Article ; Online: A multi-targeted approach to treating bone metastases.
2014 Volume 33, Issue 2-3, Page(s) 545–553
Abstract: The treatment of bone-metastatic cancer now takes advantage of the unique biology of this clinical state. The complex interplay between the cancer cells and the bone microenvironment leads to a host of therapeutic targets, with agents in various stages ... ...
Abstract | The treatment of bone-metastatic cancer now takes advantage of the unique biology of this clinical state. The complex interplay between the cancer cells and the bone microenvironment leads to a host of therapeutic targets, with agents in various stages of clinical use or study. Targets include interactions between the cancer cells and osteoclasts, osteoblasts, endothelial cells, stromal cells, hematopoietic progenitor cells, cells of the immune system, and the bone matrix. Efforts at understanding specific mechanisms of drug resistance in the bone are also ongoing. Successful clinical outcomes will be the result of co-targeting and interrupting the various tumor-supportive elements and cooperating pathways at the level of the tumor cell, the primary and metastatic microenvironments, and systemic cancer effects, leading to a "scaled network disruption" to undermine the disease state. |
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MeSH term(s) | Animals ; Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Bone Matrix/drug effects ; Bone Matrix/metabolism ; Bone Neoplasms/drug therapy ; Bone Neoplasms/metabolism ; Bone Neoplasms/secondary ; Drug Resistance, Neoplasm ; Endothelial Cells/drug effects ; Endothelial Cells/metabolism ; Hematopoietic Stem Cells/drug effects ; Hematopoietic Stem Cells/metabolism ; Humans ; Immunity/drug effects ; Male ; Molecular Targeted Therapy ; Osteoblasts/drug effects ; Osteoblasts/metabolism ; Osteoclasts/drug effects ; Osteoclasts/metabolism ; Prostatic Neoplasms/metabolism ; Prostatic Neoplasms/pathology ; Tumor Microenvironment/drug effects |
Chemical Substances | Antineoplastic Agents |
Language | English |
Publishing date | 2014-09 |
Publishing country | Netherlands |
Document type | Journal Article ; Review |
ZDB-ID | 604857-2 |
ISSN | 1573-7233 ; 0167-7659 |
ISSN (online) | 1573-7233 |
ISSN | 0167-7659 |
DOI | 10.1007/s10555-013-9476-y |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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