Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma

Abstract The advent of genomics has led to the identification of specific “driver” mutations in oncogenic kinases, and the development of targeted small molecule inhibitors to block their tumor-driving functions. These specific inhibitors have been a clinical success, and often significantly prolong...

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Autores principales: Dana S. Neel, Trever G. Bivona
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/0533102711904302b1f2fc1f1df3168a
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spelling oai:doaj.org-article:0533102711904302b1f2fc1f1df3168a2021-12-02T14:18:34ZResistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma10.1038/s41698-017-0007-02397-768Xhttps://doaj.org/article/0533102711904302b1f2fc1f1df3168a2017-03-01T00:00:00Zhttps://doi.org/10.1038/s41698-017-0007-0https://doaj.org/toc/2397-768XAbstract The advent of genomics has led to the identification of specific “driver” mutations in oncogenic kinases, and the development of targeted small molecule inhibitors to block their tumor-driving functions. These specific inhibitors have been a clinical success, and often significantly prolong the lives of individuals with cancer. Inevitably, however, the treated tumors recur as resistance to these targeted therapies develops. Here, we review the major mechanisms by which a cancer cell can evade targeted therapy, focusing on mechanisms of resistance to kinase inhibitors in lung cancer. We discuss the promising concept of rational upfront polytherapy in lung cancer, which involves concurrently targeting multiple proteins in critical signaling pathways in a cancer cell to prevent or delay resistance.Dana S. NeelTrever G. BivonaNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Precision Oncology, Vol 1, Iss 1, Pp 1-6 (2017)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Dana S. Neel
Trever G. Bivona
Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
description Abstract The advent of genomics has led to the identification of specific “driver” mutations in oncogenic kinases, and the development of targeted small molecule inhibitors to block their tumor-driving functions. These specific inhibitors have been a clinical success, and often significantly prolong the lives of individuals with cancer. Inevitably, however, the treated tumors recur as resistance to these targeted therapies develops. Here, we review the major mechanisms by which a cancer cell can evade targeted therapy, focusing on mechanisms of resistance to kinase inhibitors in lung cancer. We discuss the promising concept of rational upfront polytherapy in lung cancer, which involves concurrently targeting multiple proteins in critical signaling pathways in a cancer cell to prevent or delay resistance.
format article
author Dana S. Neel
Trever G. Bivona
author_facet Dana S. Neel
Trever G. Bivona
author_sort Dana S. Neel
title Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
title_short Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
title_full Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
title_fullStr Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
title_full_unstemmed Resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
title_sort resistance is futile: overcoming resistance to targeted therapies in lung adenocarcinoma
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/0533102711904302b1f2fc1f1df3168a
work_keys_str_mv AT danasneel resistanceisfutileovercomingresistancetotargetedtherapiesinlungadenocarcinoma
AT trevergbivona resistanceisfutileovercomingresistancetotargetedtherapiesinlungadenocarcinoma
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