Chemotherapy resistance in ovarian cancer: new molecular perspectives.

Details

Serval ID
serval:BIB_66C89B7A0749
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Chemotherapy resistance in ovarian cancer: new molecular perspectives.
Journal
Obstetrics and Gynecology
Author(s)
Coukos G., Rubin S.C.
ISSN
0029-7844 (Print)
ISSN-L
0029-7844
Publication state
Published
Issued date
1998
Volume
91
Number
5 Pt 1
Pages
783-792
Language
english
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Abstract
OBJECTIVE: To provide the obstetrician-gynecologist with the recent advances in mechanisms of chemotherapy resistance in ovarian cancer.
DATA SOURCES: A computerized search of articles published through September 1997 was performed on the MEDLINE Ovid and Cancerlit databases. Additional references were identified from the reference section of all selected papers.
METHODS OF STUDY SELECTION: All identified references were evaluated as to their relevant contribution to our understanding of the basic mechanisms underlying the response to chemotherapy, the development of chemotherapy resistance in ovarian cancer, and possible strategies for therapy.
TABULATION, INTEGRATION, AND RESULTS: One hundred sixteen references were reviewed. A brief summary of the classic concepts on resistance to cisplatin and paclitaxel is provided, followed by a description of the basic mechanisms governing apoptosis and cell cycle arrest as well as their involvement in cell response to chemotherapy and the development of chemoresistance. Finally, a brief summary of the molecular alterations described in ovarian cancer, together with hypothetic strategies for gene-targeted therapy, are reported.
CONCLUSION: Cisplatin or paclitaxel chemotherapy induces arrest of the cell cycle or apoptosis in ovarian cancer cells. Tumor suppressor genes such as p53 play a paramount role in mediating this response and p21wAF1/CIP1 is a major mediator of p53-induced arrest of the cell cycle. Molecular alterations involving these tumor suppressor genes are related to the development of resistance to chemotherapy and represent possible targets for gene therapy in ovarian cancer.
Keywords
Antineoplastic Agents/therapeutic use, Apoptosis, Cell Cycle, Cisplatin/pharmacology, Cisplatin/therapeutic use, Drug Resistance, Neoplasm/genetics, Female, Genes, p53/genetics, Humans, Ovarian Neoplasms/drug therapy, Ovarian Neoplasms/genetics, Paclitaxel/pharmacology, Paclitaxel/therapeutic use, Tumor Cells, Cultured/pathology
Pubmed
Web of science
Create date
14/10/2014 12:43
Last modification date
20/08/2019 15:22
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