reduced efficacy

What Are the Common Mechanisms of Drug Resistance?

Drug resistance can arise through several mechanisms:
1. Genetic Mutations: Cancer cells can acquire mutations that make them less sensitive to chemotherapy or targeted therapies.
2. Efflux Pumps: Some cancer cells increase the expression of proteins that pump drugs out of the cell, reducing drug concentration inside the cell.
3. DNA Repair: Enhanced DNA repair mechanisms can allow cancer cells to survive despite the presence of DNA-damaging agents.
4. Microenvironment Changes: The tumor microenvironment can become more hostile to drugs by altering factors such as pH and oxygen levels.

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