2012
DOI: 10.5858/arpa.2011-0167-ra
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Targeted Therapies and Predictive Markers in Epithelial Malignancies of the Gastrointestinal Tract

Abstract: Gene testing of critical elements of the pathways targeted by these agents (such as KRAS mutational analysis in colorectal tumors and HER2/neu testing in gastric cancers) allows the ability to predict which patients will respond to these treatments. As the molecular profiling of tumors and our understanding of cancer genomics and epigenetic alterations continues to grow, it is expected that these personalized targeted therapies will form one of the mainstays of gastrointestinal cancer treatment.

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Cited by 7 publications
(5 citation statements)
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“…While c-kit expression in gastric carcinoma is very limited, Her2-neu expressed in less than 20% of them [34,35], and efforts for finding other molecular biomarker are currently in development.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…While c-kit expression in gastric carcinoma is very limited, Her2-neu expressed in less than 20% of them [34,35], and efforts for finding other molecular biomarker are currently in development.…”
Section: Discussionmentioning
confidence: 99%
“…Until now many new anti-c-MET drugs have been invented and most are in preclinical and clinical testing [34,36]. …”
Section: Discussionmentioning
confidence: 99%
“…In the era of personalised medicine with targeted therapy, monoclonal antibodies have become key molecules in the treatment of metastatic CRC (mCRC). Since 2004, the US Food and Drug Administration (FDA) has approved cetuximab, panitumumab and bevacizumab for the treatment of mCRC, which are humanised monoclonal antibodies directed against the epidermal growth factor receptor (EGFR; cetuximab and panitumumab) or the vascular endothelial growth factor (bevacizumab) (McIntire and Redston, 2012). With regard to cetuximab and panitumumab, treatment response largely depends on the absence of oncogenic mutations in key signalling molecules, for example, KRAS , NRAS and BRAF (Custodio and Feliu, 2013), and the drug can only be administered after molecular tests exclude the presence of somatic RAS -mutations in mCRC (companion diagnostics).…”
mentioning
confidence: 99%
“…This critically affects influencing the quality of life of patients (4)(5)(6). With the broad development of tumor marker and molecular targeted therapy (7), a more detailed understanding of the mechanisms contributing to the carcinogenesis of TSCC would be of value to improve the therapeutic effect of TSCC at the molecular level.…”
Section: Introductionmentioning
confidence: 99%