Utilization of genomic signatures to direct use of primary chemotherapy.

Abstract:

:The success of treatment of cancer patients depends on matching the most effective therapeutic regimen with the characteristics of the individual patient, balancing benefit against risk of adverse events. The primary challenge in achieving this goal is the heterogeneity of the disease, recognizing that breast, lung, colon and other cancers are not single diseases but rather an array of disorders with distinct molecular mechanisms. Genomic analyses, and in particular gene expression profiling, has been shown to have the capacity to dissect this heterogeneity and afford opportunities to match therapies with the characteristics of the individual patient's tumor. Here we review the success in developing gene expression signatures that have the capability of predicting response to various commonly used and newly developing cancer therapeutics. We further discuss the challenges and the opportunities in utilizing these tools in present-day clinical practice.

journal_name

Curr Opin Genet Dev

authors

Potti A,Nevins JR

doi

10.1016/j.gde.2008.01.018

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

62-7

issue

1

eissn

0959-437X

issn

1879-0380

pii

S0959-437X(08)00023-3

journal_volume

18

pub_type

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