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Table 2 Summary for the extrachromosomal circular DNA-linked drug resistance

From: Current understanding of extrachromosomal circular DNA in cancer pathogenesis and therapeutic resistance

Genes

Drugs

Function

Cancers

Refs

DHFR

MTX

Elimination of DHFR on DMs increases MTX sensitivity

Colon cancer

[36]

DHFR

MTX

Elimination of DHFR on DMs increases MTX sensitivity

Colon cancer

[38]

DHFR

MTX

Amplification of DM-form DHFR promotes MTX resistance

Cervical cancer

[39]

DHFR

MTX

X-ray induces MTX resistance due to DM-form amplified DHFR

Breast Cancer

[121]

EGFRvIII

Erlotinib

Reducing EGFRvIII-bearing extrachromosomal DNA resultes in erlotinib resistance

Glioblastoma

[128]

MDM2

Erlotinib

Amplification of DM-form MDM2 promotes erlotinib resistance

Glioblastoma

[128]

HER2

Trastuzumab

Loss of DM-form HER2 has no effect on trastuzumab resistance

Breast Cancer

[129]

c-Myc

HU and retinoic acid

Reducing c-Myc-bearing DMs enhances therapeutic sensitivity

Leukemia

[134]

MYCN

HU

Elimination of MYCN on DMs increases HU sensitivity

Neuroblastoma

[135]

c-Myc

HU

Reducing c-Myc-bearing DMs enhances HU sensitivity

Colon cancer

(136)

MDR1

HU

Loss of DM-form MDR1 promotes HU sensitivity

Oral squamous cell carcinoma

[137]

CA125

HU

Low levels of DM-form CA123 after HU treatment

Ovarian cancer

[138]