Evidence map›Paper›PMID 37229486›Full record

ReviewMedComm2023

Understanding and targeting resistance mechanisms in cancer.

Zi-Ning Lei, Qin Tian, Qiu-Xu Teng, John N D Wurpel, Leli Zeng, Yihang Pan, Zhe-Sheng Chen

Open access · goldAbstract readReview
In one paragraph

Review in MedComm, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 190 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed, 1 pooled it
39.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

190 citing papers in PubMed, 1 synthesis or guideline pooled it, 259 citations in OpenAlex.

  1. Pooled it
  2. Head and neck squamous cell carcinoma: current and emerging therapeutic strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Advances in applications of siRNA in cancer therapy: challenges and opportunities.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  10. Review
  11. Genome-Wide Characterization of thePlants (Basel, Switzerland) · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
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  20. Article

130 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Zi-Ning LeiPrecision Medicine Center Scientific Research Center The Seventh Affiliated Hospital Sun Yat-Sen University Shenzhen P. R. China.
Qin TianPrecision Medicine Center Scientific Research Center The Seventh Affiliated Hospital Sun Yat-Sen University Shenzhen P. R. China.
Qiu-Xu TengDepartment of Pharmaceutical Sciences College of Pharmacy and Health Sciences St. John's University Queens New York USA.
John N D WurpelDepartment of Pharmaceutical Sciences College of Pharmacy and Health Sciences St. John's University Queens New York USA.
Leli ZengPrecision Medicine Center Scientific Research Center The Seventh Affiliated Hospital Sun Yat-Sen University Shenzhen P. R. China.
Yihang PanPrecision Medicine Center Scientific Research Center The Seventh Affiliated Hospital Sun Yat-Sen University Shenzhen P. R. China.
Zhe-Sheng ChenDepartment of Pharmaceutical Sciences College of Pharmacy and Health Sciences St. John's University Queens New York USA.ORCID https://orcid.org/0000-0002-8289-097X
St. John's University · USSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistance to cancer therapies has been a commonly observed phenomenon in clinical practice, which is one of the major causes of treatment failure and poor patient survival. The reduced responsiveness of cancer cells is a multifaceted phenomenon that can arise from genetic, epigenetic, and microenvironmental factors. Various mechanisms have been discovered and extensively studied, including drug inactivation, reduced intracellular drug accumulation by reduced uptake or increased efflux, drug target alteration, activation of compensatory pathways for cell survival, regulation of DNA repair and cell death, tumor plasticity, and the regulation from tumor microenvironments (TMEs). To overcome cancer resistance, a variety of strategies have been proposed, which are designed to enhance the effectiveness of cancer treatment or reduce drug resistance. These include identifying biomarkers that can predict drug response and resistance, identifying new targets, developing new targeted drugs, combination therapies targeting multiple signaling pathways, and modulating the TME. The present article focuses on the different mechanisms of drug resistance in cancer and the corresponding tackling approaches with recent updates. Perspectives on polytherapy targeting multiple resistance mechanisms, novel nanoparticle delivery systems, and advanced drug design tools for overcoming resistance are also reviewed.

Indexed as

cancer therapycombination therapydrug resistanceresensitization

Identifiers

PMID37229486
PMCPMC10203373
OpenAlexW4378082489

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.