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. Author manuscript; available in PMC: 2014 Dec 1.
Published in final edited form as: Trends Cell Biol. 2013 Sep 21;23(12):10.1016/j.tcb.2013.08.003. doi: 10.1016/j.tcb.2013.08.003

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]