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Targeted Cancer Therapies

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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
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Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
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Epigenetic therapy and chemosensitization in solid malignancy.

Sean M Ronnekleiv-Kelly1, Anup Sharma1, Nita Ahuja1

  • 1Department of Surgery, The Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD 21287, USA.

Cancer Treatment Reviews
|April 22, 2017
PubMed
Summary

Epigenetic therapy reprograms cancer cells and shows promise when combined with other treatments. This approach offers durable responses in specific cancers, paving the way for future clinical trials.

Keywords:
CancerChemosensitizationEpigenetic therapyEpigeneticsSolid tumors

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Area of Science:

  • Oncology
  • Epigenetics
  • Pharmacology

Background:

  • Epigenetic modifications dynamically regulate gene expression, leading to active or suppressed transcriptional states.
  • The reversible nature of epigenetic changes forms the basis for epigenetic therapy, aiming to reprogram cancer cells.

Purpose of the Study:

  • To review the clinical potential and applications of epigenetic therapies in cancer treatment.
  • To highlight the benefits of combining epigenetic therapy with conventional cytotoxic or targeted systemic therapies.

Main Methods:

  • Review of clinical investigations and trials evaluating epigenetic therapies.
  • Analysis of combination therapy efficacy in various cancers, including NSCLC, ovarian, and breast cancer.
  • Identification of patient subsets with durable responses to epigenetic therapy in solid tumors.

Main Results:

  • Currently, only histone deacetylase inhibitors and DNA methyltransferase inhibitors are approved for hematologic malignancies.
  • Combination epigenetic therapy demonstrates chemosensitization, enhancing the efficacy of standard treatments.
  • Specific patient subsets, particularly in NSCLC with hypermethylation, show durable responses to epigenetic therapy.

Conclusions:

  • Epigenetic therapy offers a promising strategy for cancer treatment, distinct from traditional cytotoxic approaches.
  • Combination therapy utilizing epigenetic agents shows significant benefit and warrants further investigation in ongoing trials.
  • Identifying specific biomarkers and patient subsets can optimize the application of epigenetic therapies for durable responses.