Mechanisms of Drug Resistance in High-Grade Serous Ovarian Cancer

被引:96
作者
Freimund, Alison E. [1 ,2 ]
Beach, Jessica A. [1 ]
Christie, Elizabeth L. [1 ,2 ]
Bowtell, David D. L. [1 ,2 ]
机构
[1] Peter MacCallum Canc Ctr, Canc Res Div, 305 Grattan St, Melbourne, Vic 3000, Australia
[2] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Vic 3010, Australia
关键词
Ovarian cancer; Primary resistance; Acquired resistance; Chemotherapy; Drug resistance mechanisms; HOMOLOGOUS RECOMBINATION; PARP INHIBITORS; PHASE-II; MULTIDRUG-RESISTANCE; GENE AMPLIFICATION; CELL CARCINOMA; POOR SURVIVAL; PLATINUM; CHEMOTHERAPY; EXPRESSION;
D O I
10.1016/j.hoc.2018.07.007
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Resistance in ovarian cancer is driven by a range of mechanisms, some of which are therapy specific whereas others confer multidrug resistance. This review outlines our current understanding of the heterogeneous mechanisms of both primary and acquired drug resistance in high-grade serous ovarian cancer with a focus on the most common therapeutics, including platinum and taxanes. Current therapeutic strategies for overcoming resistance, including the use of non-P-glycoprotein substrate therapies, are outlined, with an emphasis on the importance of developing resistance biomarkers to guide future therapy approaches and improve patient outcomes.
引用
收藏
页码:983 / +
页数:15
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