Progress in Personalizing Chemotherapy for Bladder Cancer

Platinum-based chemotherapy is commonly used for the treatment of locally advanced and metastatic bladder cancer. However, there are currently no methods to predict chemotherapy response in this disease setting. A better understanding of the biology of bladder cancer has led to developments of molec...

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Main Authors: James S. Chang, Primo N. Lara, Chong-Xian Pan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/364919
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author James S. Chang
Primo N. Lara
Chong-Xian Pan
author_facet James S. Chang
Primo N. Lara
Chong-Xian Pan
author_sort James S. Chang
collection DOAJ
description Platinum-based chemotherapy is commonly used for the treatment of locally advanced and metastatic bladder cancer. However, there are currently no methods to predict chemotherapy response in this disease setting. A better understanding of the biology of bladder cancer has led to developments of molecular biomarkers that may help guide clinical decision making. These biomarkers, while promising, have not yet been validated in prospective trials and are not ready for clinical applications. As alkylating agents, platinum drugs kill cancer cells mainly through induction of DNA damage. A microdosing approach is currently being tested to determine if chemoresistance can be identified by measuring platinum-induced DNA damage using highly sensitive accelerator mass spectrometry technology. The hope is that these emerging strategies will help pave the road towards personalized therapy in advanced bladder cancer.
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publishDate 2012-01-01
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spelling doaj-art-2f02fe1748a04f7b99ff9440c03a53512025-08-20T02:08:11ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/364919364919Progress in Personalizing Chemotherapy for Bladder CancerJames S. Chang0Primo N. Lara1Chong-Xian Pan2Department of Internal Medicine, Division of Hematology/Oncology, University of California Davis, Sacramento, CA 95817, USADepartment of Internal Medicine, Division of Hematology/Oncology, University of California Davis, Sacramento, CA 95817, USADepartment of Internal Medicine, Division of Hematology/Oncology, University of California Davis, Sacramento, CA 95817, USAPlatinum-based chemotherapy is commonly used for the treatment of locally advanced and metastatic bladder cancer. However, there are currently no methods to predict chemotherapy response in this disease setting. A better understanding of the biology of bladder cancer has led to developments of molecular biomarkers that may help guide clinical decision making. These biomarkers, while promising, have not yet been validated in prospective trials and are not ready for clinical applications. As alkylating agents, platinum drugs kill cancer cells mainly through induction of DNA damage. A microdosing approach is currently being tested to determine if chemoresistance can be identified by measuring platinum-induced DNA damage using highly sensitive accelerator mass spectrometry technology. The hope is that these emerging strategies will help pave the road towards personalized therapy in advanced bladder cancer.http://dx.doi.org/10.1155/2012/364919
spellingShingle James S. Chang
Primo N. Lara
Chong-Xian Pan
Progress in Personalizing Chemotherapy for Bladder Cancer
Advances in Urology
title Progress in Personalizing Chemotherapy for Bladder Cancer
title_full Progress in Personalizing Chemotherapy for Bladder Cancer
title_fullStr Progress in Personalizing Chemotherapy for Bladder Cancer
title_full_unstemmed Progress in Personalizing Chemotherapy for Bladder Cancer
title_short Progress in Personalizing Chemotherapy for Bladder Cancer
title_sort progress in personalizing chemotherapy for bladder cancer
url http://dx.doi.org/10.1155/2012/364919
work_keys_str_mv AT jamesschang progressinpersonalizingchemotherapyforbladdercancer
AT primonlara progressinpersonalizingchemotherapyforbladdercancer
AT chongxianpan progressinpersonalizingchemotherapyforbladdercancer