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Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Genomic landscape of gastric cancer: molecular classification and potential targets
Jiawei Guo1, Weiwei Yu1, Hui Su1
1Shanghai Key Laboratory of Regulatory Biology, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University, Shanghai, 200241, China.
Abstract:
Gastric cancer imposes a considerable health burden worldwide, and its mortality ranks as the second highest for all types of cancers. The limited knowledge of the molecular mechanisms underlying gastric cancer tumorigenesis hinders the development of therapeutic strategies. However, ongoing collaborative sequencing efforts facilitate molecular classification and unveil the genomic landscape of gastric cancer. Several new drivers and tumorigenic pathways in gastric cancer, including chromatin remodeling genes, RhoA-related pathways, TP53 dysregulation, activation of receptor tyrosine kinases, stem cell pathways and abnormal DNA methylation, have been revealed. These newly identified genomic alterations await translation into clinical diagnosis and targeted therapies. Considering that loss-of-function mutations are intractable, synthetic lethality could be employed when discussing feasible therapeutic strategies. Although many challenges remain to be tackled, we are optimistic regarding improvements in the prognosis and treatment of gastric cancer in the near future.
Insights
Gastric cancer
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Gastric cancer presents a significant global health challenge with high mortality rates.
- Limited understanding of its molecular underpinnings impedes effective therapeutic development.
Purpose of the Study:
- To elucidate the genomic landscape of gastric cancer through collaborative sequencing efforts.
- To identify novel molecular drivers and tumorigenic pathways for improved diagnostics and treatments.
Main Methods:
- Large-scale collaborative genome sequencing of gastric cancer.
- Analysis of genomic alterations, including mutations in chromatin remodeling genes, TP53, and receptor tyrosine kinases.
- Investigation of RhoA-related pathways, stem cell pathways, and DNA methylation.
Main Results:
- Identification of key genomic alterations and aberrant pathways in gastric cancer.
- Revealed roles for chromatin remodeling, TP53 dysregulation, and receptor tyrosine kinase activation.
- Uncovered involvement of stem cell pathways and abnormal DNA methylation in tumorigenesis.
Conclusions:
- Genomic insights are advancing the molecular classification of gastric cancer.
- Newly identified alterations offer potential targets for clinical diagnosis and therapy.
- Synthetic lethality presents a promising strategy for targeting intractable loss-of-function mutations.
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