tagereted therapies Flashcards
how do cancer cells survive
- overexpressing growth receptors
- mutating receptors to become more active
- mutating downstream signaling proteins to become more active
what is a targeted therapy
only kills cells expressing specific markers, highly specific
Problems that can arose from targeted therapies
cancer cells can mutate to no longer rely on the targeted markers
Two classes of targeted therapy drugs
- Monoclonal antibodies (-mabs)
- Tyrosine Kinase Inhibitors (-nibs)
Cetuximab is a
Monoclonal antibody
how does cetuximab work
- blocks the external domain of growth factor
- prevents binding of EGF
- prevents downstream signaling
- this down-regulated proliferation, survival, invasion and metastasis
- also stimulises immune repsonse
what is cetuximab commonly used for
head and neck in conjunction with rt
Erlotinib is a
tyrosine kinase inhibitor
how does erlotinib work
- blocks internal domain of EGFR
- does not prevent the binding of EGF
- still blocks downstream signaling
- this down-regulated proliferation, survival, invasion and metasis
what cancer is erlotinib used for
lung
trastuzumab is a
monoclonal antibody
how does trastuzumab work
- no natural ligand to block
- prevents activation of downstream signaling
- this dow-regulates proliferation, survival, invasion and metastasis
- it also stimulates immune response
vemurafenib is a
Tyrosine kinase inhibitor
how does vemurafenib work
- inhibits mutant BRAF protein
- blocks downstream signal
- this down-regulates proliferation, metastases, invasion and survival