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Updated: Mar 6, 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
Gastric cancer management: Kinases as a target therapy
Batoul Farran1, Susanne Müller2, Raquel C Montenegro3
1Department of Structural and Molecular Biology, University College London, London, UK.
Abstract:
The molecular diagnostics revolution has reshaped the practice of oncology by facilitating the identification of genetic, epigenetic and proteomic modifications correlated with cancer, thus delineating 'oncomaps' for various cancer types. These advances have enhanced our understanding of gastric cancer, one of the most fatal diseases worldwide, and culminated in the approval of novel molecular therapies such as trastuzumab. Gastric tumours display recurrent aberrations in key kinase oncogenes such as Her2, epidermal growth factor receptor (EGFR), PI3K, mTOR or c-Met, suggesting that these receptors are amenable to inhibition using specific drug agents. In this review, we examine the mutational landscape of gastric cancer, the use of kinase inhibitors as targeted therapies in gastric tumours and the clinical trials underway for novel inhibitors, highlighting successes, failures and future directions.
Insights
Molecular diagnostics are revolutionizing oncology, especially for gastric cancer. This review explores targeted therapies and kinase inhibitors for gastric tumors, analyzing ongoing clinical trials for future directions.
Area of Science:
- Oncology
- Molecular Diagnostics
- Genomics
Background:
- Gastric cancer is a leading cause of cancer mortality worldwide.
- Molecular diagnostics have identified key genetic alterations in gastric tumors.
- Recurrent aberrations in kinase oncogenes (e.g., Her2, EGFR) are common in gastric cancer.
Purpose of the Study:
- To review the mutational landscape of gastric cancer.
- To examine the role of kinase inhibitors as targeted therapies.
- To analyze ongoing clinical trials for novel gastric cancer inhibitors.
Main Methods:
- Literature review of molecular diagnostics in oncology.
- Analysis of genetic and epigenetic modifications in gastric cancer.
- Examination of clinical trial data for kinase inhibitors.
Main Results:
- Molecular diagnostics have improved understanding of gastric cancer.
- Targeted therapies like trastuzumab have been approved.
- Key kinase oncogenes represent targets for drug development.
Conclusions:
- Targeted inhibition of specific oncogenes offers a promising therapeutic strategy for gastric cancer.
- Ongoing clinical trials are evaluating novel kinase inhibitors.
- Further research is needed to optimize targeted therapies and overcome resistance.
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