Article ; Online: Advances in molecular targeted therapies to increase efficacy of (chemo)radiation therapy.
Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al
2023 Volume 199, Issue 12, Page(s) 1091–1109
Abstract: Recent advances in understanding the tumor's biology in line with a constantly growing number of innovative technologies have prompted characterization of patients' individual malignancies and may display a prerequisite to treat cancer at its patient ... ...
Abstract | Recent advances in understanding the tumor's biology in line with a constantly growing number of innovative technologies have prompted characterization of patients' individual malignancies and may display a prerequisite to treat cancer at its patient individual tumor vulnerability. In recent decades, radiation- induced signaling and tumor promoting local events for radiation sensitization were explored in detail, resulting the development of novel molecular targets. A multitude of pharmacological, genetic, and immunological principles, including small molecule- and antibody-based targeted strategies, have been developed that are suitable for combined concepts with radiation (RT) or chemoradiation therapy (CRT). Despite a plethora of promising experimental and preclinical findings, however, so far, only a very limited number of clinical trials have demonstrated a better outcome and/or patient benefit when RT or CRT are combined with targeted agents. The current review aims to summarize recent progress in molecular therapies targeting oncogenic drivers, DNA damage and cell cycle response, apoptosis signaling pathways, cell adhesion molecules, hypoxia, and the tumor microenvironment to impact therapy refractoriness and to boost radiation response. In addition, we will discuss recent advances in nanotechnology, e.g., RNA technologies and protein-degrading proteolysis-targeting chimeras (PROTACs) that may open new and innovative ways to benefit from molecular-targeted therapy approaches with improved efficacy. |
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MeSH term(s) | Humans ; Molecular Targeted Therapy ; Neoplasms/radiotherapy ; Neoplasms/drug therapy ; Antineoplastic Agents/therapeutic use ; Signal Transduction ; Tumor Microenvironment |
Chemical Substances | Antineoplastic Agents |
Language | English |
Publishing date | 2023-04-11 |
Publishing country | Germany |
Document type | Journal Article ; Review |
ZDB-ID | 84983-2 |
ISSN | 1439-099X ; 0179-7158 ; 0039-2073 |
ISSN (online) | 1439-099X |
ISSN | 0179-7158 ; 0039-2073 |
DOI | 10.1007/s00066-023-02064-y |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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