title: Adhesion dependent signalling in the tumour microenvironment: the future of drug targetting.
abstract: Cellular adhesion molecules are critical components during carcinogenesis and cancer metastasis and contribute to the mechanisms underlying resistance to chemotherapeutic drugs. Since drug resistance is associated with a very poor prognosis for patients with cancer, a better understanding of the role of adhesion molecules could improve patient outcome by identifying novel mechanisms that promote drug resistance. Epigenetic factors, such as cellular adhesion, are shown to promote the resistance of cancers to various chemotherapeutic drugs by altering cellular signalling pathways that activate cellular growth and inhibit apoptosis. In addition, cellular adhesion molecules can provide a means to specifically target more conventional chemotherapy to the unique tumour microenvironment. However, the expression and function of cellular adhesion molecules, and the signals activated by adhesion, are highly interrelated making the development of rational therapies more difficult.
authors.affiliation: Integrated Cancer Program, Hôpital Régional de Sudbury Regional Hospital, Sudbury, Ontario, P3E 5J1, Canada. mbewick@hrsrh.on.ca
authors.forename: Mary A
authors.initials: MA
authors.lastname: Bewick
authors.forename: Robert M
authors.initials: RM
authors.lastname: Lafrenie
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D015815:Cell Adhesion Molecules / Q000378:metabolism* / Q000502:physiology; D016503:Drug Delivery Systems / Q000379:methods*; D019008:Drug Resistance, Neoplasm / Q000276:immunology; D006801:Humans; D009369:Neoplasms / Q000188:drug therapy / Q000276:immunology / Q000378:metabolism* / Q000473:pathology*; D015398:Signal Transduction / Q000187:drug effects / Q000276:immunology*
chemical_list: D000970:Antineoplastic Agents; D015815:Cell Adhesion Molecules