Table 1.
Major determinants of chemotherapy treatment success (why chemotherapy works):
| Drug Class | Targets | Examples | Determinants of Therapy Success | ||
|---|---|---|---|---|---|
| Primary | Secondary | Cancer Type | |||
| Classical cytotoxic therapy | Ubiquitous cellular elements (microtubules, DNA, topoisomerases) | Paclitaxel (microtubules), Topotecan (topoisomerase II), Doxorubicin (DNA) | Pretreatment mitochondrial apoptotic priming | Signaling dynamics post treatment | Multiple myeloma, ALL, ovarian cancer[5]; CLL[27]; AML[28] |
| Targeted therapy | Cell-specific targets (mutated oncogenes, differentially expressed oncogenes) | Erlotinib (EGFR), Vemurafenib (V600E), Imatinib (BCR-ABL) | Presence or absence of target | Pretreatment mitochondrial apoptotic priming, signaling dynamics post treatment | Non-small-cell lung cancer[81,82]; melanoma[83]; CML[84] |
| Antibody-based therapy | Cell surface markers | Rituximab (anti-CD20 antibody), brentuximab-vedotin (anti-CD30:MMAE antibody-drug conjugate) | Presence or absence of target | Immune system competence | Lymphoma[85]; lymphoma and Hodgkin’s disease[86] |
| Immune modulation (reversal of immune checkpoint blockade) | Immune system (tumor tolerance, tumor-associated macrophages) | Ipilimumab (anti-CTLA4 antibody), | Immune system anti-tumor response | Immune system competence | Melanoma[66,87] |