Skip to main content
Top
Published in: Supportive Care in Cancer 3/2005

01-03-2005 | Editorial

New directions in supportive care

Author: Steven M. Grunberg

Published in: Supportive Care in Cancer | Issue 3/2005

Login to get access

Abstract

Supportive care has traditionally emphasized symptom management and subjective evaluation of quality of life. However, recent advances in molecular biology and molecular genetics are as exciting for supportive care as they are for cytotoxic therapy. Relevant receptor mutations may alter sensitivity to antiemetics or to analgesics while variations in metabolic pathways may affect either efficacy of supportive care agents or toxicity of the chemotherapeutic agents themselves. Altered ligands for various receptors can produce differential effects conducive to better symptom management. Even symptoms such as fatigue and overall outlook may be defined in terms of appropriate enzymatic pathways. Evaluation and application of these advances in basic science are leading directly to new directions in supportive care.
Literature
1.
go back to reference Ahlberg K, Ekman T, Gaston-Johansson F (2004) Levels of fatigue compared to levels of cytokines and hemoglobin during pelvic radiotherapy: a pilot study. Biol Res Nurs 5:203–210CrossRefPubMed Ahlberg K, Ekman T, Gaston-Johansson F (2004) Levels of fatigue compared to levels of cytokines and hemoglobin during pelvic radiotherapy: a pilot study. Biol Res Nurs 5:203–210CrossRefPubMed
2.
go back to reference Barnes NM, Bunce KT, Naylor RJ, et al (1991) The actions of fentanyl to inhibit drug induced emesis. Neuropharmacology 30:1073–1083CrossRefPubMed Barnes NM, Bunce KT, Naylor RJ, et al (1991) The actions of fentanyl to inhibit drug induced emesis. Neuropharmacology 30:1073–1083CrossRefPubMed
3.
go back to reference Burstein SH (1999) The cannabinoid acids: nonpsychoactive derivatives with therapeutic potential. Pharmacol Ther 82:87–96CrossRefPubMed Burstein SH (1999) The cannabinoid acids: nonpsychoactive derivatives with therapeutic potential. Pharmacol Ther 82:87–96CrossRefPubMed
4.
go back to reference Innocenti F, Undevia SD, Iyer L, et al (2004) Genetic variants in the UDP-glucuronosyltransferase 1A1 gene predict the risk of severe neutropenia of irinotecan. J Clin Oncol 22:1382–1388CrossRefPubMed Innocenti F, Undevia SD, Iyer L, et al (2004) Genetic variants in the UDP-glucuronosyltransferase 1A1 gene predict the risk of severe neutropenia of irinotecan. J Clin Oncol 22:1382–1388CrossRefPubMed
5.
go back to reference Kaiser R, Sezer O, Papies A, et al (2002) Patient-tailored antiemetic treatment with 5-hydroxytryptamine type 3 receptor antagonists according to cytochrome P-450 2D6 genotypes. J Clin Oncol 20:2805–2811CrossRefPubMed Kaiser R, Sezer O, Papies A, et al (2002) Patient-tailored antiemetic treatment with 5-hydroxytryptamine type 3 receptor antagonists according to cytochrome P-450 2D6 genotypes. J Clin Oncol 20:2805–2811CrossRefPubMed
6.
go back to reference Kaiser R, Tremblay PB, Sezer O, et al (2004) Investigation of the association between 5-HT3A receptor gene polymorphisms and efficiency of antiemetic treatment with 5-HT3 receptor antagonists. Pharmacogenetics 14:271–278CrossRefPubMed Kaiser R, Tremblay PB, Sezer O, et al (2004) Investigation of the association between 5-HT3A receptor gene polymorphisms and efficiency of antiemetic treatment with 5-HT3 receptor antagonists. Pharmacogenetics 14:271–278CrossRefPubMed
7.
go back to reference Meropol NJ, Somer RA, Gutheil J, et al (2003) Randomized phase I trial of recombinant human keratinocyte growth factor plus chemotherapy: potential role as mucosal protectant. J Clin Oncol 21:1452–1458CrossRefPubMed Meropol NJ, Somer RA, Gutheil J, et al (2003) Randomized phase I trial of recombinant human keratinocyte growth factor plus chemotherapy: potential role as mucosal protectant. J Clin Oncol 21:1452–1458CrossRefPubMed
8.
go back to reference Schuller AG, King MA, Zhang J, et al (1999) Retention of heroin and morphine-6 beta-glucuronide analgesia in a new line of mice lacking exon 1 of MOR-1. Nat Neurosci 2:151–156CrossRefPubMed Schuller AG, King MA, Zhang J, et al (1999) Retention of heroin and morphine-6 beta-glucuronide analgesia in a new line of mice lacking exon 1 of MOR-1. Nat Neurosci 2:151–156CrossRefPubMed
9.
go back to reference Sloan JA, McLeod H, Sargent D, et al (2004) Preliminary evidence of relationship between genetic markers and oncology patient quality of life. J Clin Oncol [Suppl] 22:2 Sloan JA, McLeod H, Sargent D, et al (2004) Preliminary evidence of relationship between genetic markers and oncology patient quality of life. J Clin Oncol [Suppl] 22:2
10.
go back to reference Thomas J, Portenoy R, Moehl M, et al (2003) A phase II randomized dose-finding trial of methylnaltrexone for the relief of opioid-induced constipation in hospice patients. Proc ASCO 22:729 Thomas J, Portenoy R, Moehl M, et al (2003) A phase II randomized dose-finding trial of methylnaltrexone for the relief of opioid-induced constipation in hospice patients. Proc ASCO 22:729
11.
go back to reference Tremblay PB, Kaiser R, Sezer O, et al (2003) Variations in the 5-hydroxytryptamine type 3B receptor gene as predictors of the efficacy of antiemetic treatment in cancer patients. J Clin Oncol 21:2147–2155CrossRefPubMed Tremblay PB, Kaiser R, Sezer O, et al (2003) Variations in the 5-hydroxytryptamine type 3B receptor gene as predictors of the efficacy of antiemetic treatment in cancer patients. J Clin Oncol 21:2147–2155CrossRefPubMed
12.
go back to reference Wratten C, Kilmurray J, Nash S, et al (2004) Fatigue during breast radiotherapy and its relationship to biological factors. Int J Radiat Oncol Biol Phys 59:160–167CrossRefPubMed Wratten C, Kilmurray J, Nash S, et al (2004) Fatigue during breast radiotherapy and its relationship to biological factors. Int J Radiat Oncol Biol Phys 59:160–167CrossRefPubMed
Metadata
Title
New directions in supportive care
Author
Steven M. Grunberg
Publication date
01-03-2005
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 3/2005
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-004-0742-y

Other articles of this Issue 3/2005

Supportive Care in Cancer 3/2005 Go to the issue

Letter to the Editor

Letter to the Editor

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine