Journal of the National Cancer Institute Advance Access originally published online on October 7, 2008
JNCI Journal of the National Cancer Institute 2008 100(20):1428-1429; doi:10.1093/jnci/djn375
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© Oxford University Press 2008.
NEWS |
Resistance Revisited: Looking Back at 10 Years of Multidrug Resistance Research
| The first 150 words of the full text of this article appear below. |
This is part of an occasional series that recalls some of the stories reported 10 years ago in the News section of the Journal.
In 1998, JNCI published a two-part feature about efforts to overcome multidrug resistance in cancer, which at the time was thought to be governed chiefly by a superfamily of molecular transporters, known as ATP-binding cassette (ABC) proteins. ABC transporters act as efflux pumps, which expel toxins and drugs from a cell. By reversing those transporters in cancer cells—particularly P-glycoprotein (Pgp), which was, and still is, the best-characterized among them—researchers hoped to overcome drug resistance, a primary cause of treatment failure.
A decade later, efforts to reverse Pgp have proven futile, in part because the transport protein is also expressed by healthy tissues—leading to unacceptable side effects when its activity is knocked out. Furthermore, dozens of other ABC transport proteins identified within the last 10 years can
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J Natl Cancer Inst 2008 100: 912-913.