5-Fluorouracil (5-FU) resistance and the new strategy to enhance the sensitivity against cancer: Implication of DNA repair inhibition

被引:372
作者
Sethy, Chinmayee [1 ]
Kundu, Chanakya Nath [1 ]
机构
[1] Kalinga Inst Ind Technol, Sch Biotechnol, Canc Biol Div, Campus 11, Bhubaneswar 751024, Odisha, India
关键词
5-FU resistance; Cancer stemness; Angiogenesis; DNA repair; MDR modulators; Combination therapy; BASE EXCISION-REPAIR; B RECEPTOR PROMOTES; COLORECTAL-CANCER; COLON-CANCER; GASTRIC-CANCER; THYMIDYLATE SYNTHASE; TARGETED DELIVERY; HOMOLOGOUS RECOMBINATION; MESENCHYMAL TRANSITION; GENE POLYMORPHISMS;
D O I
10.1016/j.biopha.2021.111285
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
5-Fluorouracil (5-FU) has been an important anti-cancer drug to date. With an increase in the knowledge of its mechanism of action, various treatment modalities have been developed over the past few decades to increase its anti-cancer activity. But drug resistance has greatly affected the clinical use of 5-FU. Overcoming this chemoresistance is a challenge due to the presence of cancer stem cells like cells, cancer recurrence, metastasis, and angiogenesis. In this review, we have systematically discussed the mechanism of 5-FU resistance and advent strategies to increase the sensitivity of 5-FU therapy including resistance reversal. Special emphasis has been given to the cancer stem cells (CSCs) mediated 5-FU chemoresistance and its reversal process by different approaches including the DNA repair inhibition process.
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页数:15
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