domingo, 9 de septiembre de 2018

Epigenome-Based Precision Medicine in Lung Cancer. - PubMed - NCBI

Epigenome-Based Precision Medicine in Lung Cancer. - PubMed - NCBI



 2018;1856:57-85. doi: 10.1007/978-1-4939-8751-1_4.

Epigenome-Based Precision Medicine in Lung Cancer.

Kim D1Kim DH2,3.

Abstract

Lung cancer is the leading cause of cancer-related deaths in the world. Despite significant advances in the early detection and treatment of the disease, the prognosis remains poor, with an overall 5-year survival rate ranging from 15% to 20%. This poor prognosis results largely from early micrometastatic spread of cancer cells to nearby lymph nodes or tissues and partially from early recurrence after curative surgical resection. Recently, precision medicines that target potential oncogenic driver mutations have been approved to treat lung cancer. However, some lung cancer patients do not have targetable mutations, and many patients develop resistance to targeted therapy. Tumor heterogeneity and mutational density are also challenges in treating lung cancer, which underscores the need for developing alternative therapeutic strategies for treating lung cancer. Epigenetic therapy may circumvent the problems of tumor heterogeneity and drug resistance by affecting the expression of several hundred target genes. This review highlights precision medicine using an innovative approach of epigenetic priming prior to conventional standard therapy or targeted cancer therapy in lung cancer.

KEYWORDS:

DNA methyltransferase; Epidermal growth factor receptor; Histone deacetylase; MicroRNA; Non-small cell lung cancer; Overall response rate; Overall survival

PMID:
 
30178246
 
DOI:
 
10.1007/978-1-4939-8751-1_4

No hay comentarios:

Publicar un comentario