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Updated: May 18, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Vertical pathway targeting in cancer therapy
David Shahbazian1, Joshua Sznol, Harriet M Kluger
1Section of Medical Oncology, Yale Cancer Center, Yale University School of Medicine, New Haven, CT, USA.
Abstract:
Malignant cells arise from particular mutations in genes controlling cell proliferation, invasion, and survival. Older antineoplastic drugs were designed to target vital cellular processes, such as DNA maintenance and repair and cell division. As a result, these drugs can affect all proliferating cells and are associated with unavoidable toxicities. Recent discoveries in cancer research have identified "driver" mutations in some types of cancer, and efforts have been undertaken to develop drugs targeting these oncogenes. In most cases, due to escape mechanisms and adaptive responses, single oncogene targeting is insufficient to induce prolonged responses in solid tumors. Drug combinations are therefore used to enhance the growth inhibitory and cytotoxic effects of the targeted therapies. Depending on the position of additional targets within the signaling network, drug combinations may target either different signaling pathways (parallel targeting) or the same pathway at several fragile nodes (vertical targeting). In this review, we discuss strategies of multitarget inhibition with a focus on vertical signaling pathway targeting.
Insights
Targeting cancer
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Malignant cells develop from genetic mutations affecting cell growth and survival.
- Traditional chemotherapy targets rapidly dividing cells, causing significant side effects.
- Targeted therapies focus on specific oncogenes driving cancer growth.
Purpose of the Study:
- To review strategies for multitarget inhibition in cancer therapy.
- To emphasize vertical signaling pathway targeting for enhanced efficacy.
- To address limitations of single oncogene targeting in solid tumors.
Main Methods:
- Review of current cancer research and drug development strategies.
- Analysis of signaling networks in solid tumors.
- Discussion of parallel versus vertical targeting approaches.
Main Results:
- Single oncogene targeting often proves insufficient due to tumor resistance mechanisms.
- Drug combinations are essential for improving growth inhibition and cytotoxicity.
- Vertical targeting offers a promising strategy by hitting multiple points in a single pathway.
Conclusions:
- Multitarget inhibition, particularly vertical targeting, is crucial for overcoming resistance and improving cancer treatment outcomes.
- Future cancer therapies will likely rely on sophisticated drug combinations.
- Understanding cancer signaling networks is key to designing effective targeted treatments.
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