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Combating drug resistance in
anticancer Therapy and Genetic
principle of drug resistance
Presented by,
Maningcina Sephe
2021MPD2004
M.Pharm 1st semester
Dept. of Pharmaceutical Chemistry
RIPANS
INTRODUCTION
Due to high complexity of evolution of tumor progressions, identifying
the best strategy to overcome drug resistance will be very challenging.
Combinational therapies are strongly preferred since tumors are almost
always multi-clonal and genetically heterogeneous.
Strategy to combat drug resistance in
anticancer therapy
• 1. Continuous monitoring of patient
• 2. on and off theraphy
• 3. P-Glycoprotein inhibition
• 4. Use of Nanoparticles
Continuous monitoring of patients and
treatment
• Continuous monitoring of Patients and treatment with a cocktail of
chemotherapeutic drugs. Each targeting one or more proteins
encoded by driver genes responsible for drug resistance pathway
operating in cancer patients.
On and off therapy
• The new treatment strategy “on or off” or “high dose followed by low
dose” result in longer survival and delayed drug resistance.
• This intermittent or adaptive dosing may interrupt the growth of drug
depend resistant cells and allow the competition of sensitive and
resistant cells.
Blockage of P- glycoprotein
• P-Glycoprotein uses the energy in the form of ATP to pump drugs out
of tumors.
• By blocking this glycoprotein or depleting the ATP decrease the drug
resistance
Use of Nanoparticles
• The researcher made a “calcium ion nanogenerator” by loading
calcium phosphate nanoparticles along with the chemotherapy drug
and then coating them with molecules that would allow TCaNG to
target and enter cancer cell.
Genetic principles of drug resistance
• Generally drug resistance arises because of one or more of the
following
• Selection of cells that have increased expression of membrane
glycoproteins, increased in levels of cytoplasmic thiols, increasing in
deactivating or decrease in activating enzyme by changes in specific
gene sequences and increase in DNA repair.
• All of these mechanisms of resistance involve gene alterations.
• By increasing pools of cytoplasmic thiols, such as glutathione, the cell
increases its ability to destroyed reactive electrophilic anticancer
drugs.
• More specifically gene encoding the family of glutathione S-
transferases, which catalyze the reaction of glutathione with
electrophilic compounds, may be altered so that enzymes are
overproduced (gene prolification)
• Many drugs bind to DNA require enzymatic activation (prodrug).
• The genes encoding these enzyme may be altered so that certain
tumor cells no longer produce sufficient quantities of the activating
enzymes to allow drugs to be effective.
• Finally,once the DNA has been modified, a resistant cell could
produce DNA repair enzymes, to excise the mutation in the DNA and
repair polynucleotide strands.
References:
• Drug Resistance in Cancer Therapy by Robert C.Young, Robert F.Ozols
M.D..P.h.D
• www.Wikipedia.com

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Combating drug resistance in anticancer therapy

  • 1. Combating drug resistance in anticancer Therapy and Genetic principle of drug resistance Presented by, Maningcina Sephe 2021MPD2004 M.Pharm 1st semester Dept. of Pharmaceutical Chemistry RIPANS
  • 2. INTRODUCTION Due to high complexity of evolution of tumor progressions, identifying the best strategy to overcome drug resistance will be very challenging. Combinational therapies are strongly preferred since tumors are almost always multi-clonal and genetically heterogeneous.
  • 3. Strategy to combat drug resistance in anticancer therapy • 1. Continuous monitoring of patient • 2. on and off theraphy • 3. P-Glycoprotein inhibition • 4. Use of Nanoparticles
  • 4. Continuous monitoring of patients and treatment • Continuous monitoring of Patients and treatment with a cocktail of chemotherapeutic drugs. Each targeting one or more proteins encoded by driver genes responsible for drug resistance pathway operating in cancer patients.
  • 5. On and off therapy • The new treatment strategy “on or off” or “high dose followed by low dose” result in longer survival and delayed drug resistance. • This intermittent or adaptive dosing may interrupt the growth of drug depend resistant cells and allow the competition of sensitive and resistant cells.
  • 6. Blockage of P- glycoprotein • P-Glycoprotein uses the energy in the form of ATP to pump drugs out of tumors. • By blocking this glycoprotein or depleting the ATP decrease the drug resistance
  • 7. Use of Nanoparticles • The researcher made a “calcium ion nanogenerator” by loading calcium phosphate nanoparticles along with the chemotherapy drug and then coating them with molecules that would allow TCaNG to target and enter cancer cell.
  • 8. Genetic principles of drug resistance • Generally drug resistance arises because of one or more of the following • Selection of cells that have increased expression of membrane glycoproteins, increased in levels of cytoplasmic thiols, increasing in deactivating or decrease in activating enzyme by changes in specific gene sequences and increase in DNA repair. • All of these mechanisms of resistance involve gene alterations.
  • 9. • By increasing pools of cytoplasmic thiols, such as glutathione, the cell increases its ability to destroyed reactive electrophilic anticancer drugs. • More specifically gene encoding the family of glutathione S- transferases, which catalyze the reaction of glutathione with electrophilic compounds, may be altered so that enzymes are overproduced (gene prolification)
  • 10. • Many drugs bind to DNA require enzymatic activation (prodrug). • The genes encoding these enzyme may be altered so that certain tumor cells no longer produce sufficient quantities of the activating enzymes to allow drugs to be effective. • Finally,once the DNA has been modified, a resistant cell could produce DNA repair enzymes, to excise the mutation in the DNA and repair polynucleotide strands.
  • 11. References: • Drug Resistance in Cancer Therapy by Robert C.Young, Robert F.Ozols M.D..P.h.D • www.Wikipedia.com