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Review
. 2023 Aug;238(8):1651-1669.
doi: 10.1002/jcp.31048. Epub 2023 Jun 3.

Shielding and nurturing: Fibronectin as a modulator of cancer drug resistance

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Review

Shielding and nurturing: Fibronectin as a modulator of cancer drug resistance

Faizah Farooq et al. J Cell Physiol. 2023 Aug.

Abstract

Resistance to chemotherapy and targeted therapies constitute a common hallmark of most cancers and represent a dominant factor fostering tumor relapse and metastasis. Fibronectin, an abundant extracellular matrix glycoprotein, has long been proposed to play an important role in the pathobiology of cancer. Recent research has unraveled the role of Fibronectin in the onset of chemoresistance against a variety of antineoplastic drugs including DNA-damaging agents, hormone receptor antagonists, tyrosine kinase inhibitors, microtubule destabilizing agents, etc. The current review summarizes the role played by Fibronectin in mediating drug resistance against diverse anticancer drugs. We have also discussed how the aberrant expression of Fibronectin drives the oncogenic signaling pathways ultimately leading to drug resistance through the inhibition of apoptosis, promotion of cancer cell growth and proliferation.

Keywords: DNA damaging drugs; apoptosis; chemoresistance; extracellular matrix; fibronectin; tumor microenvironment.

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