Precision medicine approaches for the management of Ewing sarcoma: current perspectives

被引:10
作者
Rizk, Victoria T. [1 ]
Walko, Christine M. [2 ]
Brohl, Andrew S. [3 ,4 ]
机构
[1] Univ S Florida, Tampa, FL 33620 USA
[2] DeBartolo Family Personalized Med Inst, Tampa, FL USA
[3] H Lee Moffitt Canc Ctr & Res Inst, Sarcoma Dept, 12902 Magnolia Dr, Tampa, FL 33612 USA
[4] H Lee Moffitt Canc Ctr & Res Inst, Chem Biol & Mol Med Program, Tampa, FL USA
关键词
Ewing sarcoma; next generation sequencing; genomics; liquid biopsy; targeted therapy; HUMAN MONOCLONAL-ANTIBODY; POLYMERASE-CHAIN-REACTION; SOFT-TISSUE SARCOMA; PHASE-II; GERMLINE MUTATIONS; PEDIATRIC-PATIENTS; PROGNOSTIC-FACTORS; GENOMIC LANDSCAPE; FAMILY TUMORS; BONE-MARROW;
D O I
10.2147/PGPM.S170612
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Advancements in molecular and genetic techniques have significantly furthered our biological understanding of Ewing sarcoma (ES). ES is typified by a driving TET-ETS fusion with an otherwise relatively quiet genome. Detection of one of several characteristic fusions, most commonly EWSR1-FL11, is the gold standard for diagnosis. We discuss the current role of precision medicine in the diagnosis, treatment, and monitoring of ES. Continued efforts toward molecularly guided approaches are actively being pursued in ES to better refine prognosis, identify germline markers of disease susceptibility, influence therapeutic selection, effectively monitor disease activity in real time, and identify genetic and immunotherapeutic targets for therapeutic development.
引用
收藏
页码:9 / 14
页数:6
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