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Updated: Aug 25, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Molecular therapeutics: promise and challenges
Elise C Kohn1, Yiling Lu, Hongwei Wang
1Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Abstract:
The ability to analyze the genetic and epigenetic aberrations present in a particular patient's tumor on a global basis is rapidly maturing. The emerging fields of functional genomics and functional proteomics offer the opportunity to translate these advances into a full comprehension of the pathophysiology of cancer. Linking these approaches to chemical genomics and molecular therapeutics should provide an expanding repertoire of targeted therapeutics for clinical evaluation. Novel clinical trial designs that can determine the efficacy of targeted therapeutics in patients selected for aberrations in the target are needed to evaluate the wealth of new drugs becoming available. The promise of these technologies and advances in our understanding of cancer is immense, making it our responsibility to see them to fruition. These technologies should lead to a new era of individualized molecular medicine, wherein we will treat each patient with a "prescription" based on the genetic changes in each patient's tumor and their own genetic make-up, resulting in more effective and less toxic therapy.
Insights
Analyzing tumor genetic and epigenetic changes enables personalized cancer medicine. This approach promises more effective, less toxic therapies tailored to individual patients.
Area of Science:
- Oncology
- Genomics
- Proteomics
- Molecular Medicine
Background:
- Global analysis of genetic and epigenetic aberrations in tumors is advancing.
- Functional genomics and proteomics offer insights into cancer pathophysiology.
Purpose of the Study:
- To translate advances in cancer genomics and proteomics into clinical applications.
- To highlight the need for novel clinical trial designs for targeted therapeutics.
- To emphasize the potential of individualized molecular medicine in cancer treatment.
Main Methods:
- Global analysis of genetic and epigenetic aberrations.
- Functional genomics and proteomics.
- Chemical genomics.
- Development of targeted therapeutics.
- Novel clinical trial designs.
Main Results:
- Emerging technologies provide a comprehensive understanding of cancer pathophysiology.
- Linking genomics, proteomics, and chemical genomics expands targeted therapeutic options.
- New drugs are becoming available for clinical evaluation.
Conclusions:
- Individualized molecular medicine, based on patient-specific tumor genetics, will revolutionize cancer therapy.
- This approach promises more effective treatments with reduced toxicity.
- The integration of advanced technologies is crucial for realizing the potential of precision oncology.
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