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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Comprehensive molecular tumor profiling in radiation oncology: How it could be used for precision medicine
Iris Eke1, Adeola Y Makinde1, Molykutty J Aryankalayil1
1Radiation Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Abstract:
New technologies enabling the analysis of various molecules, including DNA, RNA, proteins and small metabolites, can aid in understanding the complex molecular processes in cancer cells. In particular, for the use of novel targeted therapeutics, elucidation of the mechanisms leading to cell death or survival is crucial to eliminate tumor resistance and optimize therapeutic efficacy. While some techniques, such as genomic analysis for identifying specific gene mutations or epigenetic testing of promoter methylation, are already in clinical use, other "omics-based" assays are still evolving. Here, we provide an overview of the current status of molecular profiling methods, including promising research strategies, as well as possible challenges, and their emerging role in radiation oncology.
Insights
Advanced molecular profiling, including genomics and epigenetics, helps understand cancer cell processes and targeted therapy resistance. These "omics-based" methods are crucial for optimizing radiation oncology treatments.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer involves complex molecular processes requiring advanced analysis.
- Understanding cell death and survival mechanisms is key for targeted therapeutics and overcoming tumor resistance.
- Genomic and epigenetic analyses are clinically used, while other omics assays are developing.
Purpose of the Study:
- To provide an overview of current molecular profiling methods in cancer research.
- To discuss promising research strategies and challenges in molecular profiling.
- To explore the emerging role of molecular profiling in radiation oncology.
Main Methods:
- Review of existing and emerging omics-based assays (genomics, epigenetics, proteomics, metabolomics).
- Analysis of technologies for molecular profiling in cancer.
- Examination of clinical applications and research frontiers.
Main Results:
- Molecular profiling technologies are advancing rapidly, offering deeper insights into cancer.
- Genomic and epigenetic analyses are established, with proteomics and metabolomics showing great potential.
- Challenges include data integration and standardization of omics assays.
Conclusions:
- Molecular profiling is essential for understanding cancer and developing effective targeted therapies.
- Emerging omics technologies hold significant promise for personalized radiation oncology.
- Continued research and development are needed to overcome challenges and fully leverage molecular profiling.
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