Targeting minimal residual disease: a path to cure?

被引:123
作者
Luskin, Marlise R. [1 ]
Murakami, Mark A. [1 ]
Manalis, Scott R. [2 ,3 ,4 ]
Weinstock, David M. [1 ,5 ]
机构
[1] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02215 USA
[2] MIT, Koch Inst Integrat Canc Res, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[3] MIT, Dept Biol Engn, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[4] MIT, Dept Mech Engn, Cambridge, MA 02139 USA
[5] Broad Inst Massachusetts Inst Technol & Harvard U, Cambridge, MA 02142 USA
关键词
ACUTE LYMPHOBLASTIC-LEUKEMIA; ACUTE MYELOID-LEUKEMIA; CELL LUNG-CANCER; CIRCULATING TUMOR-CELLS; SINGLE CELLS; CLINICAL-SIGNIFICANCE; TYROSINE KINASE; FLOW-CYTOMETRY; ADULT PATIENTS; BREAST-CANCER;
D O I
10.1038/nrc.2017.125
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Therapeutics that block kinases, transcriptional modifiers, immune checkpoints and other biological vulnerabilities are transforming cancer treatment. As a result, many patients achieve dramatic responses, including complete radiographical or pathological remission, yet retain minimal residual disease (MRD), which results in relapse. New functional approaches can characterize clonal heterogeneity and predict therapeutic sensitivity of MRD at a single-cell level. Preliminary evidence suggests that iterative detection, profiling and targeting of MRD would meaningfully improve outcomes and may even lead to cure.
引用
收藏
页码:255 / 263
页数:9
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