Unlocking the Next Frontier in Precision Oncology: Addressing Drug-Tolerant Residual Disease
Jessica J Lin1, Justin F Gainor1, Vincent K Lam2
1Department of Medicine and Cancer Center, Massachusetts General Hospital, Boston, Massachusetts.
Summary:
Drug-tolerant residual disease (DTRD) after the initial maximal response to a systemic therapy can serve as a tumor reservoir for the development of acquired drug resistance and represents a major clinical challenge across various cancers and types of therapies. To unlock the next frontier in precision oncology, we propose a fundamental paradigm shift in the treatment of metastatic cancers with a sharpened focus towards defining, monitoring, and therapeutically targeting the DTRD state.
Insights
Drug-tolerant residual disease (DTRD) can cause acquired drug resistance in metastatic cancers. Targeting this residual disease state is crucial for advancing precision oncology and improving patient outcomes.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Drug-tolerant residual disease (DTRD) poses a significant challenge in cancer therapy.
- DTRD acts as a reservoir for acquired drug resistance.
- This phenomenon impacts various cancers and therapeutic approaches.
Purpose of the Study:
- To propose a paradigm shift in metastatic cancer treatment.
- To focus on defining, monitoring, and targeting DTRD.
- To advance precision oncology strategies.
Main Methods:
- The abstract does not specify methods.
- Further research is needed to define methodologies for DTRD monitoring and targeting.
Main Results:
- The abstract does not specify results.
- The study proposes a conceptual framework rather than presenting empirical findings.
Conclusions:
- Addressing DTRD is essential for overcoming acquired drug resistance.
- A strategic focus on DTRD is key to the future of precision oncology.
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