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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Development of rationally designed, target-based agents for the treatment of advanced colorectal cancer
Alain C Mita1, Monica M Mita, Eric K Rowinsky
1Institute for Drug Development, Cancer Therapy and Research Center, University of Texas Health Science Center at San Antonio, 4th floor Zeller Building, 7979 Wurzbach Road, San Antonio, TX 78229, USA. amita@idd.org
Abstract:
Although there have been several recent additions to the conventional armamentarium used to treat patients with advanced colorectal cancer, principally as a result of the development of selective and nonselective pharmacologic agents and antibodies, the general outcome of patients with advanced disease is still poor. However, a greater understanding of cancer biology, as well as major advances in biotechnology, is beginning to identify and characterize molecular aberrations that are common in patients with colorectal cancer. These advances have resulted in the development of a wide range of rationally designed, target-based anticancer therapeutic agents, which, by virtue of their selectivity, would be expected to produce less nonspecific toxicity and therefore higher therapeutic indices compared with nonspecific cytotoxic agents. This review will discuss several novel targets and therapeutic agents, particularly those designed to interrupt aberrant signal transduction and apoptotic processes. It will also emphasize the complexity of these systems and the need to incorporate novel clinical development paradigms based on a thorough scientific understanding of these targets.
Insights
New targeted therapies show promise for advanced colorectal cancer by interrupting aberrant signal transduction and apoptosis. Further research into these complex systems is needed for improved patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Advanced colorectal cancer treatment outcomes remain poor despite new pharmacologic agents and antibodies.
- Recent advances in understanding cancer biology and biotechnology are identifying common molecular aberrations in colorectal cancer.
- This facilitates the development of targeted anticancer agents with potentially lower toxicity and higher efficacy.
Purpose of the Study:
- To review novel molecular targets and therapeutic agents for advanced colorectal cancer.
- To discuss agents designed to interrupt aberrant signal transduction and apoptotic processes.
- To emphasize the complexity of these systems and the need for new clinical development paradigms.
Main Methods:
- Literature review of recent advancements in colorectal cancer biology and targeted therapies.
- Discussion of specific molecular targets and rationally designed therapeutic agents.
- Analysis of the potential impact of these agents on signal transduction and apoptosis.
Main Results:
- Identification of novel molecular targets common in colorectal cancer.
- Development of selective, target-based therapeutic agents.
- Potential for reduced nonspecific toxicity and improved therapeutic indices compared to traditional cytotoxic agents.
Conclusions:
- Targeted therapies offer a promising new direction for advanced colorectal cancer treatment.
- Interrupting aberrant signal transduction and apoptotic pathways is a key strategy.
- A thorough scientific understanding is crucial for developing effective clinical paradigms for these novel agents.
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