4.7 Review

Novel strategies for reversing platinum resistance

Journal

DRUG RESISTANCE UPDATES
Volume 12, Issue 6, Pages 148-152

Publisher

CHURCHILL LIVINGSTONE
DOI: 10.1016/j.drup.2009.09.001

Keywords

ATP7B; Cisplatin; Chemoresistance; Drug transport; Kinases; MK-0457; Ovarian cancer; siRNA; Tumor stroma; BRCA1

Funding

  1. NIH/NICHD [HD050128, CA109298, CA110793]
  2. Ovarian Cancer Research Fund, Inc.
  3. Zarrow Foundation
  4. Marcus Foundation
  5. Anderson Cancer Center SPORE in Ovarian Cancer [P50 CA083639]
  6. EIF Foundation
  7. Betty Ann Asche Murray Distinguished Professorship

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Platinum-based drugs continue to be the mainstay of therapy for ovarian cancer. Along with adverse effects, chemoresistance (intrinsic or acquired) has become a major limitation in the management of recurrent disease. Even though much is known about the effects of platinum drugs on cancer cells, the mechanisms underlying resistance are poorly understood. In this review, we summarize the current data on chemoresistance and discuss novel strategies to reverse resistance to platinum-based drugs. The most important targets highlighted here include Aurora kinases, PARP, ATP7B, and ERCC1. Furthermore, we discuss the implications of these novel approaches for ovarian cancer treatment. (C) 2009 Elsevier Ltd. All rights reserved.

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