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Updated: May 27, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Molecular targeted agents for gastric and gastroesophageal junction cancer
Takashi Oshima1, Munetaka Masuda
1Gastroenterological Center, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan. ohshimatakashi@yahoo.co.jp
Abstract:
Despite recent improvements in surgical techniques and chemotherapy, advanced cancers of the stomach and gastroesophageal junction (GEJ) continue to have poor clinical outcomes. However, molecules intimately related to cancer cell proliferation, invasion, and metastasis have been studied as candidates for molecular targeted agents. Target molecules, such as the epidermal growth factor receptor, vascular endothelial growth factor receptor, and P13k/Akt/mTor pathway, as well as the insulin-like growth factor receptor, c-Met pathways, fibroblast growth factor receptor, and other pathways are considered to be promising candidates for molecular targeted therapy for gastric and GEJ cancer. In this review we focus on the recent developments in targeting relevant pathways in these types of cancer.
Insights
Advanced stomach and gastroesophageal junction (GEJ) cancers need better treatments. This review explores molecular targeted therapies focusing on pathways like EGFR, VEGFR, and PI3K/Akt/mTOR for improved outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Advanced gastric and gastroesophageal junction (GEJ) cancers present significant treatment challenges with poor clinical outcomes despite current therapies.
- Cancer cell proliferation, invasion, and metastasis are critical processes driving disease progression.
Purpose of the Study:
- To review recent advancements in molecular targeted therapy for gastric and GEJ cancers.
- To highlight key molecular pathways and their potential as targets for novel therapeutic agents.
Main Methods:
- Literature review focusing on molecular targeted agents and relevant pathways in gastric and GEJ cancer.
- Analysis of current research on epidermal growth factor receptor (EGFR), vascular endothelial growth factor receptor (VEGFR), PI3K/Akt/mTOR, insulin-like growth factor receptor (IGFR), c-Met, and fibroblast growth factor receptor (FGFR) pathways.
Main Results:
- Several molecular pathways, including EGFR, VEGFR, PI3K/Akt/mTOR, IGFR, c-Met, and FGFR, are identified as promising targets for molecular targeted therapy.
- These pathways are intimately related to cancer cell proliferation, invasion, and metastasis.
Conclusions:
- Targeting specific molecular pathways offers a promising strategy for developing novel treatments for advanced gastric and GEJ cancers.
- Further research and clinical development of these targeted agents are crucial for improving patient outcomes.
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