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논문 기본 정보

자료유형
학술저널
저자정보
Gadhe, Changdev G. (Department of Bio-New Drug Development, College of Medicine, Chosun University) Cho, Seung Joo (Department of Bio-New Drug Development, College of Medicine, Chosun University)
저널정보
조선대학교 기초과학연구원 조선자연과학논문집 조선자연과학논문집 제4권 제1호
발행연도
2011.1
수록면
23 - 30 (8page)

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Multidrug resistance (MDR) is one of the main obstacles in the chemotherapy of cancer. MDR is associated with the over expression of P-glycoprotein (P-gp), resulting in increased efflux of chemotherapy from cancer cells. Inhibiting P-gp as a method to reverse MDR in cancer patients has been studied extensively, but the results have generally been disappointing. First-generation agents were limited by unacceptable toxicity, whereas second-generation agents had better tolerability but were confounded by unpredictable pharmacokinetic interactions and interactions with other transporter proteins. Third-generation inhibitors have high potency and specificity for P-gp. Furthermore, pharmacokinetic studies to date have shown no appreciable impact on drug metabolism and no clinically significant drug interactions with common chemotherapy agents. Third-generation P-gp inhibitors have shown promise in clinical trials. The continued development of these agents may establish the true therapeutic potential of P-gp-mediated MDR reversal.

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