Signal Transduction and Targeted Therapy,
Год журнала:
2024,
Номер
9(1)
Опубликована: Май 20, 2024
Abstract
Tumor
biomarkers,
the
substances
which
are
produced
by
tumors
or
body’s
responses
to
during
tumorigenesis
and
progression,
have
been
demonstrated
possess
critical
encouraging
value
in
screening
early
diagnosis,
prognosis
prediction,
recurrence
detection,
therapeutic
efficacy
monitoring
of
cancers.
Over
past
decades,
continuous
progress
has
made
exploring
discovering
novel,
sensitive,
specific,
accurate
tumor
significantly
promoted
personalized
medicine
improved
outcomes
cancer
patients,
especially
advances
molecular
biology
technologies
developed
for
detection
biomarkers.
Herein,
we
summarize
discovery
development
including
history
conventional
innovative
used
biomarker
classification
biomarkers
based
on
tissue
origins,
application
clinical
management.
In
particular,
highlight
recent
advancements
biomarker-based
anticancer-targeted
therapies
emerging
as
breakthroughs
promising
strategies.
We
also
discuss
limitations
challenges
that
need
be
addressed
provide
insights
perspectives
turn
into
opportunities
this
field.
Collectively,
multiple
emphasized
review
may
guidance
precision
medicine,
broaden
horizons
future
research
directions,
expedite
patients
according
their
rather
than
organs
origin.
Genes & Diseases,
Год журнала:
2022,
Номер
10(4), С. 1367 - 1401
Опубликована: Март 18, 2022
Cancer
is
an
abnormal
state
of
cells
where
they
undergo
uncontrolled
proliferation
and
produce
aggressive
malignancies
that
causes
millions
deaths
every
year.
With
the
new
understanding
molecular
mechanism(s)
disease
progression,
our
knowledge
about
snowballing,
leading
to
evolution
many
therapeutic
regimes
their
successive
trials.
In
past
few
decades,
various
combinations
therapies
have
been
proposed
are
presently
employed
in
treatment
diverse
cancers.
Targeted
drug
therapy,
immunotherapy,
personalized
medicines
now
largely
being
employed,
which
were
not
common
a
years
back.
The
field
cancer
discoveries
therapeutics
evolving
fast
as
type-specific
biomarkers
progressively
identified
several
types
cancers
nowadays
undergoing
systematic
therapies,
extending
patients'
disease-free
survival
thereafter.
Although
growing
evidence
shows
targeted
approach
could
be
future
medicine,
chemotherapy
remains
opted
option
despite
its
known
side
effects
on
patient's
physical
psychological
health.
Chemotherapeutic
agents/pharmaceuticals
served
great
purpose
over
decades
remained
frontline
choice
for
advanced-stage
surgery
and/or
radiation
therapy
cannot
prescribed
due
specific
reasons.
present
report
succinctly
reviews
existing
contemporary
advancements
assesses
status
enrolled
drugs/pharmaceuticals;
it
also
comprehensively
discusses
emerging
role
specific/targeted
strategies
achieve
better
clinical
success/survival
rate
patients.
Abstract
The
PI3K/AKT/mTOR
(PAM)
signaling
pathway
is
a
highly
conserved
signal
transduction
network
in
eukaryotic
cells
that
promotes
cell
survival,
growth,
and
cycle
progression.
Growth
factor
signalling
to
transcription
factors
the
PAM
axis
regulated
by
multiple
cross-interactions
with
several
other
pathways,
dysregulation
of
can
predispose
cancer
development.
most
frequently
activated
human
often
implicated
resistance
anticancer
therapies.
Dysfunction
components
this
such
as
hyperactivity
PI3K,
loss
function
PTEN,
gain-of-function
AKT,
are
notorious
drivers
treatment
disease
progression
cancer.
In
review
we
highlight
major
dysregulations
cancer,
discuss
results
AKT
mTOR
inhibitors
monotherapy
co-administation
antineoplastic
agents
clinical
trials
strategy
for
overcoming
resistance.
Finally,
mechanisms
targeted
therapies,
including
immunology
immunotherapies
also
discussed.
Signal Transduction and Targeted Therapy,
Год журнала:
2023,
Номер
8(1)
Опубликована: Май 11, 2023
Abstract
Angiogenesis,
the
formation
of
new
blood
vessels,
is
a
complex
and
dynamic
process
regulated
by
various
pro-
anti-angiogenic
molecules,
which
plays
crucial
role
in
tumor
growth,
invasion,
metastasis.
With
advances
molecular
cellular
biology,
biomolecules
such
as
growth
factors,
chemokines,
adhesion
factors
involved
angiogenesis
has
gradually
been
elucidated.
Targeted
therapeutic
research
based
on
these
molecules
driven
treatment
to
become
promising
strategy
anti-tumor
therapy.
The
most
widely
used
agents
include
monoclonal
antibodies
tyrosine
kinase
inhibitors
(TKIs)
targeting
vascular
endothelial
factor
(VEGF)
pathway.
However,
clinical
benefit
this
modality
still
limited
due
several
defects
adverse
events,
acquired
drug
resistance,
recurrence,
lack
validated
biomarkers,
impel
further
mechanisms
angiogenesis,
development
multiple
drugs
combination
therapy
figure
out
how
improve
efficacy.
Here,
we
broadly
summarize
signaling
pathways
discuss
current
challenges
We
also
propose
approaches
efficacy
provide
perspective
for
Signal Transduction and Targeted Therapy,
Год журнала:
2019,
Номер
4(1)
Опубликована: Дек. 24, 2019
Although
many
kinds
of
therapies
are
applied
in
the
clinic,
drug-resistance
is
a
major
and
unavoidable
problem.
Another
disturbing
statistic
limited
number
drug
targets,
which
presently
only
20-25%
all
protein
targets
that
currently
being
studied.
Moreover,
focus
current
explorations
their
enzymatic
functions,
ignores
functions
from
scaffold
moiety.
As
promising
appealing
technology,
PROteolysis
TArgeting
Chimeras
(PROTACs)
have
attracted
great
attention
both
academia
industry
for
finding
available
approaches
to
solve
above
problems.
PROTACs
regulate
function
by
degrading
target
proteins
instead
inhibiting
them,
providing
more
sensitivity
drug-resistant
greater
chance
affect
nonenzymatic
functions.
been
proven
show
better
selectivity
compared
classic
inhibitors.
can
be
described
as
chemical
knockdown
approach
with
rapidity
reversibility,
presents
new
different
biology
other
gene
editing
tools
avoiding
misinterpretations
arise
potential
genetic
compensation
and/or
spontaneous
mutations.
PRTOACs
widely
explored
throughout
world
outperformed
not
cancer
diseases,
but
also
immune
disorders,
viral
infections
neurodegenerative
diseases.
present
very
powerful
crossing
hurdles
discovery
tool
development
biology,
efforts
needed
gain
get
deeper
insight
into
efficacy
safety
clinic.
More
binders
E3
ligases
applicable
developing
waiting
exploration.
Nature Communications,
Год журнала:
2018,
Номер
9(1)
Опубликована: Июль 18, 2018
Abstract
The
cellular
and
molecular
basis
of
stromal
cell
recruitment,
activation
crosstalk
in
carcinomas
is
poorly
understood,
limiting
the
development
targeted
anti-stromal
therapies.
In
mouse
models
triple
negative
breast
cancer
(TNBC),
Hedgehog
ligand
produced
by
neoplastic
cells
reprograms
cancer-associated
fibroblasts
(CAFs)
to
provide
a
supportive
niche
for
acquisition
chemo-resistant,
stem
(CSC)
phenotype
via
FGF5
expression
production
fibrillar
collagen.
Stromal
treatment
patient-derived
xenografts
with
smoothened
inhibitors
(SMOi)
downregulates
CSC
markers
sensitizes
tumors
docetaxel,
leading
markedly
improved
survival
reduced
metastatic
burden.
phase
I
clinical
trial
EDALINE,
3
12
patients
TNBC
derived
benefit
from
combination
therapy
SMOi
Sonidegib
docetaxel
chemotherapy,
one
patient
experiencing
complete
response.
These
studies
identify
signaling
CAFs
as
novel
mediator
plasticity
an
exciting
new
therapeutic
target
TNBC.
Nature Communications,
Год журнала:
2019,
Номер
10(1)
Опубликована: Март 26, 2019
Abstract
Using
an
ORF
kinome
screen
in
MCF-7
cells
treated
with
the
CDK4/6
inhibitor
ribociclib
plus
fulvestrant,
we
identified
FGFR1
as
a
mechanism
of
drug
resistance.
FGFR1-amplified/ER+
breast
cancer
and
transduced
were
resistant
to
fulvestrant
±
or
palbociclib.
This
resistance
was
abrogated
by
treatment
FGFR
tyrosine
kinase
(TKI)
lucitanib.
Addition
TKI
erdafitinib
palbociclib/fulvestrant
induced
complete
responses
patient-derived-xenografts.
Next
generation
sequencing
circulating
tumor
DNA
(ctDNA)
34
patients
after
progression
on
inhibitors
FGFR1/2
amplification
activating
mutations
14/34
(41%)
post-progression
specimens.
Finally,
ctDNA
from
enrolled
MONALEESA-2,
registration
trial
ribociclib,
showed
that
exhibited
shorter
progression-free
survival
compared
wild
type
FGFR1.
Thus,
propose
cancers
pathway
alterations
should
be
considered
for
trials
using
combinations
ER,
antagonists.