Molecularly Targeted Therapies in Solid Tumors

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Biomarkers".

Deadline for manuscript submissions: closed (30 September 2020) | Viewed by 6259

Special Issue Editor


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Guest Editor
PhD in Health Sciences, Auxiliary Researcher at Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal
Interests: molecular-targeted therapies in cancer; oncogenic signaling pathways; prognostic biomarkers; cancer metabolism; molecular mechanisms of therapy resistance in oncology
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Special Issue Information

Dear Colleagues,

In the past century, the pharmacological treatment of most cancers was largely limited to cytotoxic chemotherapy. Although this is effective in some cancers, conventional chemotherapy is often limited by serious and sometimes life-threatening side effects. Thus, the ideal anticancer strategy would be one that selectively restricts the proliferation and survival of tumor cells while sparing normal cells. Molecular targeted therapies, which are tailored to interfere specifically with the key molecular aberrations that drive the malignant phenotype, are designed to meet this criterion at least partially, and they therefore hold great promise for expanding the therapeutic window.

Actually, the definition of signaling pathways to understand tumor biology, combined with the rapid development of technologies that allow high-throughput molecular analysis of tumors, has led to a new era of precision medicine in oncology, resulting in a highly productive drug discovery effort to develop oncology drugs targeted against oncogenic kinases. However, although the concept of oncogene addiction has led to some initially impressive clinical results, it is also apparent that tumors can often escape their oncogene-addicted state, causing relapse of the tumor even after pronounced initial responses. Thus, the main challenge in precision oncology includes both the identification of biomarkers that enable selection of patient populations that are most likely to benefit from the treatment and anticipation of the driven resistance molecular mechanisms.

This Special Issue will highlight the importance of molecular targeted therapies in oncological patient management, covering new basic and preclinical discoveries on the field of predictive biomarkers or resistance drivers to molecular targeted therapies response in solid tumors.

Dr. Olga Martinho
Guest Editor

Manuscript Submission Information

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Keywords

  • molecular targeted therapies
  • oncogene signaling pathways
  • precision oncology
  • predictive biomarkers
  • therapy resistance
  • solid tumors

Published Papers (2 papers)

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12 pages, 1860 KiB  
Article
Mutational Profile of Malignant Pleural Mesothelioma (MPM) in the Phase II RAMES Study
by Maria Pagano, Luca Giovanni Ceresoli, Paolo Andrea Zucali, Giulia Pasello, Marina Garassino, Federica Grosso, Marcello Tiseo, Hector Soto Parra, Francesca Zanelli, Federico Cappuzzo, Francesco Grossi, Filippo De Marinis, Paolo Pedrazzoli, Roberta Gnoni, Candida Bonelli, Federica Torricelli, Alessia Ciarrocchi, Nicola Normanno and Carmine Pinto
Cancers 2020, 12(10), 2948; https://doi.org/10.3390/cancers12102948 - 13 Oct 2020
Cited by 18 | Viewed by 3578
Abstract
Purpose: Malignant pleural mesothelioma (MPM) is an aggressive cancer. Data are not available in prospective trials on correlations between genetic alterations and outcomes of therapies. In this study, we assessed the genetic profile of MPM patients (pts) in tissue samples. Patients and Methods: [...] Read more.
Purpose: Malignant pleural mesothelioma (MPM) is an aggressive cancer. Data are not available in prospective trials on correlations between genetic alterations and outcomes of therapies. In this study, we assessed the genetic profile of MPM patients (pts) in tissue samples. Patients and Methods: From December 2016 to July 2018 (end of enrolment), 164 pts were enrolled. We evaluated by targeted sequencing the mutational profile of a panel of 34 genes: ACTB, ACTG1, ACTG2, ACTR1A, BAP1, CDH8, CDK4, CDKN2A, CDKN2B, COL3A1, COL5A2, CUL1, DHFR, GOT1, KDR, KIT, MXRA5, NF2, NFRKB, NKX6-2, NOD2, PCBD2, PDZK1IP1, PIK3CA, PIK3CB, PSMD13, RAPGEF6, RDX, SETDB1, TAOK1, TP53, TXNRD1, UQCRC1, XRCC6. Genetic profiling was correlated with clinical and pathological variables. Results: Overall, 110 pts (67%) from both treatment arms had samples available for molecular analysis. Median age was 63 years (45–81), 25.5% (n = 28) were females, and 74.5% (n = 82) were males. Tumor histotype was 81.8% (n = 90) epithelioid and 18.2% (n = 20) non-epithelioid; 28.5% of the tumors (n = 42) were stage IV, 71.5% (n = 68) were stage III. Targeted sequencing of tissue specimens identified 275 functional somatic mutations in the 34 genes analyzed. The number of mutated genes was positively associated with higher stage and metastatic disease (p = 0.025). RDX (42%), MXRA5 (23%), BAP1 (14%), and NF2 (11%) were the most frequently mutated genes. Mutations in RAPGEF6 (p = 0.03) and ACTG1 (p = 0.02) were associated with the non-epithelioid subtype, and mutations in BAP1 (p = 0.04) were related to progression-free survival (PFS) > 6 months. Conclusions: In the Ramucirumab Mesothelioma clinical trial (RAMES), mutation of the gene BAP1 is related to a prolonged PFS for patients treated with platinum/pemetrexed regimens (p = 0.04). Full article
(This article belongs to the Special Issue Molecularly Targeted Therapies in Solid Tumors)
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24 pages, 384 KiB  
Review
Precision Approaches in the Management of Colorectal Cancer: Current Evidence and Latest Advancements towards Individualizing the Treatment
by Rebecca A. Shuford, Ashley L. Cairns and Omeed Moaven
Cancers 2020, 12(11), 3481; https://doi.org/10.3390/cancers12113481 - 23 Nov 2020
Cited by 8 | Viewed by 2275
Abstract
The genetic and molecular underpinnings of metastatic colorectal cancer have been studied for decades, and the applicability of these findings in clinical decision making continues to evolve. Advancements in translating molecular studies have provided a basis for tailoring chemotherapeutic regimens in metastatic colorectal [...] Read more.
The genetic and molecular underpinnings of metastatic colorectal cancer have been studied for decades, and the applicability of these findings in clinical decision making continues to evolve. Advancements in translating molecular studies have provided a basis for tailoring chemotherapeutic regimens in metastatic colorectal cancer (mCRC) treatment, which have informed multiple practice guidelines. Various genetic and molecular pathways have been identified as clinically significant in the pathogenesis of metastatic colorectal cancer. These include rat sarcoma (RAS), epithelial growth factor receptor (EGFR), vascular endothelial growth factor VEGF, microsatellite instability, mismatch repair, and v-raf murine sarcoma viral oncogene homolog b1 (BRAF) with established clinical implications. RAS mutations and deficiencies in the mismatch repair pathway guide decisions regarding the administration of anti-EGFR-based therapies and immunotherapy, respectively. Furthermore, there are several emerging pathways and therapeutic modalities that have not entered mainstream use in mCRC treatment and are ripe for further investigation. The well-established data in the arena of targeted therapies provide evidence-based support for the use or avoidance of various therapeutic regimens in mCRC treatment, while the emerging pathways and platforms offer a glimpse into the future of transforming a precision approach into a personalized treatment. Full article
(This article belongs to the Special Issue Molecularly Targeted Therapies in Solid Tumors)
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