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Cited by 457

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Multiple Drug Resistance in Cancer Revisited: The Cancer Stem Cell Hypothesis

Open access
Donnenberg, Vera S., Donnenberg, Albert D.·2005·The Journal of Clinical Pharmacology

Abstract

The failure to eradicate cancer may be as fundamental as a misidentification of the target. Current therapies succeed at eliminating bulky disease but often miss a tumor reservoir that is the source of disease recurrence and metastasis. Recent advances in the understanding of tissue development and repair cause us to revisit the process of drug resistance as it applies to oncogenesis and tumor heterogeneity. The cancer stem cell hypothesis states that the cancer‐initiating cell is a transformed tissue stem cell, which retains the essential property of self‐protection through the activity of multiple drug resistance (MDR) transporters. This resting constitutively drug‐resistant cell remains at low frequency among a heterogeneous tumor mass. In the context of this hypothesis, the authors review the discovery of MDR transporters in cancer and normal stem cells and the failure of MDR reversal agents to increase the therapeutic index of substrate antineoplastic agents.

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Metadata

Authors
Donnenberg, V. S., & Donnenberg, A. D.
Venue
The Journal of Clinical Pharmacology
Publisher
Wiley
Published
2005-08
Volume
45
Issue
8
Pages
872-877
ISSN
  • 0021-9754 (ISSN-L)
  • 0091-2700
  • 1552-4604
OpenAlex
W2012495753
Cited by
457
References
1
FWCI
8.34
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Multiple Drug Resistance in Cancer Revisited: The Cancer Stem Cell Hypothesis. https://app.cochat.ai/papers/10.1177/0091270005276905
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Donnenberg, V. S., & Donnenberg, A. D. (2005). Multiple Drug Resistance in Cancer Revisited: The Cancer Stem Cell Hypothesis. The Journal of Clinical Pharmacology. https://doi.org/10.1177/0091270005276905

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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