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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...

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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
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Molecular pathways: targeted α-particle radiation therapy.

Kwamena E Baidoo1, Kwon Yong, Martin W Brechbiel

  • 1Radioimmune & Inorganic Chemistry Section, ROB, National Cancer Institute, NIH, Bethesda, MD 20892, USA.

Clinical Cancer Research : an Official Journal of the American Association for Cancer Research
|December 12, 2012
PubMed
Summary

Targeted alpha-therapy (TAT) uses alpha particles for precise cancer treatment, minimizing damage to healthy tissues. Further research is needed to fully understand the molecular pathways involved in DNA repair and cell death following TAT.

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Molecular Biology

Background:

  • Alpha-particle radiation, a Helium-4 nucleus, offers high cytotoxicity with limited tissue penetration.
  • Targeted alpha-therapy (TAT) leverages this property for precise cancer cell targeting, minimizing normal tissue effects.
  • Despite clinical interest and trials, the precise molecular mechanisms of TAT-induced DNA damage and cellular response remain incompletely understood.

Purpose of the Study:

  • To provide an overview of the current understanding of molecular pathways involved in DNA damage response and repair following targeted alpha-therapy.
  • To highlight the clinical translation status of TAT and other alpha-emitter radionuclide therapies.

Main Methods:

  • Review of existing literature on high linear energy transfer (LET) radiation effects.
  • Analysis of molecular pathways implicated in DNA damage and repair.
  • Summary of clinical trial data and translation of alpha-emitter therapies.

Main Results:

  • High LET alpha-radiation causes significant DNA damage, primarily double-strand breaks.
  • Cellular responses involve complex pathways for DNA repair and cell fate determination.
  • Several alpha-emitters, including (225)Ac, (211)At, (213)Bi, (212)Pb, and (223)Ra, are in clinical development or use.

Conclusions:

  • TAT presents a promising therapeutic strategy for various cancers, especially minimal or compartmentalized disease.
  • Further elucidation of molecular mechanisms is crucial for optimizing TAT efficacy and safety.
  • Clinical translation of TAT and related alpha-emitter therapies is advancing globally.