Sebolt-Leopold Judith S, English Jessie M
Pfizer Global Research and Development, Michigan Laboratories, 2800 Plymouth Road, Ann Arbor, Michigan 48105, USA.
Nature. 2006 May 25;441(7092):457-62. doi: 10.1038/nature04874.
The emergence of tumour-specific, molecularly targeted agents signifies a paradigm shift in cancer therapy, with less reliance on drugs that non-discriminately kill tumour and host cells. Although the diversity of targets giving rise to this new generation of anticancer drugs has expanded, many challenges persist in the design of effective treatment regimens. The complex interplay of signal-transduction pathways further complicates the customization of cancer treatments to target single mechanisms. However, despite uncertainty over precise or dominant mechanisms of action, especially for compounds targeting multiple gene products, emerging agents are producing significant therapeutic advances against a broad range of human cancers.
肿瘤特异性分子靶向药物的出现标志着癌症治疗的范式转变,减少了对非特异性杀伤肿瘤细胞和宿主细胞药物的依赖。尽管产生这新一代抗癌药物的靶点多样性有所增加,但在有效治疗方案的设计中仍存在许多挑战。信号转导通路的复杂相互作用进一步使针对单一机制的癌症治疗定制复杂化。然而,尽管作用的精确或主要机制尚不确定,尤其是对于靶向多种基因产物的化合物,但新兴药物在针对多种人类癌症的治疗方面正在取得重大进展。