Related Experiment Video
Updated: May 20, 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
Metastatic gastric cancer - focus on targeted therapies
Judith Meza-Junco1, Michael B Sawyer
1Department of Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada.
Abstract:
Gastric cancer (GC) is currently the second leading cause of cancer death worldwide; unfortunately, most patients will present with locally advanced or metastatic disease. Despite recent progress in diagnosis, surgery, chemotherapy, and radiotherapy, prognosis remains poor. A better understanding of GC biology and signaling pathways is expected to improve GC therapy, and the integration of targeted therapies has recently become possible and appears to be promising. This article focuses on anti-Her-2 therapy, specifically trastuzumab, as well as other epidermal growth factor receptor antagonists such as cetuximab, panitumub, matuzumab, nimotzumab, gefitinib, and erlotinib. Additionally, drugs that target angiogenesis pathways are also under investigation, particulary bevacizumab, ramucirumab, sorafenib, sunitinib, and cediranib. Other targeted agents in preclinical or early clinical development include mTOR inhibitors, anti c-MET, polo-like kinase 1 inhibitors, anti-insulin-like growth factor, anti-heat shock proteins, and small molecules targeting Hedgehog signaling.
Insights
Targeted therapies offer new hope for advanced gastric cancer (GC). This review explores anti-Her-2 agents, angiogenesis inhibitors, and other novel drugs to improve patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Gastric cancer (GC) is a leading cause of cancer mortality globally, with many patients diagnosed at advanced or metastatic stages.
- Current treatment modalities including surgery, chemotherapy, and radiotherapy offer limited survival benefits for advanced GC.
- Understanding GC biology is crucial for developing more effective therapeutic strategies.
Purpose of the Study:
- To review current and emerging targeted therapies for gastric cancer.
- To focus on anti-Her-2 therapies and epidermal growth factor receptor antagonists.
- To discuss drugs targeting angiogenesis and other novel agents in development.
Main Methods:
- Review of existing literature on targeted therapies for gastric cancer.
- Focus on drugs targeting specific molecular pathways like Her-2 and angiogenesis.
- Inclusion of agents in preclinical and early clinical development.
Main Results:
- Anti-Her-2 therapy, exemplified by trastuzumab, shows promise.
- Epidermal growth factor receptor antagonists (cetuximab, panitumumab, etc.) are under investigation.
- Angiogenesis inhibitors (bevacizumab, ramucirumab, etc.) and other novel agents (mTOR inhibitors, c-MET inhibitors, etc.) are being explored.
Conclusions:
- Targeted therapies represent a promising frontier for improving gastric cancer treatment.
- Further research and clinical trials are essential to validate the efficacy of these agents.
- Personalized medicine approaches targeting specific molecular pathways hold potential for better patient outcomes in GC.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Treatment Resistent Cancers
Mitogens and the Cell Cycle
Metastasis
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Treatment Resistant Cancers
