Evidence map›Paper›PMID 42360409›Full record

ReviewMolecular biomedicine2026

Multidrug resistance in cancer: current understandings and future perspective.

Yang Qiao, Hongliang Mao, Jianyu Nie, Menghui Liu, Qiyue Lou, Peng Gao, Xingliang Dai

Abstract readReview
In one paragraph

Review in Molecular biomedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yang Qiao *Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China.
Hongliang Mao *Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China.
Jianyu Nie *Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China.
Menghui LiuDepartment of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China.
Qiyue LouDepartment of Clinical Medicine, The Second Clinical College of Anhui Medical University, Hefei, 230022, People's Republic of China.
Peng GaoDepartment of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China. gaopeng@ahmu.edu.cn.
Xingliang DaiDepartment of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China. daixingliang@ahmu.edu.cn.ORCID http://orcid.org/0000-0002-0685-4766

Funding

Anhui Provincial Training Program for Young and Middle-aged University Teachers JWFX2025005Ganpo Promising Talents Supporting Plan: Talent Development Project of Leading Academic and Technological Researchers in Key Disciplines 20243BCE51060National Natural Science Foundation of China 82473256the Anhui Provincial Natural Science Foundation 2508085Y050the Anhui Provincial Quality Engineering Project for Higher Education 2023jyxm1106the Health Research Program of Anhui AHWJ2024Aa30066the Jiangxi Provincial Natural Science Foundation 20242BAB25521the Postgraduate Scientific Research and Practice Innovation Project of Anhui Medical University YJS20240087
6 · The paper itself

Abstract

Multidrug resistance (MDR) remains the core clinical barrier limiting the achievement of durable and effective treatment for various tumors. With the deepening of understanding, MDR has been redefined from the traditional, static "drug efflux" model to a systemically adaptive survival strategy driven by highly heterogeneous tumor populations under therapeutic pressure, characterized by dynamic evolution. This complex phenotype arises from the deep intertwining and synergistic action of multi-layered survival networks. Herein, this review systematically delineates the evolution and multidimensional remodeling of the underlying mechanisms of MDR. We comprehensively outline the cell-intrinsic, autonomous resistance mechanisms of tumor cells, including intracellular drug redistribution and evasion of non-apoptotic cell death pathways. Concurrently, we summarize the tumor microenvironment (TME)-mediated, non-autonomous resistance mechanisms, such as physical barriers formed by stromal cells, intercellular communication networks, and the establishment of a profoundly immunosuppressive microenvironment. Building on this foundation, the review critically assesses the current drug resistance dilemmas faced by various therapeutic modalities and refractory cancer types. It focuses on discussing novel, precision reversal strategies targeting MDR, including nanotechnology-based delivery systems, single-cell and spatial omics analysis, and artificial intelligence (AI) large model-driven predictive and interventional systems. Furthermore, this review explores the underlying reasons for the repeated clinical failures of traditional single-target interventions. It outlines a direction for future translational research: a paradigm shift from "singular target killing" to "multidimensional ecological remodeling," advancing towards a closed-loop, personalized precision therapy framework based on dynamic monitoring and multi-target synergistic intervention.

Indexed as

Antineoplastic AgentsDrug Resistance, MultipleDrug Resistance, NeoplasmNeoplasmsAnimalsHumansTumor MicroenvironmentAntineoplastic AgentsCellular plasticityClinical translationDrug ResistanceMultidrug resistanceNanomedicineTumor microenvironment

Identifiers

PMID42360409
PMCPMC13309601

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.