Gastric cancer management: Kinases as a target therapy

Clinical and Experimental Pharmacology and Physiology - Tập 44 Số 6 - Trang 613-622 - 2017
Batoul Farran1, Susanne Müller2, Raquel Carvalho Montenegro3
1Department of Structural and Molecular Biology, University College London, London, UK
2Buchmann Institute for Molecular Life Sciences, Johann Wolfgang Goethe-University, Frankfurt am Main, DE, Germany
3Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, Brazil

Tóm tắt

SummaryThe 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.

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