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Molecular Targets in Advanced Therapeutics of Cancers: The Role of Pharmacogenetics
Murtala B Abubakar1, Siew Hua Gan
1Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.
Abstract:
The advent of advanced molecular targeted therapy has resulted in improved prognoses for patients with advanced malignancies. However, despite the significant success and specificity of this advocated targeted therapy, significant on- and off-target adverse effects and inter-individual variability in treatment responses have been reported. The interpatient variability in drug response has been suggested to be partly due to variations in patient genomes. Therefore, the identification of genetic biomarkers by conducting pharmacogenetics studies can help predict patient responses to targeted therapy and may serve as a basis for individualized treatment. In this review, both clinically established and potential molecular targets are highlighted. Overall, current literature suggests that individualization of targeted therapy is promising; however, integrating the clinical benefits of identified biomarkers into clinical practice for personalized medicine remains a major challenge, and further studies to validate these markers and identify novel therapeutic approaches are needed.
Insights
Pharmacogenetics studies identify genetic biomarkers to predict patient responses to molecular targeted therapy for advanced cancers. Validating these biomarkers is crucial for personalized medicine and improving patient outcomes.
Area of Science:
- Oncology
- Pharmacogenomics
- Molecular Biology
Background:
- Advanced molecular targeted therapy improves cancer prognoses but causes adverse effects and variable responses.
- Inter-individual variability in drug response is linked to patient genetic variations.
- Pharmacogenetics offers a pathway to predict treatment efficacy and personalize cancer care.
Purpose of the Study:
- To review established and potential molecular targets for targeted cancer therapy.
- To explore the role of genetic biomarkers in predicting patient responses to targeted therapy.
- To discuss challenges in integrating pharmacogenetic findings into clinical practice for personalized medicine.
Main Methods:
- Literature review of established and emerging molecular targets in targeted cancer therapy.
- Analysis of pharmacogenetics studies investigating genetic biomarkers for treatment response prediction.
- Synthesis of current evidence on the clinical utility and challenges of personalized targeted therapy.
Main Results:
- Molecular targeted therapies have shown significant success but are limited by adverse effects and patient-specific responses.
- Genetic variations in patients contribute to inter-individual differences in drug efficacy and toxicity.
- Numerous molecular targets and associated genetic biomarkers have been identified, with varying degrees of clinical validation.
Conclusions:
- Pharmacogenetic biomarker identification holds promise for individualizing targeted cancer therapy.
- Clinical integration of these biomarkers into personalized medicine faces challenges requiring further validation and research.
- Continued research is essential to refine targeted therapies and develop novel approaches for improved cancer treatment.
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