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We have had limited success in fighting cancer. There
are several reasons for this. Targeted therapy is a way to increase that
level of success as it refers to the killing of cancer cells while at
the same time maintain the heath of nearby healthy cells.
Targeted therapy is a generic term referring to medication or agents that
go through a specific pathway without disrupting other cell functionalities.
They target the pathways involved in development of the tumor and thus
indirectly reduce the tumor.
The names of targeted therapies include words like inhibitor, anti together
with the target name. If the drug blocks, it is called anti-target.
The main type of targeted therapy classification is Tyrosine kinase receptor
inhibitors.
All reactions essential to a tumors growth and survival are focused on
by targeted therapy and these are stopped. One family of the tyrosine
kinase receptors is called the HER family, or the human epidermal factor
family.
Within EFGR inhibitors, lie two types of inhibitors which are small body
and antibody inhibitors. There is also a class of targeted drug called
angiogenesis inhibitors.
Like healthy cells, tumor cells need an adequate supply of blood to survive
to perform important cell functions and to survive. This vessel formation
is called angiogenesis, which are choked by angiogenesis inhibitors. The
proteins assisting this process are also destroyed called proangiogenic
factors.
Proteasome inhibitors help in blocking cell growth factors such as NF-kappa-B,
a protein found in healthy as well as tumor cells. While typically inactive,
because it is bound to another natural inhibitor called the kappa B (l-kappa-B)-alpha,
it becomes active during a tumor. Synthesis of the inhibitor results in
blockage of growth factors.
Targeted therapies are specific to targets and bind to block them. They
disrupt the chain leading to formation of a tumor and also the development
of a tumor. They do not allow cell proliferation. Targeted immunotherapy
signals also exist which bind to increase the immune functioning rather
than bind with growth signals. By binding to antigens, or protein suppressors,
targeted immunotherapy on the surface of the cancer can cause intense
anti-tumor reactions in the human body.
This leads to the death of a tumor.
If these drugs are chemically attached to radiological origins, they launch
a two-faced attack on the tumor. This has an advantage of both anti tumor
radiation and anti tumor immune response.
These drugs are usually a collection of monoclonal antibodies, which mostly
all have different targets. These are named depending on the antigen they
bind to, for example the drug binding to the antigen CD20 is called anti-CD20.