Lecture 12: HW review Flashcards
ECOG status
-0-4
1: restrivted in activity
2: no work activitys, awake >50%
3: limited self-care, confined to bed >50%
4: completely disabled
PD1/PDL1
-biomarkers to determine if pt will benefit from immunotherapy
-Pembrolizumab may be effective in tumors w mismatch repair deficiency (dMMR)
-PD1 vs PDL1 = PD1 on T cell, PDL1 on cancer
-prefer PDL1 expression bc that is expressed by cancer cell
PD1 blockers
-Pembrolizumab
-Nivolumab
-Cemiplimab
PDL-1 blockers
-Atezolizumab
-Avelumab
-Durvalumab
BRAC1 mutations
-by blocking PARP, both both PARP and BRAC mediated pathways can’t repair DNA
=synthetic lethality if PARP and BRAC are both mutated
Synthetic lethality
-PARP and BRAC normally each repair DNA
-if both are blocked = no DNA
-BRAC mutation = loss of function
PARP inhibitors (BRAC inhibtion)
-Niraparib
-Olaparib
-Rucaparib
-Talazoparib
KRAS G12V inhibition
-may activate RAF-MEK and PI3K
-Idelalisib
-Copanlisib
-Duvelisib
-cant use AMG510 in KRASG12c mutation?
MEK inhibitors
-binimetinib
-cobimetinib
-trametinib
CDKN2A/B
-encodes tumor suppressors
CDKN2A/B loss
-cancer cells may be sensitive to CDK4/6 inhibition
CDK 4 and CDK 6 inhibitors
-Palbociclib
-Ribociclib
-Abemaciclib