Advancements in Drug Discovery Techniques for Cancer Treatment: Clinical Progress and Future Directions.

Rachana Choudhary, Neetu Das, Bhuneshwari Nayak, Rachana Tiwari, Ananya Malekar, Vaibhavi Sahare
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Abstract

Cancer has emerged as one of the most pressing public health issues in the world and has led to extensive research in novel treatment techniques. Among them, cancer treatment strategies targeting disease-specific pathways have become a focus area. Targeted therapy, based on the premise that tumor cells rely on specific biological pathways, which drugs can block, has dramatically im-proved therapeutic outcomes with reduced systemic toxicity. Molecule targeted treatment that in-cludes interference with signaling pathway through the small molecule medication, or therapeutic monoclonal antibody, has exceptional anti-cancer effect on most different cancer types that it is pri-marily prescribed as front-line treatment at this time; and, instead of chemotherapy and conventional therapy treatment, it entails less side-effect risk and the benefit of delivering the killing to cancer cells as it should: namely, far better anti-cancer efficacy. The main problems in conducting molecular targeted therapies include rapid induction of drug-resistant states. For addressing this issue, research-ers have taken up many approaches, which include combination therapy, next-generation targeted agents, and adaptive therapy. This review provides a comprehensive overview of the recent advances in targeted therapeutic medications, classifies them, and provides a short description of the target kinases along with mechanisms of action. Clinical examples of targeted therapies are provided and discussed along with potential future research areas. This article also brings to the discussion the need to further investigate mechanisms that would aid in making anti-cancer treatment more efficient, which includes emerging technologies such as nanomedicine, precision oncology, and personalized therapies, making the future bright for cancer care.

癌症治疗药物发现技术的进展:临床进展和未来方向。
癌症已成为世界上最紧迫的公共卫生问题之一,并导致了对新型治疗技术的广泛研究。其中,以疾病特异性途径为靶点的癌症治疗策略已成为研究热点。靶向治疗的前提是肿瘤细胞依赖于特定的生物途径,而药物可以阻断这些途径。靶向治疗显著改善了治疗效果,降低了全身毒性。分子靶向治疗包括通过小分子药物或治疗性单克隆抗体干扰信号通路,对大多数不同类型的癌症具有特殊的抗癌作用,目前主要作为一线治疗;而且,与化疗和传统疗法相比,它带来的副作用风险更小,而且有杀灭癌细胞的好处:也就是说,抗癌效果要好得多。进行分子靶向治疗的主要问题包括快速诱导耐药状态。为了解决这一问题,研究人员采取了许多方法,包括联合治疗、下一代靶向药物和适应性治疗。本文综述了靶向治疗药物的最新进展,对它们进行了分类,并简要介绍了靶向激酶及其作用机制。提供了靶向治疗的临床实例,并讨论了潜在的未来研究领域。本文还讨论了进一步研究有助于提高抗癌治疗效率的机制的必要性,其中包括纳米医学、精确肿瘤学和个性化治疗等新兴技术,这些技术将为癌症治疗带来光明的未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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