Beyond chemotherapy--demystifying the new 'targeted' cancer treatments

Rachel Dear1, Nicholas Wilcken, Jenny Shannon

  • 1Medical Oncology, Westmead and Nepean Hospitals, New South Wales. rachshaw@hotmail.com

Insights

Genetic mutations drive cancer by disrupting cell signaling pathways, leading to uncontrolled growth, new blood vessel formation (angiogenesis), and spread (metastasis). Understanding these genetic changes is key to cancer development.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Genetic alterations are recognized as the primary drivers of cancer.
  • These genetic changes disrupt normal cellular signaling pathways.

Purpose of the Study:

  • To elucidate the fundamental role of genetic mutations in cancer initiation and progression.
  • To understand how genetic changes impact cellular signaling, growth, angiogenesis, and metastasis.

Main Methods:

  • Analysis of key genetic alterations in cancer cells.
  • Investigation of downstream effects on cellular signaling pathways.
  • Assessment of impacts on cell proliferation, angiogenesis, and metastatic potential.

Main Results:

  • Confirmed that specific genetic mutations are central to cancer development.
  • Demonstrated that these mutations induce abnormalities in critical cell signaling pathways.
  • Observed resulting unregulated cell growth, angiogenesis, and metastasis.

Conclusions:

  • Genetic mutations are the principal mechanism underlying cancer development.
  • Disruption of signaling pathways by genetic changes leads to hallmark cancer phenotypes.
  • Targeting these genetic alterations and pathways holds therapeutic potential.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...