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Targeting Multidrug Resistance in Neuroblastoma

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Neuroblastoma

Part of the book series: Pediatric Cancer ((PECA,volume 1))

Abstract

The majority of children with high-risk neuroblastoma eventually relapse with disease refractory to treatment. Conventional chemotherapeutic approaches to high-risk neuroblastoma are at or approaching their tolerance limits, implying that future improvements in outcome for these patients are likely to come from more targeted therapies, including those that either bypass or reverse multidrug resistance. To achieve this aim, additional insights into drug resistance mechanisms are essential. Significant advances in our understanding of multidrug resistance in neuroblastoma have recently come through a combination of comprehensive patient sample studies, realistic mouse genetic models, and the development of small molecule inhibitors targeting resistance mechanisms. These combined approaches are outlined here for the drug efflux pump MRP1 and for the p14ARF-MDM2-p53 pathway.

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Correspondence to Jamie I. Fletcher .

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Fletcher, J.I., Haber, M., Henderson, M.J., Norris, M.D. (2012). Targeting Multidrug Resistance in Neuroblastoma. In: Hayat, M. (eds) Neuroblastoma. Pediatric Cancer, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2418-1_11

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