First Department of Internal Medicine, Sapporo Medical University, Sapporo, Japan; Department of Regional Health Care and Medicine, Sapporo Medical University, Sapporo, Japan.
Cancer Sci. 2012 Nov;103(11):1907-12. doi: 10.1111/j.1349-7006.2012.02384.x. Epub 2012 Aug 17.
Recently, intensive laboratory and preclinical studies have identified and validated therapeutic molecular targets in multiple myeloma (MM). The introduction of novel agents such as the proteasome inhibitor bortezomib and the immunomodulatory drugs thalidomide and lenalidomide, which were rapidly translated from preclinical studies at the Dana-Farber Cancer Institute into clinical trials, has changed the treatment paradigm and markedly extended overall survival; MM has therefore become a remarkable example of translational cancer research in new drug development. In this article, with the aim of determining the key factors underlying success in translational research, we focus on our studies of MM at Dana-Farber Cancer Institute as well as at our institutes. The identification of these key factors will help to promote translational cancer research not only in MM but also in other hematologic malignancies and solid tumors, to develop novel therapies, to overcome drug resistance, and to thereby improve the prognosis of cancer patients.
最近,密集的实验室和临床前研究已经确定并验证了多发性骨髓瘤(MM)中的治疗分子靶标。新型药物的引入,如蛋白酶体抑制剂硼替佐米以及免疫调节药物沙利度胺和来那度胺,这些药物迅速从 Dana-Farber 癌症研究所的临床前研究转化为临床试验,改变了治疗模式,显著延长了总生存期;因此,MM 成为了新药开发中转化癌症研究的一个显著范例。在本文中,我们旨在确定转化研究成功的关键因素,重点介绍了我们在 Dana-Farber 癌症研究所及我们研究所的 MM 研究。确定这些关键因素将有助于推动不仅在 MM 而且在其他血液恶性肿瘤和实体瘤中的转化癌症研究,开发新的治疗方法,克服药物耐药性,从而改善癌症患者的预后。