Targeted Therapy
Targeted therapy refers to a class of medications designed to impede the
growth of cancer cells by disrupting specific molecules crucial for
carcinogenesis and tumor expansion, rather than simply targeting rapidly
dividing cells as traditional chemotherapy does. These therapies hold the
potential to be more effective against cancer while causing less harm to
healthy cells.
The seminal experiments demonstrating the ability of targeted therapy to
reverse the malignant behavior of tumor cells involved treating Her2/neu
transformed cells with monoclonal antibodies, conducted by Mark Greeneās
laboratory, both in vitro and in vivo.
Some critics have questioned the use of the term "targeted therapy," arguing
that drugs typically associated with this term lack sufficient selectivity.
As a result, the phrase is occasionally used within quotation marks.
Targeted therapy can be categorized into two main groups: small molecules
and monoclonal antibodies.
Many oncologists see targeted therapies as the future of chemotherapy. As
solid tumor cancer increasingly becomes regarded as a chronic condition,
research into long-term treatment methods with fewer side effects continues
to progress.
In the United States, the National Cancer Institute's Molecular Targets
Development Program (MTDP) is dedicated to identifying and evaluating
molecular targets that could potentially be developed into drugs.
The next phase of targeted therapies will involve identifying which patients
will respond best to specific targeted therapies. This process, known as
identifying "sub-populations," stratified medicine, or personalized
medicine, relies on biomarkers and surrogate endpoints for identification.
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