Sone Saburo, Kuramoto Takuya, Sato Seidai, Mitsuhashi Atsushi, Kakiuchi Souji, Goto Hisatsugu, Tada Hiroya, Nishioka Yasuhiko
Department of Respiratory Medicine and Rheumatology, Institute of Health Biosciences, The University of Tokushima Graduate School.
Nihon Rinsho. 2010 Jun;68(6):997-1006.
Recent insights into the molecular mechanism of cancer progression have given rise to specific target-directed therapies, including monoclonal antibodies and small molecular compounds, and the advent of target-specific therapeutics has remarkably improved the outcomes of patients with various malignancies. Recent advance also lead to the identification of prognostic biomarkers as predictive factors in determining response to molecular targeted drugs. Future studies also need to develop biomarkers to further increase the power of patient selection for molecular targeted therapy. Here we review the recent progress in developing new molecular targeted drugs and the resistance to treatments as well as the importance of measuring the QOL by patient-reported outcome, for personalized therapy.
最近对癌症进展分子机制的深入了解催生了特定的靶向治疗方法,包括单克隆抗体和小分子化合物,而靶向特异性治疗药物的出现显著改善了各种恶性肿瘤患者的治疗效果。最近的进展还促使人们确定预后生物标志物,将其作为决定分子靶向药物反应的预测因素。未来的研究还需要开发生物标志物,以进一步提高分子靶向治疗患者选择的准确性。在此,我们综述了新型分子靶向药物研发、治疗耐药性方面的最新进展,以及通过患者报告结局评估生活质量对个性化治疗的重要性。