2006
DOI: 10.1038/nrc1913
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Comparing antibody and small-molecule therapies for cancer

Abstract: The 'magic bullet' concept of specifically targeting cancer cells at the same time as sparing normal tissues is now proven, as several monoclonal antibodies and targeted small-molecule compounds have been approved for cancer treatment. Both antibodies and small-molecule compounds are therefore promising tools for target-protein-based cancer therapy. We discuss and compare the distinctive properties of these two therapeutic strategies so as to provide a better view for the development of new drugs and the futur… Show more

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Cited by 673 publications
(566 citation statements)
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References 141 publications
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“…The most clinically relevant EGFR mutation found in 50% of the cases showing acquired resistance to EGFR inhibitors (gefitinib and erlotinib) is the T790M mutation located in exon 20 ( Figure 1) [19]. This mutation, which is located within the ATP-binding site of the kinase domain, causes steric hindrance for access of the inhibitor to the cleft owing to the bulkiness of the methionine sidechain [20]. The use of irreversible inhibitors of the EGFR kinase activity to treat patients harboring this mutation is an attractive therapeutic approach, and has prompted the search for new EGFR inhibitors that specifically target the EGFR T790M mutation.…”
Section: Glossarymentioning
confidence: 99%
“…The most clinically relevant EGFR mutation found in 50% of the cases showing acquired resistance to EGFR inhibitors (gefitinib and erlotinib) is the T790M mutation located in exon 20 ( Figure 1) [19]. This mutation, which is located within the ATP-binding site of the kinase domain, causes steric hindrance for access of the inhibitor to the cleft owing to the bulkiness of the methionine sidechain [20]. The use of irreversible inhibitors of the EGFR kinase activity to treat patients harboring this mutation is an attractive therapeutic approach, and has prompted the search for new EGFR inhibitors that specifically target the EGFR T790M mutation.…”
Section: Glossarymentioning
confidence: 99%
“…The epidermal growth factor receptor has thus been identified as an important target in cancer therapy (Baselga and Arteaga, 2005). Several agents, including small-molecule inhibitors of the tyrosine kinase activity of EGFR (EGFR-TKIs) and monoclonal antibodies (mAbs) specific for EGFR, have been designed to block EGFR signalling selectively (Ettinger, 2006;Harari and Huang, 2006;Imai and Takaoka, 2006). Among EGFR-TKIs, gefitinib and erlotinib have been extensively evaluated in non-small cell lung cancer (NSCLC), and sensitivity to these drugs has been associated with the presence of somatic mutations in the EGFR kinase domain or with EGFR amplification (Lynch et al, 2004;Paez et al, 2004;Pao et al, 2004;Cappuzzo et al, 2005;Mitsudomi et al, 2005;Takano et al, 2005).…”
mentioning
confidence: 99%
“…In contrast with traditional chemotherapeutic drugs, the current armamentarium of approved and investigational targeted agents offers increased selectivity, potency, and efficacy for a wide variety of human malignancies, and typically with more favorable toxicity profiles (1,2). Their cellular targets include growth factor receptors, effector molecules of canonical signaling pathways, protein tyrosine kinases, cell-cycle regulators, and modulators of apoptosis-all of which are essential for normal cellular function but often become dysregulated as a consequence of oncogenic transformation.…”
Section: Introductionmentioning
confidence: 99%