to the efficacy of anticancer drugs, as well as drug resistance can have a prosurvival role in response to metabolic and therapeutic stresses [155]. Xia et al demonstrated that the mitotic kinase NEK2 is involved in the development of MDR by regulating autophagy in multiple myeloma (MM).…”
Section: The Pivotal Role Of Ulk In the Development Of Drug Resistancmentioning
confidence: 99%
“…The phosphorylation of ULK1 decreases the activity and stability of ULK1, thus, inhibiting autophagy and promoting resistance against temozolomide in glioma cells [159]. The treatment of tumors by targeting ULK, however, has presented many challenges in the intrinsic and acquired drug resistance in cancer treatments [155] (Figure 3).…”
Section: The Pivotal Role Of Ulk In the Development Of Drug Resistancmentioning
confidence: 99%
“…79,80 Some studies have also shown that autophagy-related proteins, such as Beclin 1 (BECN1), microtubule-associated protein1 light chain 3 (MAP1-LC3), and p62/sequestosome 1 (SQSTM1) have an important prognostic value in gastric cancer, and act as a protective mechanism for tumor cells in chemotherapy, promoting drug resistance as well. [81][82][83] The therapeutic induction of autophagy is frequently attributed to reduced mTOR activity leading to autophagy de-repression, and this is most obvious with therapies targeted at inhibiting PI3K, AKT or indeed mTOR itself. In addition, autophagy is induced by conventional genotoxic agents, such as radiation or cisplatin, as a result of DNA damageinduced p53 activity.…”
Section: Change Of Autophagy Pathwaysmentioning
confidence: 99%
“…Hypoxic conditions contribute to the reduced development of vessels within the tumor mass, thus causing a decreased drug amount in target sites and, consequently, drug efficacy. All these elements strongly suggest that TME plays a crucial role in cell response to chemo, radio and targeted therapies [ 16 ]. Another microenvironment factor that can contribute to tumor complexity and heterogeneity, and indirectly to therapy response, is represented by the presence of a population of tumor cells with stem features.…”
Section: Introduction: Limitations Of Anticancer Therapiesmentioning
confidence: 99%