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. 2016 Mar 5;8(3):32. doi: 10.3390/cancers8030032

Table 2.

Mechanisms by which tumor cells resist radiation and chemotherapeutic drugs.

Radioresistance Chemoresistance
Tumor hypoxic condition Increased drug efflux and decreased drug uptake
Increased cellular production of cellular antioxidants Inactivation of apoptosis
Activation of certain proto-oncogenes, and stromal interactions Increased drug metabolism and drug compartmentalization
Amplification of DNA repair genes Increase in the repair of DNA damage
Cancer stem cells as contributors to radioresistance Increased or altered the drug targets
Survival signals favoured by transcription factors Survival signals favoured by transcription factors