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Updated: Oct 4, 2025

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Genomics-guided pre-clinical development of cancer therapies
Hayley E Francies1, Ultan McDermott2, Mathew J Garnett3
1Wellcome Sanger Institute, Cambridge, UK.
Abstract:
Since the approval of trastuzumab for the treatment of breast cancers more than two decades ago, many clinically effective targeted anti-cancer therapies have been developed. Here we consider the evidence that supports genomics-guided drug development and review the concept of oncogene addiction, including recent findings that inform this therapeutic approach. We consider non-oncogene addiction and how this synthetic-lethal paradigm could expand the range of new therapies, particularly for currently undruggable cancers. We discuss how CRISPR-based genetic screening is enhancing the ability to identify new targets. We conclude by considering opportunities for expanding the scope and refining the use of precision cancer medicines.
Insights
Genomics guides cancer drug development, exploring oncogene addiction and synthetic lethality. CRISPR screening aids target identification for new precision cancer medicines.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Trastuzumab's approval over 20 years ago marked a milestone in targeted cancer therapy.
- Numerous clinically effective targeted anti-cancer therapies have since been developed.
Purpose of the Study:
- To review evidence supporting genomics-guided drug development.
- To discuss oncogene addiction and synthetic lethality for novel cancer therapies.
- To explore CRISPR screening for new target identification in precision oncology.
Main Methods:
- Review of evidence for genomics-guided drug development.
- Analysis of the oncogene addiction concept and synthetic-lethal paradigms.
- Discussion of CRISPR-based genetic screening applications.
Main Results:
- Genomics provides a strong foundation for developing targeted anti-cancer drugs.
- Oncogene addiction and synthetic lethality offer new therapeutic avenues, especially for difficult-to-treat cancers.
- CRISPR screening accelerates the identification of novel therapeutic targets.
Conclusions:
- Precision cancer medicine is evolving with advancements in genomics and genetic screening.
- Expanding the scope and refining the application of these approaches are crucial for future cancer treatment.
- Targeted therapies and synthetic lethality hold promise for overcoming drug resistance and treating undruggable cancers.
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