Targeted Therapy in Colon Cancer: Precision Medicine for Better Outcomes
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Targeted therapy in colon cancer represents a significant advancement in the field of oncology, offering a more precise and personalized approach to treatment. Unlike traditional chemotherapy, which affects both cancerous and healthy cells, targeted therapy specifically targets the molecular and genetic abnormalities that drive the growth and survival of cancer cells. This precision medicine approach aims to maximize treatment efficacy while minimizing side effects.
Here are key aspects of targeted therapy in colon cancer:
1. Understanding Molecular Abnormalities:
Genetic Mutations: Colon cancer is a Fissures Treatment heterogeneous disease, and different patients may have tumors with distinct molecular profiles. Common genetic mutations associated with colon cancer include mutations in the KRAS, BRAF, and PIK3CA genes.
Biomarker Identification: Biomarkers, such as specific genetic mutations or protein expressions, are identified through molecular profiling. These biomarkers help oncologists tailor treatment plans based on the unique characteristics of each patient's cancer.
2. EGFR Inhibition:
KRAS Mutation Status: Patients with metastatic colorectal cancer (mCRC) and wild-type (non-mutated) KRAS genes may benefit from Anal fissures surgery treatment anti-EGFR (epidermal growth factor receptor) therapies like cetuximab and panitumumab. However, these therapies are typically ineffective in patients with KRAS mutations.
BRAF Inhibition: BRAF mutations, which occur in a subset of colon cancers, can be targeted with specific inhibitors such as vemurafenib or dabrafenib, often in combination with MEK inhibitors.
3. Angiogenesis Inhibition:
VEGF Pathway: Angiogenesis, the formation of new blood vessels, is a critical process for tumor growth. Inhibitors targeting the vascular endothelial growth factor (VEGF) pathway, such as bevacizumab, can be used to disrupt this process and inhibit tumor growth.
4. Immunotherapy:
Microsatellite Instability (MSI) Status: Some colon cancers exhibit high levels of microsatellite instability, a condition that makes Fissures Treatment in Bangalore tumors more responsive to immunotherapy. Pembrolizumab, an immune checkpoint inhibitor, is approved for the treatment of MSI-high mCRC.
5. Resistance Mechanisms:
Adaptive Changes: Resistance to targeted therapies can develop over time due to adaptive changes in cancer cells. Ongoing research aims to understand and overcome these resistance mechanisms, allowing for the development of more effective treatment strategies.
6. Patient Selection:
Personalized Treatment Plans: Targeted therapy is most effective when treatment plans are personalized based on the individual patient's molecular profile. Molecular testing, including next-generation sequencing, helps identify specific genetic alterations that can guide treatment decisions.