Mechanisms of acquired resistance to targeted cancer therapies
Mark R Lackner1, Timothy R Wilson, Jeff Settleman
1Department of Oncology Biomarker Development, Genentech, Inc., South San Francisco, CA, USA.
Abstract:
Drugs that target genomically defined vulnerabilities in human tumors have now been clinically validated as effective cancer therapies. However, the relatively rapid acquisition of resistance to such treatments that is observed in virtually all cases significantly limits their utility and remains a substantial challenge to the clinical management of advanced cancers. As molecular mechanisms of resistance have begun to be elucidated, new strategies to overcome or prevent the development of resistance have begun to emerge. In some cases, specific mutational mechanisms contribute directly to acquired drug resistance, and in other cases it appears that nonmutational and possibly epigenetic mechanisms play a significant role. This article discusses the various genetic and nongenetic mechanisms of acquired drug resistance that have been reported in the context of 'rationally targeted' drug therapies.
Insights
Targeted cancer therapies show promise but drug resistance limits effectiveness. Understanding genetic and non-genetic resistance mechanisms is key to developing new strategies for advanced cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Targeted cancer therapies exploiting genomic vulnerabilities are clinically validated.
- Acquired drug resistance significantly limits the utility of these treatments, posing a clinical challenge.
Purpose of the Study:
- To discuss genetic and non-genetic mechanisms of acquired drug resistance.
- To explore emerging strategies for overcoming or preventing resistance to targeted therapies.
Main Methods:
- Literature review of molecular mechanisms of drug resistance.
- Analysis of genetic and non-genetic resistance pathways in targeted cancer therapy.
Main Results:
- Drug resistance in cancer is acquired through both mutational (genetic) and non-mutational (potentially epigenetic) mechanisms.
- Elucidation of resistance mechanisms is crucial for developing effective therapeutic strategies.
Conclusions:
- Understanding diverse resistance mechanisms is essential for improving targeted cancer therapy outcomes.
- Developing strategies to overcome acquired resistance is critical for managing advanced cancers.
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