Resistance to platinum-based cancer drugs: a special focus on epigenetic mechanisms

Mora, Yuselin; Reyes, Maria Elena; Zanella, Louise; Mora, Barbara; Buchegger, Kurt; Ili, Carmen; Brebi, Priscilla


Chemoresistance is a significant clinical challenge, limiting the drug response in cancer. Several mechanisms associated with drug resistance have been characterized, and the role of epigenetics in generating resistance to platinum-based drugs has been clarified. Epigenetic mechanisms such as DNA methylation, histone modification, long noncoding RNA, and microRNA affect the expression of genes implicated in absorption, distribution, metabolism and excretion (ADME) of drugs, and other non-ADME genes that encode enzymes involved in the processes of cell proliferation, DNA repair, apoptosis and signal transduction key in the development of chemoresistance in cancer, specifically in platinum-based drugs. This review summarizes current discoveries in epigenetic regulation implicated in platinum drug resistance in cancer and the main clinical trials based on epigenetic therapy, evaluating their potential synergy with platinum-based drugs.

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Título según WOS: ID WOS:000674610000001 Not found in local WOS DB
Título de la Revista: PHARMACOGENOMICS
Volumen: 22
Número: 12
Editorial: Future Medicine Ltd.
Fecha de publicación: 2021
Página de inicio: 779
Página final: 792


Notas: ISI