Book contents
- Frontmatter
- Dedication
- Contents
- List of Contributors
- Preface
- Part 1.1 Analytical techniques: analysis of DNA
- Part 1.2 Analytical techniques: analysis of RNA
- Part 2.1 Molecular pathways underlying carcinogenesis: signal transduction
- Part 2.2 Molecular pathways underlying carcinogenesis: apoptosis
- Part 2.3 Molecular pathways underlying carcinogenesis: nuclear receptors
- Part 2.4 Molecular pathways underlying carcinogenesis: DNA repair
- Part 2.5 Molecular pathways underlying carcinogenesis: cell cycle
- Part 2.6 Molecular pathways underlying carcinogenesis: other pathways
- Part 3.1 Molecular pathology: carcinomas
- Part 3.2 Molecular pathology: cancers of the nervous system
- Part 3.3 Molecular pathology: cancers of the skin
- Part 3.4 Molecular pathology: endocrine cancers
- Part 3.5 Molecular pathology: adult sarcomas
- Part 3.6 Molecular pathology: lymphoma and leukemia
- Part 3.7 Molecular pathology: pediatric solid tumors
- Part 4 Pharmacologic targeting of oncogenic pathways
- 78 Oncology drug discovery for biologics: antibody development strategies and considerations
- 79 Targeting the EGFR family of receptor tyrosine kinases
- 80 Therapeutic approaches with antibodies to cell-surface receptors
- 81 Signal transduction in tumor angiogenesis
- 82 Tyrosine-kinase inhibitors in oncology
- 83 Anti-estrogens and selective estrogen-receptor modulators
- 84 Therapeutic applications of anti-sense mechanisms for the treatment of cancer
- 85 Induction of apoptosis
- 86 DNA-methylation inhibitors
- 87 Histone deacetylase inhibitors
- 88 Drug resistance: as complex and diverse as the disease itself
- 89 Molecular profiling and therapeutic decision-making: the promise of personalized medicine
- 90 DNA repair inhibition in anti-cancer therapeutics
- Index
- References
89 - Molecular profiling and therapeutic decision-making: the promise of personalized medicine
from Part 4 - Pharmacologic targeting of oncogenic pathways
Published online by Cambridge University Press: 05 February 2015
- Frontmatter
- Dedication
- Contents
- List of Contributors
- Preface
- Part 1.1 Analytical techniques: analysis of DNA
- Part 1.2 Analytical techniques: analysis of RNA
- Part 2.1 Molecular pathways underlying carcinogenesis: signal transduction
- Part 2.2 Molecular pathways underlying carcinogenesis: apoptosis
- Part 2.3 Molecular pathways underlying carcinogenesis: nuclear receptors
- Part 2.4 Molecular pathways underlying carcinogenesis: DNA repair
- Part 2.5 Molecular pathways underlying carcinogenesis: cell cycle
- Part 2.6 Molecular pathways underlying carcinogenesis: other pathways
- Part 3.1 Molecular pathology: carcinomas
- Part 3.2 Molecular pathology: cancers of the nervous system
- Part 3.3 Molecular pathology: cancers of the skin
- Part 3.4 Molecular pathology: endocrine cancers
- Part 3.5 Molecular pathology: adult sarcomas
- Part 3.6 Molecular pathology: lymphoma and leukemia
- Part 3.7 Molecular pathology: pediatric solid tumors
- Part 4 Pharmacologic targeting of oncogenic pathways
- 78 Oncology drug discovery for biologics: antibody development strategies and considerations
- 79 Targeting the EGFR family of receptor tyrosine kinases
- 80 Therapeutic approaches with antibodies to cell-surface receptors
- 81 Signal transduction in tumor angiogenesis
- 82 Tyrosine-kinase inhibitors in oncology
- 83 Anti-estrogens and selective estrogen-receptor modulators
- 84 Therapeutic applications of anti-sense mechanisms for the treatment of cancer
- 85 Induction of apoptosis
- 86 DNA-methylation inhibitors
- 87 Histone deacetylase inhibitors
- 88 Drug resistance: as complex and diverse as the disease itself
- 89 Molecular profiling and therapeutic decision-making: the promise of personalized medicine
- 90 DNA repair inhibition in anti-cancer therapeutics
- Index
- References
Summary
Since the development of microarray technologies, there has been significant investment in the potential for gene-expression profiling to drive innovation in clinical diagnostics and therapy. Now, twenty years since the first prototype was developed, we assess the impact on clinical management of cancer patients through new diagnostic tools and treatment strategies developed as a result of this technology, and present a perspective to both the limitations and future promise of molecular profiling in the clinic.
The beginnings of the microarray revolution
The origins of DNA microarray technology date back to the late 1980s, when Stephen P.A. Fodor pioneered the first microarray system, the Affymetrix GeneChip® (Figure 89.1; 1). With Affymetrix commencing commercial sales of the GeneChip® system for research use in 1994, and the publication in 1995 by Patrick Brown and colleagues at Stanford University assessing gene expression in Arabidopsis thaliana, the research landscape was changed irrevocably (2). While Affymetrix continued to dominate the field, the Human Genome Initiative provided the impetus for researchers to actively pursue development of alternative types of DNA microarrays, with many other platforms entering the arena (3). By the mid-1990s, microarray technology had moved from a boutique technology to an integral component of the medical research toolbox and was responsible for attracting major investment into the biotechnology and pharmaceutical sector with the focus firmly on understanding the molecular basis of human disease and informing treatment decisions.
- Type
- Chapter
- Information
- Molecular OncologyCauses of Cancer and Targets for Treatment, pp. 929 - 935Publisher: Cambridge University PressPrint publication year: 2013