Emerging Therapeutic Strategies to Overcome Drug Resistance in Cancer Cells

被引:18
|
作者
Garg, Pankaj [1 ]
Malhotra, Jyoti [2 ,3 ]
Kulkarni, Prakash [2 ,3 ]
Horne, David [4 ]
Salgia, Ravi [2 ,3 ]
Singhal, Sharad S. [2 ,3 ]
机构
[1] GLA Univ, Dept Chem, Mathura 281406, India
[2] City Hope Natl Med Ctr, Comprehens Canc Ctr, Natl Med Ctr, Dept Med Oncol,Beckman Res Inst, Duarte, CA 91010 USA
[3] City Hope Natl Med Ctr, Comprehens Canc Ctr, Natl Med Ctr, Dept Therapeut Res,Beckman Res Inst, Duarte, CA 91010 USA
[4] City Hope Natl Med Ctr, Comprehens Canc Ctr, Beckman Res Inst, Mol Med,Natl Med Ctr, Duarte, CA 91010 USA
基金
美国国家卫生研究院;
关键词
drug-resistance mechanisms; targeted therapies; adaptive strategies; biomarker driven approaches; tumor microenvironment; immune checkpoint inhibitors; precision medicine; PERSONALIZED MEDICINE; MULTIDRUG-RESISTANCE; ABC TRANSPORTERS; DNA-DAMAGE; CHALLENGES; IMMUNOTHERAPY; MECHANISMS; PRECISION; BLOCKADE; ONCOLOGY;
D O I
10.3390/cancers16132478
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Simple Summary: This review explores the challenges of drug resistance in cancer treatment and discusses innovative strategies to overcome them. Researchers aim to understand how cancer cells develop resistance to therapies and explore new ways to improve treatment outcomes. They investigate advanced genomic technologies, immunotherapies like CAR-T cells, and targeted therapies that specifically attack cancer cells. By identifying these mechanisms and developing novel approaches, this research aims to enhance the effectiveness of cancer treatments and improve patient survival rates. Insights gained could lead to significant advancements in how we combat drug resistance in cancer, offering hope for better outcomes in the future. The rise of drug resistance in cancer cells presents a formidable challenge in modern oncology, necessitating the exploration of innovative therapeutic strategies. This review investigates the latest advancements in overcoming drug resistance mechanisms employed by cancer cells, focusing on emerging therapeutic modalities. The intricate molecular insights into drug resistance, including genetic mutations, efflux pumps, altered signaling pathways, and microenvironmental influences, are discussed. Furthermore, the promising avenues offered by targeted therapies, combination treatments, immunotherapies, and precision medicine approaches are highlighted. Specifically, the synergistic effects of combining traditional cytotoxic agents with molecularly targeted inhibitors to circumvent resistance pathways are examined. Additionally, the evolving landscape of immunotherapeutic interventions, including immune checkpoint inhibitors and adoptive cell therapies, is explored in terms of bolstering anti-tumor immune responses and overcoming immune evasion mechanisms. Moreover, the significance of biomarker-driven strategies for predicting and monitoring treatment responses is underscored, thereby optimizing therapeutic outcomes. For insights into the future direction of cancer treatment paradigms, the current review focused on prevailing drug resistance challenges and improving patient outcomes, through an integrative analysis of these emerging therapeutic strategies.
引用
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页数:25
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