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药物再利用能否加速精准肿瘤学发展?

Can Drug Repurposing Accelerate Precision Oncology?

机构信息

Division of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, the Netherlands.

Oncode Institute, Utrecht, the Netherlands.

出版信息

Cancer Discov. 2022 Jul 6;12(7):1634-1641. doi: 10.1158/2159-8290.CD-21-0612.

Abstract

UNLABELLED

Ongoing new insights in the field of cancer diagnostics, genomic profiling, and cancer behavior have raised the demand for novel, personalized cancer treatments. As the development of new cancer drugs is a challenging, costly, and time-consuming endeavor, drug repurposing is regarded as an attractive alternative to potentially accelerate this. In this review, we describe strategies for drug repurposing of anticancer agents, translation of preclinical findings in novel trial designs, and associated challenges. Furthermore, we provide suggestions to further utilize the potential of drug repurposing within precision oncology, with a focus on combinatorial approaches.

SIGNIFICANCE

Oncologic drug development is a timely and costly endeavor, with only few compounds progressing to meaningful therapy options. Although repurposing of existing agents for novel, oncologic indications provides an opportunity to accelerate this process, it is not without challenges.

摘要

未加标签

在癌症诊断、基因组分析和癌症行为领域不断出现的新见解,提高了对新型个性化癌症治疗的需求。由于开发新的癌症药物具有挑战性、成本高且耗时,因此药物再利用被认为是一种有吸引力的替代方法,可能会加速这一过程。在这篇综述中,我们描述了抗癌药物再利用的策略、将临床前发现转化为新型试验设计以及相关挑战。此外,我们提供了进一步利用肿瘤精准医学中药物再利用潜力的建议,重点是组合方法。

意义

肿瘤药物开发是一项及时且昂贵的工作,只有少数化合物能进展为有意义的治疗选择。虽然为新的肿瘤适应证重新利用现有药物提供了加速这一过程的机会,但这并非没有挑战。

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