Literature DB >> 29458961

The Genetic/Non-genetic Duality of Drug 'Resistance' in Cancer.

Ravi Salgia1, Prakash Kulkarni2.   

Abstract

Drug resistance is a serious impediment to the treatment of cancer. However, the mechanisms involved remain poorly understood. While it is widely held that the phenomenon is genetic in nature, emerging evidence suggests that non-genetic mechanisms may also be important. Furthermore, at least in some cases, refractoriness to treatment can be reversed by epigenetic reprogramming, and combination and intermittent therapies, as opposed to sustained monotherapy, appear more effective in attenuating it. Here we iterate the confusion in understanding the phenomenon by which cancer cells evade drug response and underscore the need to recognize the genetic/non-genetic duality of drug resistance in cancer. We discuss how ecological and evolutionary principles may help to reconcile the duality and may even offer new treatment strategies.
Copyright © 2018 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  cancer; drug resistance; duality; epigenetic mechanism; intermittent therapy

Mesh:

Year:  2018        PMID: 29458961      PMCID: PMC5822736          DOI: 10.1016/j.trecan.2018.01.001

Source DB:  PubMed          Journal:  Trends Cancer        ISSN: 2405-8025


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