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Defining Gene Functions in Tumorigenesis by Ex vivo Ablation of Floxed Alleles in Malignant Peripheral Nerve Sheath Tumor Cells
Published on: August 25, 2021
Targeted therapy for genetic cancer syndromes: Fanconi anemia, medullary thyroid cancer, tuberous sclerosis, and
Rishi Agarwal1, Sarah Liebe2, Michelle L Turski3
1Department of Medicine Division of Hematology/Oncology, University of Cincinnati, Cincinnati, OH 45267, USA.
Abstract:
With the advent of genomics-based treatment in recent years, the use of targeted therapies in the treatment of various malignancies has increased exponentially. Though much data is available regarding the efficacy of targeted therapies for common malignancies, genetic cancer syndromes remain a somewhat unexplored topic with comparatively less published literature. This review seeks to characterize targeted therapy options for the following genetic cancer syndromes: Fanconi anemia, inherited medullary thyroid cancer, tuberous sclerosis, and RASopathies. By understanding the pathophysiology of these conditions as well as available molecularly targeted therapies, oncologists, in collaboration with geneticists and genetic counsellors, can begin to develop effective clinical management options and therapy regimens for the patients with these genetic syndromes that they may encounter in their practice.
Insights
Targeted therapies offer new hope for rare genetic cancer syndromes like Fanconi anemia and RASopathies. This review details molecularly targeted treatments for these understudied conditions, aiding clinical management.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Genomics-based treatments and targeted therapies are increasingly used for malignancies.
- Genetic cancer syndromes are underrepresented in targeted therapy research.
- Limited literature exists on targeted therapy efficacy for rare genetic conditions.
Purpose of the Study:
- To review targeted therapy options for specific genetic cancer syndromes.
- To characterize the pathophysiology and molecular targets for Fanconi anemia, inherited medullary thyroid cancer, tuberous sclerosis, and RASopathies.
- To inform oncologists, geneticists, and genetic counselors on managing these rare syndromes.
Main Methods:
- Literature review of targeted therapies for genetic cancer syndromes.
- Analysis of the pathophysiology of selected syndromes.
- Identification of available molecularly targeted agents.
Main Results:
- Fanconi anemia, inherited medullary thyroid cancer, tuberous sclerosis, and RASopathies have distinct genetic underpinnings.
- Specific molecular targets and targeted therapies are emerging for these conditions.
- Understanding pathophysiology is key to selecting appropriate therapies.
Conclusions:
- Targeted therapies hold promise for managing genetic cancer syndromes.
- Further research is needed to expand treatment options.
- Multidisciplinary collaboration is essential for effective patient management.
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