Schematic representation of mechanism of action of cisplatin. 

Schematic representation of mechanism of action of cisplatin. 

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Introduction: Cisplatin has been considered as the crucial regimen of widely prescribed chemotherapy treatment for cancer. The advancing treatment of cancers has reached the border line, where tumors show resistance to cisplatin and may thwart its use. Other than issues of drug resistance, cisplatin has been reported to evince side effects such as...

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... sometimes, 1,3-intra-strand or inter-strand adducts are formed but 85-90% of lesions caused are ApG and GpG adducts formed by 1,2-intra-strand crosslinks [11,16]. Other than DNA, cisplatin has been reported to interact with biomolecules such as bind to RNA, proteins, membrane phos- pholipids and cytoskeleton forming microfilaments (Figure 1) [5][6][7][8][9][10][11][12][13][14]. ...
Context 2
... precisely, p53 has been indi- cated to work independently for the activation of several genes such as DNA damage inducible gadd45a gene and pro-apoptotic Bax gene [11,16]. There is a report on the apop- totic pathway induction by cisplatin, which is influenced by the increased ratio of Bax and Bcl2, where Bcl2 is an antia- poptotic protein (Figure 1) [9][10][11][12][13][14][15][16]. Other than p53, p73 can also induce apoptosis with help of c-Abl tyrosine kinase. ...

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... Although it is a well-established, safe, and cost-effective treatment for patients, cisplatin has clinical drawbacks associated with its relatively high toxicity and the rapid development of chemoresistance that is seen in many tumours [10]. Wide differences in its effectiveness also stem from the variety of clinical approaches used for drug delivery [11][12][13]. Thus, the optimisation of cisplatin efficiency [14,15] and the minimisation of cisplatin chemoresistance [16] are the most important approaches that could improve patient treatment and prognosis. ...
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... Platinum-based compounds have been the most actively used front-line clinical drug for the treatment of ovarian cancer for decades. The prognosis of patients with ovarian cancer can be defined by the response of the tumor to cisplatin; patients whose tumors are intrinsically resistant to platinum at the time of initial treatment or acquire resistance during treatment have very poor prognosis (1)(2)(3). Therefore, understanding of the crucial factors driving platinum resistance is needed to enhance the therapeutic outcomes of platinum-based chemotherapy. ...
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