Skin toxicity of targeted cancer agents: mechanisms and intervention

Viswanath Reddy Belum1, Hiral Fontanilla Patel, Mario E Lacouture

  • 1Dermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, Rockefeller Outpatient Pavilion Suite 248, 160 East 53rd Street, New York, NY 10022, USA.

Insights

Targeted cancer therapies disrupt tumor growth but can cause skin toxicities. Understanding these adverse events and their mechanisms helps manage side effects in patients receiving receptor tyrosine kinase inhibitors.

Area of Science:

  • Oncology
  • Dermatology
  • Molecular Biology

Background:

  • Targeted agents are crucial in managing malignancies by disrupting cancer-specific molecular pathways.
  • These therapies affect normal cells, leading to adverse events, particularly dermatologic toxicities.
  • The development of novel agents with broader targets necessitates continuous updates in managing side effects.

Purpose of the Study:

  • To provide an overview of dermatologic toxicities associated with targeted therapies.
  • To discuss the underlying pathomechanisms of these cutaneous adverse events.
  • To explore strategies for alleviating skin toxicities based on emerging insights.

Main Methods:

  • Review of current literature on targeted agents and their dermatologic side effects.
  • Analysis of molecular mechanisms driving both therapeutic efficacy and cutaneous toxicities.
  • Synthesis of clinical observations and management strategies for skin adverse events.

Main Results:

  • Receptor tyrosine kinase inhibitors and downstream effectors are common culprits for dermatologic toxicities.
  • Specific molecular pathways targeted by these agents are implicated in the pathogenesis of skin reactions.
  • Effective management strategies are emerging, informed by a deeper understanding of the pathomechanisms.

Conclusions:

  • Dermatologic toxicities are significant adverse events associated with targeted cancer therapies.
  • Understanding the molecular basis of these toxicities is key to developing effective management and mitigation strategies.
  • Continued research into targeted agents and their side effects is essential for improving patient care.

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...
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...