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Review
. 2023 Feb;8(1):100751.
doi: 10.1016/j.esmoop.2022.100751. Epub 2023 Jan 16.

Emerging targets for cancer treatment: S100A9/RAGE

Affiliations
Review

Emerging targets for cancer treatment: S100A9/RAGE

M Valiente et al. ESMO Open. 2023 Feb.

Abstract

Developing better treatments that work for the majority of patients with brain metastasis (BM) is highly necessary. Complementarily, avoiding those therapeutic procedures that will not benefit a specific patient is also very relevant. In general, existing therapies for patients with BM could be improved in terms of molecular stratification and therapeutic efficacy. By questioning the benefit of whole brain radiotherapy as provided nowadays and the lack of biomarkers detecting radioresistance, we identified S100A9 and receptor for advanced glycation end-products (RAGE) as a liquid biopsy biomarker and a potential target for a radiosensitizer, respectively. Both of them are being clinically tested as part of the first comprehensive molecular strategy to personalized radiotherapy in BM.

Keywords: JunB; NF-κB; RAGE; S100A9; brain metastasis; clinical trial with RAGE inhibitor; observational prospective study; radioresistance.

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Figures

Figure 1
Figure 1
Flow chart of the prospective observational study in patients with brain metastases sponsored by RENACER. CNS, central nervous system; RT, radiotherapy; SRS, stereotactic radiosurgery; WBRT, whole brain radiotherapy.
Figure 2
Figure 2
Flow chart with the design of the trial CAN-201: a phase I/II open-label study to assess safety and preliminary evidence of a therapeutic effect of azeliragon combined with conventional concurrent radiation and temozolomide in patients with newly diagnosed glioblastoma. ECOG, Eastern Cooperative Oncology Group.
Figure 3
Figure 3
Flow chart with the design of a clinical trial with azeliragon in combination with radiotherapy in patients with brain metastases from non-small-cell lung cancer, breast cancer or melanoma.

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