Agarwal Rishi, Liebe Sarah, Turski Michelle L, Vidwans Smruti J, Janku Filip, Garrido-Laguna Ignacio, Munoz Javier, Schwab Richard, Rodon Jordi, Kurzrock Razelle, Subbiah Vivek
Department of Medicine Division of Hematology/Oncology, University of Cincinnati, Cincinnati, OH 45267, USA.
UT Health, University of Texas - Houston, Houston, TX 77030, USA.
Discov Med. 2014 Dec;18(101):323-30.
Hereditary cancer syndromes are well known in the oncology community, typically affecting children, adolescents, and young adults and thereby resulting in great cumulative morbidity and mortality. These syndromes often lag behind their de novo counterparts in the development of approved novel treatment options due to their rarity in the general population. Recent work has allowed the identification of molecular aberrations and associated targeted therapies that may effectively treat these conditions. In this review, we seek to characterize some of the involved aberrations and associated targeted therapies for several germline malignancies, including neurofibromatosis types 1 and 2, and Gorlin syndrome. Though patients with hereditary cancer syndromes may be too rare to effectively include in large clinical trials, by understanding the pathophysiology of these diseases, clinicians can attain insights into the use of targeted therapies in their own practice when treating affected individuals.
遗传性癌症综合征在肿瘤学界广为人知,通常影响儿童、青少年和年轻成年人,从而导致巨大的累积发病率和死亡率。由于这些综合征在普通人群中较为罕见,在批准的新型治疗方案的开发方面,它们往往落后于新发癌症。最近的研究工作已经能够识别出可能有效治疗这些疾病的分子异常和相关靶向疗法。在本综述中,我们试图描述几种遗传性恶性肿瘤(包括1型和2型神经纤维瘤病以及基底细胞痣综合征)所涉及的一些异常和相关靶向疗法。尽管遗传性癌症综合征患者可能过于罕见,无法有效地纳入大型临床试验,但通过了解这些疾病的病理生理学,临床医生在治疗受影响个体时,可以在自己的实践中获得关于使用靶向疗法的见解。