Related Experiment Video
Updated: Jul 16, 2026

Establishment and Characterization of Small Bowel Neuroendocrine Tumor Spheroids
Published on: October 14, 2019
New drug development in digestive neuroendocrine tumors
I Durán1, R Salazar, O Casanovas
1Department of Medical Oncology and Hematology, Princess Margaret Hospital, University Health Network, Toronto, Canada.
Abstract:
The traditional cytotoxic agents are of limited efficacy in the treatment of neuroendocrine tumors of the gastrointestinal tract (NETs). Recent investigations have brought up a number of biological features in this family of neoplasms that could represent targets for anticancer treatment. NETs seem to have an extraordinary tumor vascularization with high expression of proangiogenic molecules such as the vascular endothelial growth factor along with overexpression of certain tyrosine kinase receptors such as the epidermal growth factor receptor (EGFR), the insulin growth factor receptor (IGFR) and their downstream signaling pathway components (PI3K-AKT-mTOR). The rationale of an antiangiogenic approach in the treatment of NETs and the use of other pharmacological strategies such as EGFR, IGFR and mammalian target of rapamycin inhibitors are discussed. Additionally, the emerging results of recent clinical trials with these targeted drugs are presented.
Insights
Targeted therapies show promise for gastrointestinal neuroendocrine tumors (NETs). Antiangiogenic agents and inhibitors of epidermal growth factor receptor (EGFR) and insulin growth factor receptor (IGFR) offer new treatment avenues.
Area of Science:
- Oncology
- Gastroenterology
- Molecular Biology
Background:
- Gastrointestinal neuroendocrine tumors (NETs) exhibit limited response to traditional cytotoxic chemotherapy.
- NETs display significant tumor vascularization and overexpression of proangiogenic factors like vascular endothelial growth factor.
- Key signaling pathways, including epidermal growth factor receptor (EGFR), insulin growth factor receptor (IGFR), and PI3K-AKT-mTOR, are dysregulated in NETs.
Purpose of the Study:
- To discuss the rationale for antiangiogenic strategies in NET treatment.
- To explore the potential of targeting EGFR, IGFR, and mTOR pathways in NETs.
- To present emerging clinical trial data on targeted therapies for NETs.
Main Methods:
- Review of biological features of NETs.
- Discussion of antiangiogenic and targeted pharmacological strategies.
- Analysis of recent clinical trial outcomes.
Main Results:
- NETs present viable molecular targets due to their unique vascularization and signaling pathway profiles.
- Targeted agents inhibiting angiogenesis, EGFR, IGFR, and mTOR pathways are under investigation.
- Early clinical trial results indicate potential efficacy of these targeted therapies.
Conclusions:
- Targeted therapies represent a promising approach for managing gastrointestinal NETs.
- Further clinical investigation is warranted to establish the role of these agents in NET treatment protocols.
Related Concept Videos
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
Phenothiazines, such as prochlorperazine...
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists
Drugs Affecting GI Tract Motility: Dopamine Receptor Antagonists
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists