Are predictions of cancer response to targeted drugs, based on effects in unrelated tissues, the ‘Black Swan’ events?

作者: Beatrica Kurbel , Ante Zvonimir Golem , Sven Kurbel

DOI: 10.2217/FON.15.132

关键词: MedicineCetuximabPharmacologyOncologyBevacizumabErlotinibSunitinibAxitinibCancerInternal medicineAdverse effectGefitinib

摘要: Adverse effects of targeted drugs on normal tissues can predict the cancer response. Rash correlates with efficacy erlotinib, cetuximab and gefitinib onset arterial hypertension response to bevacizumab, sunitinib, axitinib sorafenib, possible examples ‘Black Swan’ events, unexpected scientific observations, as described by Karl Popper in 1935. The proposition is that our patients have individual intrinsic variants cell growth control, important for tumor adverse tumor-unrelated tissue. This means lack predictive side healthy tissue linked poor results therapy when resistance caused mechanisms protect all cells patient from drug effects.

参考文章(44)
R. Labianca, N. La Verde, M.C. Garassino, Development and clinical indications of cetuximab The International Journal of Biological Markers. ,vol. 22, pp. 40- 46 ,(2007) , 10.5301/JBM.2008.4051
Karl R. Popper, The Logic of Scientific Discovery ,(1934)
Farhad B Naini, Black Swans – The Basis of Scientific Reasoning Journal of Orthodontics. ,vol. 39, pp. 243- 244 ,(2012) , 10.1179/1465312512Z.00000000048
H Sobel, Barrier dynamics in physiological aging. Medical Hypotheses. ,vol. 40, pp. 75- 79 ,(1993) , 10.1016/0306-9877(93)90200-A
S. J. Armitage, S. A. Jasim, A. E. Marks, A. G. Parker, V. I. Usik, H.-P. Uerpmann, The Southern Route “Out of Africa”: Evidence for an Early Expansion of Modern Humans into Arabia Science. ,vol. 331, pp. 453- 456 ,(2011) , 10.1126/SCIENCE.1199113
Diether Lambrechts, Matthieu Moisse, Paul Delmar, David W. Miles, Natasha Leighl, Bernard Escudier, Eric Van Cutsem, Aruna T. Bansal, Peter Carmeliet, Stefan J. Scherer, Sanne de Haas, Celine Pallaud, Genetic markers of bevacizumab-induced hypertension Angiogenesis. ,vol. 17, pp. 685- 694 ,(2014) , 10.1007/S10456-014-9424-7
Rakesh K Jain, Dan G Duda, Jeffrey W Clark, Jay S Loeffler, Lessons from phase III clinical trials on anti-VEGF therapy for cancer Nature Reviews Clinical Oncology. ,vol. 3, pp. 24- 40 ,(2006) , 10.1038/NCPONC0403
Heather Yvonne Small, Augusto C. Montezano, Francisco J. Rios, Carmine Savoia, Rhian M. Touyz, Hypertension Due to Antiangiogenic Cancer Therapy With Vascular Endothelial Growth Factor Inhibitors: Understanding and Managing a New Syndrome Canadian Journal of Cardiology. ,vol. 30, pp. 534- 543 ,(2014) , 10.1016/J.CJCA.2014.02.011
Cristian Tomasetti, Bert Vogelstein, Variation in cancer risk among tissues can be explained by the number of stem cell divisions Science. ,vol. 347, pp. 78- 81 ,(2015) , 10.1126/SCIENCE.1260825