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Published on: May 10, 2024
Advancements in targeted therapy for gastric cancer
Yihua Wang1, Jie Li1, Guanmo Liu1
1Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People's Republic of China.
Abstract:
Gastric cancer (GC) ranks among the most prevalent malignancies of the gastrointestinal system. For patients with advanced-stage disease undergoing surgical resection, postoperative 5-year survival rates remain critically low, typically below 20%. Contemporary therapeutic strategies encompass surgical intervention, cytotoxic chemotherapy, immune checkpoint blockade, and molecularly-targeted agents. Targeted therapeutics exert their effects by exploiting molecular vulnerabilities such as human epidermal growth factor receptor-2, Claudin 18.2, vascular endothelial growth factor/vascular endothelial growth factor receptor, fibroblast growth factor receptor 2, and N6-methyladenosine modification pathways, thereby suppressing tumor proliferation and offering improved clinical outcomes for advanced GC. These agents demonstrate significant potential in extending overall survival durations, underscoring their translational value and substantial research implications. This comprehensive review delineates recent advancements in GC-targeted therapies to inform precision oncology paradigms and guide future drug discovery initiatives.
Insights
Targeted therapies offer new hope for advanced gastric cancer (GC) by exploiting specific molecular pathways. These novel treatments improve survival rates for patients with this prevalent gastrointestinal malignancy.
Area of Science:
- Oncology
- Gastroenterology
- Molecular Biology
Background:
- Gastric cancer (GC) is a leading gastrointestinal malignancy with poor prognoses for advanced stages post-surgery.
- Current treatments like chemotherapy and immunotherapy have limitations, necessitating novel therapeutic approaches.
Purpose of the Study:
- To review recent advancements in targeted therapies for advanced gastric cancer.
- To highlight the potential of targeted agents in precision oncology and guide future drug discovery.
Main Methods:
- Literature review of recent studies on targeted therapies for gastric cancer.
- Analysis of molecular targets and their therapeutic implications.
Main Results:
- Targeted therapies exploit specific molecular vulnerabilities including HER2, Claudin 18.2, VEGF/VEGFR, FGFR2, and N6-methyladenosine pathways.
- These agents demonstrate significant potential in suppressing tumor proliferation and extending overall survival.
Conclusions:
- Targeted therapeutics represent a promising strategy for improving clinical outcomes in advanced gastric cancer.
- Further research and drug discovery in this area are crucial for advancing precision oncology paradigms.
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