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Targeted therapy for hereditary cancer syndromes: hereditary breast and ovarian cancer syndrome, Lynch syndrome, familial adenomatous polyposis, and Li-Fraumeni syndrome.

Abstract
Cancer genetics has rapidly evolved in the last two decades. Understanding and exploring the several genetic pathways in the cancer cell is the foundation of targeted therapy. Several genomic aberrations have been identified and their role in carcinogenesis is being explored. In contrast to most cancers where these mutations are acquired, patients with hereditary cancer syndromes have inherited genomic aberrations. The understanding of the molecular pathobiology in hereditary cancer syndromes has advanced dramatically. In addition, many molecularly targeted therapies have been developed that could have potential roles in the treatment of patients with hereditary cancer syndromes. In this review, we outline the presentation, molecular biology, and possible targeted therapies for two of the most widely recognized hereditary cancer syndromes -- hereditary breast and ovarian cancer syndrome and hereditary non-polyposis colorectal cancer syndrome (Lynch syndrome). We will also discuss other syndromes such as familial adenomatous polyposis and Li-Fraumeni syndrome (TP53).
AuthorsRishi Agarwal, Sarah Liebe, Michelle L Turski, Smruti J Vidwans, Filip Janku, Ignacio Garrido-Laguna, Javier Munoz, Richard Schwab, Jordi Rodon, Razelle Kurzrock, Vivek Subbiah, Pan-Cancer Working Group
JournalDiscovery medicine (Discov Med) Vol. 18 Issue 101 Pg. 331-9 (Dec 2014) ISSN: 1944-7930 [Electronic] United States
PMID25549704 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Antineoplastic Agents
Topics
  • Adenomatous Polyposis Coli (drug therapy, genetics)
  • Antineoplastic Agents (therapeutic use)
  • Colorectal Neoplasms, Hereditary Nonpolyposis (drug therapy, genetics)
  • Hereditary Breast and Ovarian Cancer Syndrome (drug therapy, genetics)
  • Humans
  • Li-Fraumeni Syndrome (drug therapy, genetics)
  • Mutation

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