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Multidrug Resistance of Gastric Cancer: The Mechanisms and Chinese Medicine Reversal Agents

Authors Huang WJ, Ruan S, Wen F, Lu XN, Gu SP, Chen XX, Liu M, Shu P

Received 4 August 2020

Accepted for publication 22 October 2020

Published 2 December 2020 Volume 2020:12 Pages 12385—12394

DOI https://doi.org/10.2147/CMAR.S274599

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Chien-Feng Li


Wen-Jie Huang,1,* Shuai Ruan,1,* Fang Wen,2 Xiao-na Lu,1 Su-ping Gu,2 Xiao-xue Chen,1 Miao Liu,3 Peng Shu1

1Oncology Department, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China; 2First College of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China; 3Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

*These authors contributed equally to this work

Correspondence: Peng Shu
Oncology Department, Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong Road, Nanjing, Jiangsu Province, People’s Republic of China
Email [email protected]
Miao Liu
Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA,  USA
Email [email protected]

Abstract: Chemotherapy is the main clinical treatment method of gastric cancer. Multidrug resistance (MDR) has become a common phenomenon with the development of tumors, which alleviates the effect of chemotherapy and makes it difficult to break the bottleneck of survival rate of advanced gastric cancer. Therefore, the exploration of MDR reversal agents for gastric cancer is the focus and also the difficulty of current treatment. Currently, the researches on the mechanisms of drug resistance in gastric cancer have been continuously deepened, which reveal different pathways and targets of MDR, laying a solid foundation for studying reversal agents. As a kind of natural medicine, traditional Chinese medicine (TCM) owns the characteristics of low toxicity, high safety and effectiveness. It can inhibit the occurrence, growth and metastasis of tumors, and reverse MDR via multiple pathways and mechanisms, the pathological function of which has become a research hotspot in recent years. TCM reversers are mainly divided into Chinese medicine monomers, Chinese patent medicines, and Chinese herbal compounds. With certain quantity and advantage, TCM reversers for MDR play an important role in the clinical treatment and show great potential in gastric cancer.

Keywords: gastric cancer, multidrug resistance, MDR, mechanisms, traditional Chinese medicine, TCM, review

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