Cancer Therapy Lecture 6: Targeted Therapy
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Questions and Answers

What is the primary purpose of monoclonal antibodies in cancer treatment?

  • To promote angiogenesis in cancer cells
  • To target cancer-specific markers and deliver toxic payloads (correct)
  • To enhance the immune system's ability to fight cancer
  • To deliver toxins to normal cells
  • What is the main advantage of nanoparticle-based delivery in cancer treatment?

  • It allows for non-specific targeting of cancer cells
  • It enables the delivery of large amounts of toxic substances to cancer cells
  • It increases the risk of adverse reactions in patients
  • It enables targeted delivery of drugs to tumor sites with minimal side effects (correct)
  • What is the primary mechanism of action of ligand-drug conjugates in cancer treatment?

  • They bind to cancer cell receptors and release conjugated drugs (correct)
  • They inhibit angiogenesis in cancer cells
  • They stimulate the immune system to fight cancer
  • They bind to healthy cells and release toxic substances
  • What is the main goal of hormone therapy in cancer treatment?

    <p>To starve cancer cells of hormones needed for growth</p> Signup and view all the answers

    What is the primary advantage of targeted therapy in cancer treatment?

    <p>It minimizes damage to normal cells</p> Signup and view all the answers

    What is the primary mechanism of action of trastuzumab (Herceptin) in cancer treatment?

    <p>It targets HER2-positive breast cancer cells</p> Signup and view all the answers

    What is the primary goal of combination approaches in cancer treatment?

    <p>To combine targeted therapies with conventional treatments to enhance efficacy</p> Signup and view all the answers

    What is the primary mechanism of action of rituximab in cancer treatment?

    <p>It targets B-cell lymphomas</p> Signup and view all the answers

    What is the primary advantage of antibody-drug conjugates (ADCs) in cancer treatment?

    <p>They deliver conjugated drugs specifically to cancer cells</p> Signup and view all the answers

    What is the primary mechanism of action of nanoparticle-based delivery in cancer treatment?

    <p>It enables targeted delivery of drugs to tumor sites with minimal side effects</p> Signup and view all the answers

    Study Notes

    Targeted Therapy in Cancer

    • Targeted therapy is a type of cancer treatment that controls how cancer cells grow, divide, and spread.
    • It is the foundation of precision medicine.

    Types of Targeted Therapy in Cancer

    • Small-molecule drugs:
      • Have a low molecular weight that can easily enter cancer cells.
      • Specifically target substances within the cell, blocking their function.
      • Have advantages like high potency and low toxicity due to their ability to spare normal cells.
    • Monoclonal antibodies (MABs):
      • Engineered proteins produced in the lab to attach to specific targets found on cancer cells.
      • Can mark cancer cells, making them more visible to the immune system for destruction.

    Key Characteristics of Monoclonal Antibodies

    • Exquisite Specificity: MABs precisely recognize cancer-related proteins.
    • Long Serum Half-Life: They persist in the bloodstream, allowing sustained therapeutic effects.
    • High Affinity: MABs bind tightly to their targets.
    • Immune Effector Functions: They can engage immune responses against cancer cells.

    Strategies of Targeted Therapy Against Cancer

    • Help the immune system destroy cancer cells.
    • Stop cancer cells from growing by interrupting signals that cause them to grow and divide without order.
    • Stop signals that block blood vessel formation.
    • Deliver cell-killing substances to cancer cells.
    • Starve cancer of hormones needed for growth.

    Monoclonal Antibodies

    • Can be combined with toxins, chemotherapy drugs, or radiation.
    • Enhance specificity by targeting cancer-specific markers.
    • Examples include trastuzumab (Herceptin) for HER2-positive breast cancer and rituximab for B-cell lymphomas.

    Cancer Vaccines

    • Definition: Cancer vaccines are a form of immunotherapy designed to educate the immune system about what cancer cells “look like”.
    • Objective: They help the immune system recognize and eliminate cancer cells.
    • Unlike preventive vaccines, cancer treatment vaccines focus on existing cancer cells.
    • Types of Cancer Vaccines:
      • Therapeutic Cancer Vaccines: Elicit de novo T cell responses targeting tumor antigens.
      • Antigen Selection and Delivery Systems: Researchers have pioneered cancer vaccine design by selecting appropriate antigens and developing effective antigen-delivery systems.

    Cytokines

    • Soluble proteins that mediate cell communication within the tumor microenvironment (TME).
    • Interleukins (ILs) and interferons (IFNs) are examples of cytokines that have been extensively studied.
    • Challenges:
      • High toxicity due to systemic effects.
      • Low efficacy, especially in advanced-stage cancers.
      • Short half-life and biodistribution.

    Immunotherapy Administration

    • Different forms of immunotherapy may be given in different ways:
      • Intravenous (IV).
      • Oral.
      • Topical.
      • Intravesical.

    Advantages and Challenges of Immunotherapy

    • Advantages:
      • Precision: Targets cancer cells while sparing normal tissues.
      • Reduced Toxicity: Fewer side effects compared to traditional chemotherapy.
      • Personalization: Tailored to individual patients based on tumor characteristics.
    • Challenges and Future Directions:
      • Clinical Response Rate: Continual efforts are needed to improve overall response rates.
      • Biomarkers: Identifying biomarkers can guide treatment selection.
      • Combination Approaches: Combining immunotherapy with other modalities may enhance efficacy.

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    Description

    This quiz covers the application of targeted therapy in cancer treatment, including its role in precision medicine and its effects on cancer cell growth and the immune system.

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