Abstract
Tumour recurrence following chemotherapy remains a major obstacle to successful cancer treatment limiting both survival times and cure rates. The problem of residual disease has given rise to the hypothesis that some chemotherapy-naïve tumour cells are able to evade the initial pro-apoptotic effects of chemotherapy. The identification of drug resistance mechanisms offers a potential strategy for improving the efficacy of cancer chemotherapy. Until recently investigation of drug resistance has predominantly focussed on mechanisms selected for by chronic drug exposure. However, despite the identification of several mechanisms, no unifying hypothesis has been described to explain how these mechanisms interact to allow a tumour cell to evade death induced by early exposure to chemotherapeutic agents. Recently, several groups have described an integrin-mediated mechanism of drug resistance to chemotherapy. In this chapter we review the work that has been undertaken to elucidate the mechanisms underlying this phenomenon. The identification of signalling pathways underlying integrin-mediated drug resistance offers the possibility of designing novel therapeutic agents that could be administered in conjunction with conventional chemotherapy in order to augment chemosensitivity.
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Rintoul, R., Sethi, T. (2005). Integrin-Mediated Resistance to Chemotherapy-Induced Apoptosis in Cancer Cells. In: Meadows, G.G. (eds) Integration/Interaction of Oncologic Growth. Cancer Growth and Progression, vol 15. Springer, Dordrecht. https://doi.org/10.1007/1-4020-3414-8_18
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