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Published on: August 23, 2019
[Angiogenesis and thyroid cancer]
Zelia Francis1, Eric Baudin, Sophie Leboulleux
1Service de médecine nucléaire et d'oncologie endocrinienne, Paris-Sud et Institut Gustave Roussy, F-94805 Villejuif Cedex, France.
Abstract:
During the last two decades, the understanding of molecular biology of thyroid cancers has greatly improved, and this has permitted the development of novel therapeutic tools in patients with refractory disease. Kinase inhibitors inhibit kinases of the vascular endothelial growth factor (VEGF) receptors, and by doing this inhibit angiogenesis, and some of these agents also inhibit other kinases of the MAPkinase pathway. These inhibitors are effective in differentiated and medullary thyroid cancers, and induce a partial response or a long term stabilisation in more than half of patients.
Insights
Novel kinase inhibitors targeting vascular endothelial growth factor (VEGF) receptors and MAPkinase pathways show promise for refractory thyroid cancers. These therapies offer partial response or long-term stabilization in over half of patients with differentiated and medullary thyroid cancers.
Area of Science:
- Molecular biology
- Oncology
- Pharmacology
Context:
- Significant advancements in understanding thyroid cancer molecular biology over the past two decades.
- Development of targeted therapies for refractory thyroid cancer cases.
Purpose:
- To review the role of kinase inhibitors in treating advanced thyroid cancers.
- To highlight the efficacy of these inhibitors in differentiated and medullary thyroid cancer subtypes.
Summary:
- Kinase inhibitors targeting vascular endothelial growth factor (VEGF) receptors and MAPkinase pathways are effective in thyroid cancer.
- These agents inhibit angiogenesis and other key signaling pathways.
- Over 50% of patients with differentiated and medullary thyroid cancers experience partial response or long-term stabilization.
Impact:
- Provides a novel therapeutic strategy for patients with refractory thyroid cancer.
- Improves treatment outcomes for differentiated and medullary thyroid cancer.
- Offers hope for long-term disease control in advanced thyroid cancer patients.
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