Shimodaira Hideki
Division of Medical Oncology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University.
Gan To Kagaku Ryoho. 2018 Apr;45(4):587-592.
Development of molecular targeted drugs has achieved remarkable improvement of systemic cancer therapy. Recently, the several molecular targeted drugs have become available which associated with the status of responsible genes for hereditary cancer syndrome. These drugs would allow to establish specific strategy for hereditary cancer syndrome or sporadic cancers with similar biological phenotype with hereditary cancer. Genetic tests for the diagnosis of hereditary cancer syndrome will have the meaning of biomarker for predicting the efficacy of these molecular targeted drugs. This review summarized the molecular targeted drugs including immune checkpoint inhibitors with potential effects for hereditary cancer syndrome, such as anti-PD-1 antibody for Lynch syndrome, PARP inhibitor for hereditary breast and ovarian cancer syndrome, multi-kinase inhibitor for multiple endocrine neoplasia type 2.
分子靶向药物的发展已使系统性癌症治疗取得显著进展。最近,已有几种与遗传性癌症综合征相关责任基因状态有关的分子靶向药物可供使用。这些药物将有助于为遗传性癌症综合征或具有与遗传性癌症相似生物学表型的散发性癌症制定特定策略。用于诊断遗传性癌症综合征的基因检测将具有预测这些分子靶向药物疗效的生物标志物意义。本综述总结了对遗传性癌症综合征可能有效的分子靶向药物,包括免疫检查点抑制剂,如用于林奇综合征的抗PD-1抗体、用于遗传性乳腺癌和卵巢癌综合征的PARP抑制剂、用于2型多发性内分泌肿瘤的多激酶抑制剂。