Cancer Treatment: A Rational Approach Flashcards
why has the incidence of breast cancer increased?
b/c of increased screening
explain functional genomics and breast cancer
looks at the expression array of several genes dictating a good/poor signature
good: underexpression of proliferation genes & overexpression of immune response
which patients do NOT benefit from additional chemotherapy?
patieints w/ a ‘good signature’
what is the functional constriction in the development of chemotherapeutics?
only a small subset of defective proteins are suitable targets for cancers drugs
what in cancer patients determines if they’re good targets for drug intervention?
biochemical subtleties
Gleevec is a
tyrosine kinase inhibitor
Gleevec reduces the activity of what fusion protein?
Bcr-Abl
Bcr-Abl is a fusion protein that is active in what type of cancer?
chronic myelogenous leukemia (CML)
Gleevec converts
leukemic cells back to normal granulocytes
with Gleevec treatment qPCR analysis confirmed the dramatic reduction of
expression of Bcr-Abl fusion gene
patients w/ PML can be treated w/
PML: promyelocytic leukemia
all-trans retinoic acid
what types of responses can be produced w/ the use of cancer drugs?
- kill cancer via apoptosis
- induce differentiation
many chemotherapeutics damage chromosomes causing
mitotic catastrophe
sends cell into apoptosis
chemotherapeutics have a
therapeutic window
what is a therapeutic window?
where the efficacy is the highest and the toxicity is the lowest