Department of Pharmaceutical Sciences, College of Pharmacy, Larkin Health Sciences Institute, 18301 N. Miami Avenue, Miami, FL 33169, USA.
Block Center for Integrative Cancer Treatment, 5230 Old Orchard Road, Skokie, IL 60077, USA.
Semin Cancer Biol. 2015 Dec;35 Suppl:S1-S4. doi: 10.1016/j.semcancer.2015.08.002. Epub 2015 Aug 7.
Despite exciting advances in targeted therapies, high drug costs, marginal therapeutic benefits and notable toxicities are concerning aspects of today's cancer treatments. This special issue of Seminars in Cancer Biology proposes a broad-spectrum, integrative therapeutic model to complement targeted therapies. Based on extensive reviews of the cancer hallmarks, this model selects multiple high-priority targets for each hallmark, to be approached with combinations of low-toxicity, low-cost therapeutics, including phytochemicals, adapted to the well-known complexity and heterogeneity of malignancy. A global consortium of researchers has been assembled to advance this concept, which is especially relevant in an era of rapidly expanding capacity for genomic tumor analyses, alongside alarming growth in cancer morbidity and mortality in low- and middle-income nations.
尽管靶向治疗有令人兴奋的进展,但高药物成本、边际治疗效益和显著毒性是当今癌症治疗令人担忧的方面。本期 Seminars in Cancer Biology 特刊提出了一种广谱的综合治疗模式,以补充靶向治疗。该模型基于对癌症标志的广泛回顾,为每个标志选择多个高优先级的靶点,并用包括植物化学物质在内的低毒性、低成本的治疗药物组合来治疗,这些药物组合适应于众所周知的恶性肿瘤的复杂性和异质性。已经组建了一个全球研究人员联盟来推进这一概念,在基因组肿瘤分析能力迅速扩大的时代,以及低收入和中等收入国家癌症发病率和死亡率惊人增长的时代,这一概念尤为重要。