[CSMO2014]结直肠癌化疗敏感性和不良反应预测与新药推出—— David J. Kerr教授访谈
编者按:David J. Kerr,英国牛津大学癌症医学教授,欧洲肿瘤内科学会(ESMO)前任主席,致力于癌症的细胞生物学、基因学、临床药理和临床试验的设计。Kerr教授在本届“中国肿瘤内科大会(CSMO)”上作了题为“Identification of Fluoropyrimidine Chemosensitivity Biomarkers for Colorectal Cancer”的报告,并于会后接受了《肿瘤瞭望》的采访。
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Oncology Frontier: Some studies have investigated the role of micro-RNA in early diagnosis and prediction of chemosensitivity? Are there other biomarkers that are helpful in this regard?
《肿瘤瞭望》:一些研究显示,microRNA能够帮助早期诊断或预测化疗的敏感性和预测预后,请举一些例子加以说明。还有其他分子标志物吗?
Dr Kerr: This is a really important area of personalized medicine where we aim to choose the right drug for the right patient. We have developed a platform technology based on knocked-out RNA. It allows us to develop a functional assay whereby we can construct and find biomarkers so if you had bowel cancer, for example, that expresses a biomarker, then you would be much more likely to respond to the chemotherapy drug than someone who did not. We have made great progress finding biomarkers to a class of drugs called HDAC inhibitors and for the much more commonly used drugs, 5-fluorouracil and capecitabine. So there is good progress being made. We are currently validating the biomarkers in a very large prospective trial and we are waiting for the results of that before the tests will be made more generally available. It is a very hot area of science; a very useful platform technology and one that we believe we can use for many different cytotoxic drugs.
Kerr教授:这是个体化治疗的一个相当重要的领域,我们的目标是为正确的患者选择正确的药物。目前,我们已经开发出基于敲除RNA的平台技术。它使我们能够实施功能检测,据此我们可以构建并发现生物标志物,举例来说,如果你患有肠癌,表达一个生物学标志物,那么你将更可能对化疗药物起反应,而其他人可能不起作用。我们已经在寻找一类称为HDAC抑制剂药物,以及非常常用的药物5-氟尿嘧啶和卡培他滨的生物标志物上取得了很大的进展。我们目前正在一个庞大的前瞻性试验中验证生物标志物,并且正在等待该项结果,而后将把该试验全面推广。这是科学中的热门领域,一种非常有用的平台技术,并且我们相信可以用于许多不同的毒性药物。