Affiliations 

  • 1 Department of Pharmacy, Galgotias University, Greater Noida, Uttar Pradesh, 201310, India
  • 2 Department of Pharmacognosy, Faculty of Pharmacy, Tishk International University, Erbil, 44001, Iraq
  • 3 Faculty of Pharmacy, AIMST University, Bedong , Kedah, 08100, Malaysia
  • 4 Institute of Pharmacy, Accurate Group of Institutions, Greater Noida, UP, 796001, India
  • 5 Department of Pharmacy, Sharda University, Greater Noida, UP, 796001, India
  • 6 School of Pharmacy, Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, Mumbai, Maharashtra, 400056, India
Curr Drug Metab, 2023;24(12):787-802.
PMID: 38141188 DOI: 10.2174/0113892002266408231207150547

Abstract

BACKGROUND: Cancer drug resistance remains a difficult barrier to effective treatment, necessitating a thorough understanding of its multi-layered mechanism.

OBJECTIVE: This study aims to comprehensively explore the diverse mechanisms of cancer drug resistance, assess the evolution of resistance detection methods, and identify strategies for overcoming this challenge. The evolution of resistance detection methods and identification strategies for overcoming the challenge.

METHODS: A comprehensive literature review was conducted to analyze intrinsic and acquired drug resistance mechanisms, including altered drug efflux, reduced uptake, inactivation, target mutations, signaling pathway changes, apoptotic defects, and cellular plasticity. The evolution of mutation detection techniques, encompassing clinical predictions, experimental approaches, and computational methods, was investigated. Strategies to enhance drug efficacy, modify pharmacokinetics, optimizoptimizee binding modes, and explore alternate protein folding states were examined.

RESULTS: The study comprehensively overviews the intricate mechanisms contributing to cancer drug resistance. It outlines the progression of mutation detection methods and underscores the importance of interdisciplinary approaches. Strategies to overcome drug resistance challenges, such as modulating ATP-binding cassette transporters and developing multidrug resistance inhibitors, are discussed. The study underscores the critical need for continued research to enhance cancer treatment efficacy.

CONCLUSION: This study provides valuable insights into the complexity of cancer drug resistance mechanisms, highlights evolving detection methods, and offers potential strategies to enhance treatment outcomes.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.