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. 2014 Oct 20;17(10):741–749. [Article in Chinese] doi: 10.3779/j.issn.1009-3419.2014.10.06

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肿瘤细胞耐药的典型分子机制。常见耐药的主要途径有:(1)由于细胞表面受体或转运体缺失导致药物不能进入细胞内;(2)药物靶点改变;(3)药物的改变或失活;(4)药物代谢途径改变;(5)损伤DNA修复增加;(6)药物被主动运输到细胞外。

The molecular mechanisms of drug resistance in tumor cells. The main pathways of drug resistance: (1) The drug can not get into the cell due to lost of cell surface receptors or transporters; (2) Mutations in drug target; (3) Changes or inactivation of the drug; (4) Changes in the drug metabolism pathway; (5) Increased repair of damaged DNA; (6) Drug is exported by active transportation.