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INNOVAZIONI TERAPEUTICHE IN ONCOLOGIA MEDICA CAGLIARI 23-24 GIUGNO 2005. LE TERAPIE A TARGET MOLECOLARE: UNA EVOLUZIONE EPOCALE DELLA TERAPIA ANTINEOPLASTICA. GIOVANNI MANTOVANI CATTEDRA DI ONCOLOGIA MEDICA UNIVERSITA’ DEGLI STUDI DI CAGLIARI.
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INNOVAZIONI TERAPEUTICHE IN ONCOLOGIA MEDICA CAGLIARI 23-24 GIUGNO 2005 LE TERAPIE A TARGET MOLECOLARE: UNA EVOLUZIONE EPOCALE DELLA TERAPIA ANTINEOPLASTICA GIOVANNI MANTOVANI CATTEDRA DI ONCOLOGIA MEDICA UNIVERSITA’ DEGLI STUDI DI CAGLIARI
THE MOLECULARLY TARGETED ANTICANCER TREATMENT • The so-called molecularly targeted anticancer treatment is based on compounds that interefere with cell targets directly connected with pathogenetic events. Such therapies are expected to target specifically tumor cells, thus allowing for strong anticancer effects and minimal toxicities
The possible targets are represented by: • the interaction between the ligand (growth factor) and its specific receptor with the consequent activation of a cascade of biochemical events leading to the transduction of the cell proliferating signal from the membrane surface to the nucleus; • the cell cycle checkpoint, acting by a negative counterregulation • the apoptosis, by using proapoptotic molecules
(neo)angiogenesisthrough angiogenesis inhibitors • the immune compartment of the host, by modulating his immune response
EGFR INHIBITION (Harari PM, Huang SM. Clin Can Res 10:428, 2004)
* *HRPC: hormone-refractory prostate cancer