“Molecular Targeting in Oncology”
نویسنده
چکیده
word count: 135 Suggested running head: " Gleevec and chemoresistance " 2 Abstract Gleevec is an important, new, molecularly targeted, anti-cancer agent that has demonstrated clinical efficacy in chronic myelogenous leukemia (CML) and gastrointestinal stromal tumor (GIST). These malignancies develop after constitutive activation of Abelson (Abl) or Abl-like tyrosine kinases; Gleevec is a specific chemical inhibitor of such kinase activity. Many CML and GIST patients have relapsed while on Gleevec treatment, however. In this Chapter, I discuss why the emergence of resistance to Gleevec chemotherapeutic intervention is in retrospect neither surprising nor insoluble. Principles previously elucidated in the development of multidrug resistance in human immunodeficiency virus infections may prove useful in the approach to the next generation of targeted molecular therapeutics for CML. In general, multidrug protocols and agents targeted to multiple Abl sites simultaneously are likely to have a greater chance of success than single agent therapy.
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