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Author Spotlight: Unveiling Transmembrane Protein Family-Related Markers in Gastric Cancer and Implications for Targeted Therapies
Published on: September 15, 2023
Advances in molecular biomarkers research and clinical application progress for gastric cancer immunotherapy
Hongzhen Cai1,2, Man Li1,2, Ruiyi Deng1,2
1Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Abstract:
Gastric cancer is characterized by high morbidity and mortality worldwide. Early-stage gastric cancer is mainly treated with surgery, while for advanced gastric cancer, the current treatment options remain insufficient. In the 2022 NCCN Guidelines for Gastric Cancer, immunotherapy is listed as a first-line option for certain conditions. Immunotherapy for gastric cancer mainly targets the PD-1 molecule and achieves therapeutic effects by activating T cells. In addition, therapeutic strategies targeting other molecules, such as CTLA4, LAG3, Tim3, TIGIT, and OX40, have also been developed to improve the treatment efficacy of gastric cancer immunotherapy. This review summarizes the molecular biomarkers of gastric cancer immunotherapy and their clinical trials.
Insights
Immunotherapy, particularly targeting PD-1, is a new option for advanced gastric cancer. This review covers biomarkers and clinical trials for enhancing gastric cancer immunotherapy effectiveness.
Area of Science:
- Oncology
- Immunology
Background:
- Gastric cancer presents significant global health challenges with high mortality rates.
- Current treatments for advanced gastric cancer are limited, necessitating novel therapeutic approaches.
Purpose of the Study:
- To review molecular biomarkers for gastric cancer immunotherapy.
- To summarize ongoing clinical trials evaluating these biomarkers and immunotherapies.
Main Methods:
- Literature review of recent studies on gastric cancer immunotherapy.
- Analysis of NCCN Guidelines (2022) regarding immunotherapy in gastric cancer.
- Compilation of data on targeted molecules and clinical trial outcomes.
Main Results:
- Immunotherapy, primarily targeting Programmed Death 1 (PD-1), is now a first-line option for specific gastric cancer cases.
- Various other immune checkpoint molecules (CTLA4, LAG3, Tim3, TIGIT) and co-stimulatory molecules (OX40) are under investigation.
- Clinical trials are exploring the efficacy of these diverse immunotherapeutic strategies.
Conclusions:
- Immunotherapy represents a promising advancement in treating advanced gastric cancer.
- Identifying appropriate molecular biomarkers is crucial for optimizing immunotherapy selection and improving patient outcomes.
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