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Table 7 results showed that cytotoxic activity and selectivity were largely retained through conjugation and conjugation afforded a broader spectrum of cytotoxic activity against drug-resistant cells [211- 212]. Later, Line Rothenborg-Jensen et al. aimed at overcoming the development of acquired multiple drug resistance in tumour cells after drug treatment and generated new structures comprising the topoisomerase I] interaction moiety of the epipodophyllotoxin (345- 346) and the DNA intercalating acridine moiety via different length spacers and these compounds were capable of circumventing the MDR phenotype of cancer cells comprising different resistance mechanisms, involving over-expression of membrane transporters as well as down regulation of topoisomerase II [213].
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