Most targeted cancer therapies work by modulating protein-protein interactions. Checkpoint inhibitorsLoading... block PD-1/PD-L1 binding. HER2-targeted therapies disrupt receptor dimerization. Kinase inhibitors prevent enzyme-substrate interactions.
This mechanistic reality creates a biomarker paradox: therapies target interactions, but companion diagnosticsLoading... measure expression. A PD-L1 IHCLoading... score tells us how much PD-L1 is present–not whether it's actually engaging PD-1.
Measuring PPIs directly aligns the biomarker with the mechanism of action. If a drug blocks an interaction, the biomarker should measure that interaction.