Department of Neurology, VU University Medical Center, Amsterdam, The Netherlands.
Pharmacol Ther. 2013 Jan;137(1):78-88. doi: 10.1016/j.pharmthera.2012.09.002. Epub 2012 Sep 14.
Rapidly evolving techniques for analysis of the genome provide new opportunities for cancer therapy. For diffuse gliomas this has resulted in molecular markers with potential for personalized therapy. Some drugs that utilize pharmacogenomics are currently being tested in clinical trials. In melanoma, lung-, breast-, gastric- and colorectal carcinoma several molecular markers are already being clinically implemented for diagnosis and treatment. These insights can serve as a background for the promise and limitations that pharmacogenomics has for diffuse gliomas. Better molecular characterization of diffuse gliomas, including analysis of the molecular underpinnings of drug efficacy in clinical trials, is urgently needed. We foresee exciting developments in the upcoming years with clinical benefit for the patients.
快速发展的基因组分析技术为癌症治疗提供了新的机会。对于弥漫性神经胶质瘤,这导致了具有个性化治疗潜力的分子标志物。一些利用药物基因组学的药物目前正在临床试验中进行测试。在黑色素瘤、肺癌、乳腺癌、胃癌和结直肠癌中,已经有几种分子标志物用于临床诊断和治疗。这些研究结果可以为药物基因组学在弥漫性神经胶质瘤中的应用前景和局限性提供背景。更好地对弥漫性神经胶质瘤进行分子特征分析,包括分析临床试验中药物疗效的分子基础,是迫切需要的。我们预计在未来几年会有令人兴奋的发展,为患者带来临床获益。