Chemoresistance in the clinic: overview 1994.

Abstract:

:One of the most exciting areas in clinical oncology today is the translation of laboratory research in drug resistance into therapeutic tools to improve responses to antineoplastic drugs. Two areas of investigation are currently under study in both the laboratory and clinic: reversal of gluthathione-mediated resistance and of P-glycoprotein mediated resistance. Studies are directed toward determining the role of the resistance mechanism in cancer, and toward its reversal. Increased expression of gluthathione and related enzymes, such as the gluthathione S-transferases, has been shown in human tumor samples. Phase I clinical studies with buthionine sulfoxime (BSO) have shown that gluthathione can be depleted without undue normal tissue toxicity. Now, clinical studies are underway evaluating the ability of BSO to enhance the efficacy of chemotherapy. Expression of P-glycoprotein has been described in human tumors, with increased levels observed after natural product chemotherapy in some malignancies. Studies with P-glycoprotein antagonists have been conducted in leukemia, lymphoma, multiple myeloma and in a variety of advanced malignancies. These studies have employed "first generation" antagonists such as verapamil and cyclosporine which were toxic at concentrations needed to block P-glycoprotein. Currently, studies are underway with "second generation" antagonists such as the dex stereoisomer of verapamil and the cyclosporine analogue, PSC 833. These agents may help determine the role of P-glycoprotein in clinical drug resistance. Together, these studies are aimed toward improving chemotherapeutic sensitivity in human cancer.

journal_name

Bull Cancer

journal_title

Bulletin du cancer

authors

Bates SE,Regis JI,Robey RW,Zhan Z,Scala S,Meadows BJ

subject

Has Abstract

pub_date

1994-12-01 00:00:00

pages

55s-61s

eissn

0007-4551

issn

1769-6917

journal_volume

81 Suppl 2

pub_type

临床试验,杂志文章,评审
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    authors: Moran RG,Heidelberger C

    更新日期:1979-01-01 00:00:00

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    doi:

    authors: Rodier JF,Camus E,Janser JC,Renaud R,Rodier D

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  • [Intra-operative radiation therapy in tumors of the digestive tract].

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    doi:

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  • [Role of the epithelial-mesenchymal transition during tumor progression].

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  • [Invasive cancer of the uterine cervix in young women: retrospective study of 236 cases].

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    journal_title:Bulletin du cancer

    pub_type: 杂志文章

    doi:

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    更新日期:1990-01-01 00:00:00

  • [Renovascular effects of antiangiogenic drugs].

    abstract::During the last decade, inhibitors of the vascular endothelial growth factor (VEGF) were developed for the treatment of cancer. Many anti-VEGF are available but the issue is still the same: to inhibit the effect of the VEGF on their receptors. There are two main classes, depending on the mechanism of action by blockin...

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    pub_type: 杂志文章,评审

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  • [Clinical value of the potential doubling time (Tpot) measured by flow cytometry].

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    journal_title:Bulletin du cancer

    pub_type: 杂志文章,评审

    doi:

    authors: Dubray B,Maciorowsky Z,Cosset JM,Terry NH

    更新日期:1995-01-01 00:00:00

  • [Cancers of the corpus uteri on the Côte-d'Or 1982-1990. Incidence, clinical stage and survival].

    abstract::In the French administrative "departement" of Côte-d'Or, between 1982 and 1990, the crude incidence rate and the age-adjusted world standardised incidence rate (ASR) for corpus uteri cancer were respectively 16.0 +/- 0.8 and 10.7 +/- 0.6 per 100,000 women per year. The incidence increased after 50 years of age, reachi...

    journal_title:Bulletin du cancer

    pub_type: 杂志文章,评审

    doi:

    authors: Chaplain G,Cuisenier J,Milan C,Smail M,Janoray P,Collin F,Déchelotte D,Michiels-Marzais D,Jahier J,Michiels R

    更新日期:1994-08-01 00:00:00

  • [Methodological and ethical quality in phase III cancer trials: role of the cooperative group].

    abstract::Phase III clinical trials (CT) are carried out more and more often in a multicentric way, under the aegis of one or more cooperative groups (CG). The goal of this study was to analyze the influence of the GC on ethical quality (EQ) and methodological quality (MQ) in phase III cancer CT. EQ (Berdeu-score) and MQ (Jadad...

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    doi:

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    doi:

    authors: Lidereau R,Chermann JC,Gruest J,Montagnier L,Ducrocq C,Rivalle C,Bisagni E

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    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Ranchere JY,Delfosse MH,Saltel P,Latour JF

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    abstract::The results obtained in the treatment of 45 cases of soft tissue sarcomas are presented. All cases were reviewed and classified according to the modern criteria of malignancy. The treatment schedule comprised: (1) preoperative irradiation: 2 sessions of 6.50 Gy in 48 hours, target volume: whole limb segment; (2) surgi...

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  • [Histological and immunohistochemical diagnosis of bone marrow metastases of neuroblastomas].

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  • [Thyroid carcinoma on struma ovarii: Diagnosis and treatment].

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  • [What are the expectations of coordination and accompaniment of French patients with cancer towards their community pharmacist?]

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  • [Role of high-dose chemotherapy with hemopoietic stem-cell support in the treatment of adult patients with high-grade glioma].

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  • [Axillary lymphadenectomy prepared by fat aspiration versus functional axillary lymphadenectomy: preliminary results of a randomized prospective study].

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

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  • [Demonstration of fetal-type thymidine kinase in cancer of the breast].

    abstract::Seventy five human breast cancers were examined in order to search for the presence of thymidine kinase of the fetal-type (TK-F). The presence of TK-F was evidenced in all tumors. Its activity varied from one to another tumor, but it was evident that the increased TK activity observed in mammary cancers could exclusiv...

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    更新日期:1986-01-01 00:00:00

  • The physician data query (PDQ) cancer information system.

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    pub_type: 临床试验,杂志文章

    doi:

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    更新日期:1987-01-01 00:00:00

  • [Esophageal cancer in Western France. Retrospective analysis of 1400 cases].

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    pub_type: 杂志文章

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    authors: Roussel A,Gignoux M,Verwaerde JC,Segol P,Abbatucci JS,Valla A

    更新日期:1977-01-01 00:00:00

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    doi:

    authors: Denoux Y,Blanc-Vincent MP,Simony-Lafontaine Jl,Verriele-Beurrier V,Briffod M,Voigt JJ

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