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Updated: May 9, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
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.
Abstract:
In recent years, targeted agents have rapidly evolved as effective tools in the clinical management of a broad range of malignant diseases. These agents disrupt molecular mechanisms and signaling modules that drive the malignant phenotype in defined subsets of malignancies. Beyond the intended cellular targets crucial to tumor growth and progression, these agents also affect signal transduction in normal cells and tissues. The resulting adverse events and their clinical management continue to change, as newer agents with an ever-increasing target spectrum are developed. We provide a succinct overview of dermatologic toxicities arising from the targeting of receptor tyrosine kinases and downstream effectors. Emergent insights into the pathomechanisms involved and the use of this knowledge base to alleviate cutaneous adverse events are discussed.
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.
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