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Cancer Research - Europa

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Treatment<br />

Two major problems when treating cancer patients are the enormous complexity of the disease (and<br />

side-eff ects such as cachexia) and small therapeutic window when using classical cytotoxic drug<br />

regimens, resulting in serious toxicity and a strong reduction in the quality of a patient’s life.<br />

Depending on the particular type of cancer from which a patient is suff ering, the standard treatments,<br />

comprise classical treatment such as surgery, chemotherapy, radiotherapy and combinations thereof.<br />

Innovative, so-called targeted therapies that aim specifi cally at cancer or the host’s stroma cells and<br />

the processes involved in their survival and metastasis to other parts of the body are urgently needed<br />

since most cancers – unfortunately – fi nd ways to resist the often aspecifi c treatment conditions and<br />

eventually kill the patient. For several cancers it has been convincingly demonstrated that patient survival<br />

rates under such conditions can hardly be improved if at all.<br />

The 29 projects in this section address novel means of hitting cancer cells through collaborative<br />

research on new delivery and viral technology; by harnessing and optimising anti-cancer responses of<br />

the innate and adaptive immune system through the development of specifi c antibodies and vaccines<br />

that induce cell death or suppress critical signal transduction pathways that cancer cells need for survival<br />

and expansion, as demonstrated for the fi rst time by Gleevec in chronic myeloid leukemia; by dissecting<br />

molecular mechanisms in cancer cells that allow resistance to chemotherapy; by developing imaging<br />

probes and devices that allow routine visualisation of selective drugs hitting their targets in a clinical<br />

setting; by developing treatment biomarkers based on gene expression profi les, diff erential cellular<br />

or molecular information obtained from diff erent sources and by diff erent technologies; and fi nally,<br />

by clinically validating personalised medicine approaches based on large patient cohorts.<br />

Jan van de Loo

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