[Targeted therapies]

A Méjean1, T Lebret

  • 1Service d'Urologie, Université Paris Descartes, France. arnaud.mejean@nck.aphp.fr

Insights

Targeted therapy uses molecules to block cancer metastasis targets, impacting angiogenesis, apoptosis, and immune response. While many drugs exist, metastatic disease remains incurable, necessitating further research for better treatments.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Context:

  • Metastasis is a complex multi-step process involving cancer cell spread and colonization.
  • Targeted therapies represent a significant advancement in cancer treatment by inhibiting specific molecular pathways crucial for metastasis.
  • Current targeted drugs include ligand-binding antibodies and receptor inhibitors.

Purpose:

  • To review the current landscape of targeted therapies for metastatic cancer.
  • To highlight the diverse mechanisms of action of these therapies.
  • To identify challenges and future directions in the treatment of metastatic disease.

Summary:

  • Targeted therapy development has focused on identifying and blocking key molecular targets in the metastatic cascade.
  • These therapies engage multiple mechanisms, including inhibition of angiogenesis, induction of apoptosis, and modulation of the immune response.
  • Despite the approval of numerous targeted drugs, complete cure of metastatic cancer remains an unmet clinical need.

Impact:

  • Advances in understanding metastatic pathways have led to the development of novel targeted agents.
  • Further research into molecular targets and combination therapies is crucial for improving patient outcomes in metastatic cancer.
  • The ongoing evolution of targeted therapies offers hope for more effective treatments for incurable metastatic diseases.

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...
Modified-Release Drug Delivery Systems: Site-Targeted01:24

Modified-Release Drug Delivery Systems: Site-Targeted

Site-targeted drug delivery systems enhance therapeutic efficacy while minimizing systemic toxicity and treatment costs. Unlike conventional methods, these systems ensure precise drug delivery, improving bioavailability and reducing side effects. Targeted drug delivery is classified into three levels. First-order targeting directs drugs to the capillary beds of specific organs or tissues. Second-order targets specific cell types, such as tumor cells, using receptor-mediated interactions.
Targets for Drug Action: Overview01:26

Targets for Drug Action: Overview

Drugs target macromolecules to modify ongoing cellular processes. Primary drug targets include receptors, ion channels, transporters, and enzymes.
Receptors are either membrane-spanning or intracellular proteins, which upon binding a ligand, get activated and transmit the signal downstream to elicit a response. Drugs bind receptors, either mimicking the action of endogenous ligands or blocking the receptor activity to bring about a modified response. Nearly 35% of approved drugs target the G...