The route to personalized medicine in bladder cancer: where do we stand?

被引:12
作者
Massari, Francesco [1 ]
Ciccarese, Chiara [1 ]
Santoni, Matteo [2 ]
Brunelli, Matteo [3 ]
Conti, Alessandro [4 ]
Modena, Alessandra [1 ]
Montironi, Rodolfo
Santini, Daniele [6 ]
Cheng, Liang [7 ]
Martignoni, Guido [3 ,5 ]
Cascinu, Stefano [2 ]
Tortora, Giampaolo [1 ]
机构
[1] Univ Verona, Azienda Osped Univ Integrata, Med Oncol, I-37100 Verona, Italy
[2] Polytech Univ Marche Reg, AOU Osped Riuniti, Med Oncol, Ancona, Italy
[3] Univ Verona, Dept Pathol & Diagnost, I-37100 Verona, Italy
[4] Polytech Univ Marche Reg, Dept Clin & Specialist Sci Urol, Ancona, Italy
[5] Polytech Univ Marche Reg, AOU Osped Riuniti, Sch Med, Sect Pathol Anat, Ancona, Italy
[6] Campus Biomed Univ Rome, Dept Med Oncol, Rome, Italy
[7] Indiana Univ Sch Med, Dept Pathol & Lab Med, Indianapolis, IN 46202 USA
关键词
Target agents; Bladder cancer; Novel agents; Personalized medicine; ENDOTHELIAL GROWTH-FACTOR; TRANSITIONAL-CELL CARCINOMA; METASTATIC UROTHELIAL CARCINOMA; FGFR3 MUTATION STATUS; URINARY-BLADDER; GENE AMPLIFICATION; FACTOR RECEPTOR; PHASE-II; STEM-CELLS; MESENCHYMAL TRANSITION;
D O I
10.1007/s11523-015-0357-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Recent advances in molecular biology and drug design have described novel targets in bladder cancer. EGFR, fibroblast growth factor receptor (FGFR), VEGFR, phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway, PD-1, cyclooxygenase 2 (COX-2), Aurora kinase A, and miRNA are just examples of these opening frontiers. In addition, epithelial to mesenchymal transition (EMT) and cancer stem cells (CSCs) are promising candidates for future therapeutic approaches. Novel agents, combination, and sequences are emerging from the 747 clinical studies presently in course in bladder cancer to optimize patient outcomes. This report describes the emerging targets and provides an update on ongoing phase I, II, and III trials and preliminary results on targeted agents, used alone, in sequences, or in combination for patients with bladder cancer.
引用
收藏
页码:325 / 336
页数:12
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