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Oncology & Cancer Breakthroughs: DNA Damage, Targeted Therapy & Immune Checkpoint Blockade

Encyclopedia/1. The Cosmos & The Natural World/6. Medicine & Human Biology/06. Oncology & Cancer Research  •  Curated by Admin Timeline.sg

This timeline chronicles landmark discoveries and breakthroughs in oncology from 1943 to 2022, focusing on DNA damage, targeted therapy, and immune checkpoint blockade. It highlights the evolution from chemotherapy and radiation to precision medicine and immunotherapy, showcasing key milestones such as the discovery of the Philadelphia chromosome, the development of Gleevec, and the Nobel-winning work on CTLA-4 and PD-1.

Chronological Storyline (43 Milestones)

1943 CE

First Use of Nitrogen Mustard for Lymphoma

Goodman and Gilman demonstrate that nitrogen mustard can shrink lymphomas, marking the first use of chemotherapy. #oncology #chemotherapy

First Use of Nitrogen Mustard for Lymphoma
First Use of Nitrogen Mustard for Lymphoma
By Jenny Mealing - Cold mits and wine coolers!, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=5788986
1948 CE

Folic Acid Antagonists for Childhood Leukemia

Sidney Farber uses aminopterin, a folic acid antagonist, to induce remission in acute lymphoblastic leukemia (ALL). #pediatriconcology #chemotherapy

Folic Acid Antagonists for Childhood Leukemia
Folic Acid Antagonists for Childhood Leukemia
By Unknown photographer/artist - National Cancer Institute, AV Number: AV-6000-3214, Public domain, https://commons.wikimedia.org/w/index.php?curid=5582107
1953 CE

First Cure of Choriocarcinoma with Methotrexate

Li, Hertz, and Spencer achieve the first complete cure of a solid tumor (choriocarcinoma) using methotrexate. #oncology #chemotherapy

First Cure of Choriocarcinoma with Methotrexate
First Cure of Choriocarcinoma with Methotrexate
By Nephron - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=17680086
1957 CE

Development of 5-Fluorouracil (5-FU)

Heidelberger and colleagues synthesize 5-FU, an antimetabolite that becomes a mainstay in colorectal and other cancers. #oncology #chemotherapy

1958 CE

First Combination Chemotherapy Regimen

Freireich and Frei introduce VAMP (vincristine, amethopterin, mercaptopurine, prednisone) for ALL, improving remission rates. #oncology #chemotherapy

First Combination Chemotherapy Regimen
First Combination Chemotherapy Regimen
By Unknown photographer/artist, National Cancer Institute - This image was released by the National Cancer Institute, an agency part of the National Institutes of Health, with the ID 2591 (image) (next)., Public domain, https://commons.wikimedia.org/w/index.php?curid=11023236
1960 CE

Discovery of the Philadelphia Chromosome

Nowell and Hungerford identify the Philadelphia chromosome in chronic myeloid leukemia (CML), the first cytogenetic abnormality linked to cancer. #genetics #leukemia

Discovery of the Philadelphia Chromosome
Discovery of the Philadelphia Chromosome
By No machine-readable author provided. Pmx assumed (based on copyright claims). - No machine-readable source provided. Own work assumed (based on copyright claims)., CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=254833
1964 CE

Concept of Adjuvant Chemotherapy

Bernard Fisher proposes using chemotherapy after surgery to eliminate micrometastases, revolutionizing breast cancer treatment. #oncology #surgery

Concept of Adjuvant Chemotherapy
Concept of Adjuvant Chemotherapy
By Rhoda Baer (Photographer) - This image was released by the National Cancer Institute, an agency part of the National Institutes of Health, with the ID 4453 (image) (next)., Public domain, https://commons.wikimedia.org/w/index.php?curid=24052513
1965 CE

Discovery of Cisplatin's Anticancer Activity

Rosenberg discovers that cisplatin inhibits cell division in bacteria, leading to its development as a potent anticancer drug. #oncology #chemotherapy

Discovery of Cisplatin's Anticancer Activity
Discovery of Cisplatin's Anticancer Activity
By Smokefoot - Own work, CC BY 4.0, https://commons.wikimedia.org/w/index.php?curid=152935843
1968 CE

First Successful Bone Marrow Transplant

Donnall Thomas performs the first successful allogeneic bone marrow transplant for leukemia, pioneering hematopoietic stem cell transplantation. #transplant #leukemia

First Successful Bone Marrow Transplant
First Successful Bone Marrow Transplant
By No machine-readable author provided. John Bergenholtz~commonswiki assumed (based on copyright claims). - No machine-readable source provided. Own work assumed (based on copyright claims)., CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=1338272
1971 CE

National Cancer Act Signed in the US

President Nixon signs the National Cancer Act, launching the 'War on Cancer' and significantly increasing funding for research. #cancerresearch #policy

1975 CE

Monoclonal Antibody Technology Developed

Köhler and Milstein develop the hybridoma technique for producing monoclonal antibodies, enabling targeted cancer therapies. #immunotherapy #biotech

Monoclonal Antibody Technology Developed
Monoclonal Antibody Technology Developed
By Adenosine - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=9659630
1976 CE

First Oncogene Discovered (src)

Varmus and Bishop identify the src oncogene in chicken retroviruses, showing that normal cellular genes can cause cancer when mutated. #genetics #cancer )

First Oncogene Discovered (src)
First Oncogene Discovered (src)
By National Center for Biotechnology Information, U.S. National Library of Medicine - NCBI's Genome Decoration Page., Public domain, https://commons.wikimedia.org/w/index.php?curid=61376275
1977 CE

Tamoxifen Approved for Breast Cancer

The FDA approves tamoxifen as a hormonal therapy for estrogen receptor-positive breast cancer, a landmark in targeted therapy. #breastcancer #hormonetherapy

Tamoxifen Approved for Breast Cancer
Tamoxifen Approved for Breast Cancer
By Fuse809 - Own work, Public domain, https://commons.wikimedia.org/w/index.php?curid=30708487
1979 CE

p53 Tumor Suppressor Gene Discovered

David Lane and Arnold Levine independently discover the p53 protein, a key tumor suppressor mutated in many cancers. #genetics #tumorsuppressor

p53 Tumor Suppressor Gene Discovered
p53 Tumor Suppressor Gene Discovered
By Thomas Splettstoesser - Based on atomic coordinates of PDB 1TUP, rendered with open source molecular visualization tool PyMol (www.pymol.org), CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=1248114
1983 CE

HPV Link to Cervical Cancer Established

Harald zur Hausen demonstrates that human papillomavirus (HPV) causes cervical cancer, leading to vaccine development. #virology #cervicalcancer

HPV Link to Cervical Cancer Established
HPV Link to Cervical Cancer Established
By Jan Christian @ www.ambrotosphotography.com Gardasil_vaccine_and_box.jpg: Jan Christian @ www.ambrotosphotography.com - Derivative work of Gardasil vaccine and box Gardasil_vaccine_and_box.jpg, CC BY-SA 2.0, https://commons.wikimedia.org/w/index.php?curid=6508237
1984 CE

HER2/neu Oncogene Discovered

The HER2 gene is identified as an oncogene in breast cancer, later enabling targeted therapy with trastuzumab. #breastcancer #targetedtherapy

HER2/neu Oncogene Discovered
HER2/neu Oncogene Discovered
By Fvasconcellos 02:36, 28 May 2007 (UTC) - From PDB entry 1N8Z.More information: Cho HS, Mason K, Ramyar KX, et al. (2003). "Structure of the extracellular region of HER2 alone and in complex with the Herceptin Fab". Nature 421 (6924): 756–60. PMID 12610629. doi:10.1038/nature01392., Public domain, https://commons.wikimedia.org/w/index.php?curid=2167106
1986 CE

First Cancer Vaccine: HBV Vaccine Prevents Liver Cancer

The hepatitis B vaccine is introduced, reducing liver cancer incidence by preventing chronic HBV infection. #cancerprevention #vaccine

First Cancer Vaccine: HBV Vaccine Prevents Liver Cancer
First Cancer Vaccine: HBV Vaccine Prevents Liver Cancer
By Whispyhistory - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=93651772
1987 CE

BRCA1 Gene Linked to Breast Cancer

Mary-Claire King maps the BRCA1 gene, establishing a hereditary link to breast and ovarian cancers. #genetics #breastcancer

BRCA1 Gene Linked to Breast Cancer
BRCA1 Gene Linked to Breast Cancer
By The Cheesedealer - Own work, based on PDB structure 1JM7, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=169507098
1988 CE

High-Dose IL-2 for Metastatic Melanoma

Steven Rosenberg shows that high-dose interleukin-2 can shrink metastatic melanoma, an early immunotherapy success. #immunotherapy #melanoma

High-Dose IL-2 for Metastatic Melanoma
High-Dose IL-2 for Metastatic Melanoma
By Ramin Herati - Created from PDB 1M47 and rendered by me using Pymol, Public domain, https://commons.wikimedia.org/w/index.php?curid=1450010
1989 CE

All-Trans Retinoic Acid for Acute Promyelocytic Leukemia

Chinese researchers first treat acute promyelocytic leukemia (APL) with ATRA, inducing differentiation and remission. #leukemia #differentiationtherapy

All-Trans Retinoic Acid for Acute Promyelocytic Leukemia
All-Trans Retinoic Acid for Acute Promyelocytic Leukemia
By Vaccinationist - PubChem, Public domain, https://commons.wikimedia.org/w/index.php?curid=58156053
1990 CE

First Human Gene Therapy Trial for Cancer

Rosenberg and colleagues perform the first gene therapy trial, using modified tumor-infiltrating lymphocytes to treat melanoma. #genetherapy #immunotherapy

First Human Gene Therapy Trial for Cancer
First Human Gene Therapy Trial for Cancer
By Ciencias Españolas KoS - File:ADN_2.png File:Pince_a_épiler.png, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=75624775
1991 CE

BRCA2 Gene Discovered

Wooster and Stratton identify BRCA2 as another hereditary breast cancer susceptibility gene. #genetics #breastcancer

BRCA2 Gene Discovered
BRCA2 Gene Discovered
By ProteinBoxBot at English Wikipedia - Transferred from en.wikipedia to Commons by Anassagora using CommonsHelper., Public domain, https://commons.wikimedia.org/w/index.php?curid=7574310
1992 CE

Discovery of PD-1 by Tasuku Honjo

Honjo discovers the PD-1 receptor on T cells, later found to be a key immune checkpoint target in cancer immunotherapy. #immunotherapy #checkpoint

Discovery of PD-1 by Tasuku Honjo
Discovery of PD-1 by Tasuku Honjo
By Fvasconcellos (talk · contribs) - From PDB entry 3RRQ., Public domain, https://commons.wikimedia.org/w/index.php?curid=61346859
1995 CE

Imatinib (Gleevec) Developed

Scientists at Novartis develop imatinib, a tyrosine kinase inhibitor targeting the BCR-ABL fusion protein in CML. #targetedtherapy #cml

Imatinib (Gleevec) Developed
Imatinib (Gleevec) Developed
By Fuse809 - Own work, Public domain, https://commons.wikimedia.org/w/index.php?curid=30346575
1996 CE

Arsenic Trioxide for APL in China

Chinese researchers report that arsenic trioxide (ATO) induces remission in relapsed APL patients with minimal toxicity. #leukemia #targetedtherapy

Arsenic Trioxide for APL in China
Arsenic Trioxide for APL in China
By Ben Mills - Own work, Public domain, https://commons.wikimedia.org/w/index.php?curid=5695399
1997 CE

FDA Approves Rituximab for Non-Hodgkin Lymphoma

Rituximab, the first monoclonal antibody for cancer, is approved, targeting CD20 on B cells. #immunotherapy #lymphoma

FDA Approves Rituximab for Non-Hodgkin Lymphoma
FDA Approves Rituximab for Non-Hodgkin Lymphoma
By Oguenther at de.wikipedia - Own work mit Jmol auf Basis RCSB PDB: 2OSL​., Public domain, https://commons.wikimedia.org/w/index.php?curid=15482243
1998 CE

Trastuzumab (Herceptin) Approved for Breast Cancer

Herceptin, targeting HER2, is approved for metastatic breast cancer, a landmark in targeted therapy. #breastcancer #targetedtherapy

1999 CE

First Cancer Genome Sequenced

The first complete cancer genome (a lung cancer cell line) is sequenced, paving the way for precision oncology. #genomics #cancerresearch

2001 CE

Imatinib (Gleevec) Approved for CML

FDA fast-tracks approval of imatinib for chronic myeloid leukemia, ushering in the era of targeted kinase inhibitors. #targetedtherapy #cml

2004 CE

Bevacizumab (Avastin) Approved for Colorectal Cancer

Avastin, an anti-VEGF antibody, is approved for metastatic colorectal cancer, inhibiting tumor angiogenesis. #angiogenesis #targetedtherapy

2006 CE

HPV Vaccine Approved for Cervical Cancer Prevention

The FDA approves Gardasil, the first vaccine against HPV, preventing cervical cancer. #cancerprevention #vaccine

2008 CE

PARP Inhibitors: Synthetic Lethality Concept

Researchers show that PARP inhibitors selectively kill BRCA-deficient cancer cells, introducing synthetic lethality. #targetedtherapy #brca

PARP Inhibitors: Synthetic Lethality Concept
PARP Inhibitors: Synthetic Lethality Concept
By Fvasconcellos (talk · contribs) - From PDB entry 5DS3. More information: Dawicki-McKenna JM, Langelier MF, Denizio JE, et al. PARP-1 activation requires local unfolding of an autoinhibitory domain. Mol Cell. 2015;60(5):755-68. doi:10.1016/j.molcel.2015.10.013, Public domain, https://commons.wikimedia.org/w/index.php?curid=61607160
2011 CE

FDA Approves Ipilimumab (Yervoy) for Melanoma

Ipilimumab, a CTLA-4 checkpoint inhibitor, becomes the first approved immune checkpoint blockade for cancer. #immunotherapy #checkpoint

FDA Approves Ipilimumab (Yervoy) for Melanoma
FDA Approves Ipilimumab (Yervoy) for Melanoma
By Fvasconcellos (talk · contribs) - From PDB entry 5TRU. More information: Ramagopal UA, Liu W, Garrett-thomson SC, et al. Structural basis for cancer immunotherapy by the first-in-class checkpoint inhibitor ipilimumab. Proc Natl Acad Sci USA 2017;114(21):E4223-E4232. doi:10.1073/pnas.1617941114, Public domain, https://commons.wikimedia.org/w/index.php?curid=61347389
2012 CE

CAR-T Cell Therapy Breakthrough

Carl June and colleagues report durable remissions in ALL patients treated with CD19-targeted CAR-T cells. #immunotherapy #cartcell

2013 CE

Exome Sequencing Reveals Tumor Heterogeneity

Studies using next-generation sequencing uncover extensive intra-tumor heterogeneity, impacting treatment resistance. #genomics #cancer

2014 CE

FDA Approves Pembrolizumab and Nivolumab

PD-1 checkpoint inhibitors pembrolizumab (Keytruda) and nivolumab (Opdivo) are approved for melanoma, revolutionizing immunotherapy. #immunotherapy #checkpoint

FDA Approves Pembrolizumab and Nivolumab
FDA Approves Pembrolizumab and Nivolumab
By Fvasconcellos (talk · contribs) - From PDB entry 5DK3. More information: Scapin G, Yang X, Prosise WW, et al. Structure of full-length human anti-PD1 therapeutic IgG4 antibody pembrolizumab. Nat Struct Mol Biol 2015;22(12):953-8. doi:10.1038/nsmb.3129, Public domain, https://commons.wikimedia.org/w/index.php?curid=61341750
2015 CE

First Liquid Biopsy Test Approved

The FDA approves the first liquid biopsy (ctDNA test) for monitoring EGFR mutations in lung cancer. #liquidbiopsy #precisiononcology

2017 CE

FDA Approves First CAR-T Therapy: Kymriah

Tisagenlecleucel (Kymriah) is approved for pediatric ALL, marking the first gene therapy in the US. #immunotherapy #cartcell

2018 CE

Nobel Prize to Allison and Honjo for Checkpoint Blockade

James Allison and Tasuku Honjo win the Nobel Prize for their discovery of CTLA-4 and PD-1 as immune checkpoints, enabling cancer immunotherapy. #immunotherapy #nobel

2019 CE

First Tumor-Agnostic FDA Approval: Larotrectinib

Larotrectinib is approved for any solid tumor with an NTRK fusion, marking the first site-agnostic targeted therapy. #targetedtherapy #precisiononcology

First Tumor-Agnostic FDA Approval: Larotrectinib
First Tumor-Agnostic FDA Approval: Larotrectinib
By Ed (Edgar181) - Own work, Public domain, https://commons.wikimedia.org/w/index.php?curid=55668348
2020 CE

COVID-19 Impact on Cancer Care

The pandemic disrupts cancer screening, diagnosis, and treatment globally, leading to delays and worse outcomes. #cancercare #pandemic

COVID-19 Impact on Cancer Care
COVID-19 Impact on Cancer Care
By Gustavo Basso - https://www.flickr.com/photos/gustavocb/49913440386, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=112916636
2021 CE

First mRNA Cancer Vaccine Trial Shows Promise

Moderna and BioNTech launch mRNA-based personalized cancer vaccine trials, building on COVID-19 vaccine technology. #immunotherapy #vaccine

2022 CE

FDA Approval of First Bispecific Antibody for Cancer

Teclistamab, targeting BCMA and CD3, is approved for multiple myeloma, representing a new class of immunotherapy. #immunotherapy #bispecific