Cisplatin and its analogs have become important components of chemothe
rapeutic regimens for the treatment of solid tumors, however, their ov
erall effectiveness is limited by the emergence of drug-resistant tumo
r cells. Resistance to the platinum drugs is multifactorial consisting
of mechanisms that prevent the formation of lethal platinum-DNA adduc
ts and mechanisms that operate downstream of the drug/target interacti
on to promote cell survival. Continued progress in the study of the dr
ug resistance phenotype as well as the development of new platinum ana
logs may eventually lead to improved therapies and increased survival
rates.