Oncogene addiction: pathways of therapeutic response, resistance, and road maps toward a cure

Raymond Pagliarini1, Wenlin Shao1, William R Sellers2

  • 1Department of Oncology, Novartis Institutes for BioMedical Research, Cambridge, MA, USA.

EMBO Reports
|February 15, 2015
PubMed

Insights

Many cancers depend on single oncogenes for growth, a concept known as oncogene addiction. Understanding this addiction and resistance mechanisms can lead to curative cancer therapies.

Area of Science:

  • Oncology
  • Cancer Genetics
  • Molecular Biology

Background:

  • Cancer therapeutics aim to target genetic drivers of tumor growth.
  • Oncogene addiction describes cancer's reliance on specific oncogenes.
  • Most cancers have multiple mutations, yet some respond to single-gene inhibition.

Purpose of the Study:

  • To review clinical evidence supporting oncogene addiction.
  • To discuss mechanisms of response and resistance to targeted therapies.
  • To identify opportunities for developing curative cancer treatments.

Main Methods:

  • Review of preclinical and clinical data.
  • Analysis of mechanistic themes in targeted therapy.
  • Exploration of future therapeutic strategies.

Main Results:

  • Clinical data confirm the concept of oncogene addiction in various cancers.
  • Common mechanisms underlie both therapeutic response and acquired resistance.
  • Targeting oncogene addiction presents a promising avenue for cancer cure.

Conclusions:

  • Oncogene addiction is a validated therapeutic principle.
  • Understanding resistance is crucial for durable responses.
  • Exploiting oncogene addiction offers potential for curative cancer therapies.

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