Targeting key signalling pathways in oesophageal adenocarcinoma: a reality for personalised medicine?

作者: Richard R Keld , Yeng S Ang

DOI: 10.3748/WJG.V17.I23.2781

关键词: AdenocarcinomaSignal transductionCancer researchCancerImmunologyReceptor tyrosine kinasePersonalized medicineChemoradiotherapyGrowth factor receptorBiologyTargeted therapy

摘要: Cancer treatments are rapidly changing. Curative treatment for oesophageal adenocarcinoma currently involves surgery and cytotoxic chemotherapy or chemoradiotherapy. Outcomes both regimes generally poor as a result of tumor recurrence. We have reviewed the key signalling pathways associated with adenocarcinomas discussed recent trials novel agents that attempt to target these pathways. There many underway aim improving survival in cancer. Currently, phase 2 3 focused on MAP kinase inhibition, either through inhibition growth factor receptors signal transducer proteins. In order avoid resistance, it appears be clear targeted therapy will needed combat multiple operation adenocarcinomas. This may achievable future advent gene signatures combinatorial approach.

参考文章(78)
M. Bak, R. Montesano, J. A. Welsh, M. C. Hollstein, C. C. Harris, L. Peri, A. M. Mandard, R. A. Metcalf, Genetic analysis of human esophageal tumors from two high incidence geographic areas: frequent p53 base substitutions and absence of ras mutations. Cancer Research. ,vol. 51, pp. 4102- 4106 ,(1991)
H M Pinedo, G F Peters, Fluorouracil: biochemistry and pharmacology. Journal of Clinical Oncology. ,vol. 6, pp. 1653- 1664 ,(1988) , 10.1200/JCO.1988.6.10.1653
A Webb, D Cunningham, J H Scarffe, P Harper, A Norman, J K Joffe, M Hughes, J Mansi, M Findlay, A Hill, J Oates, M Nicolson, T Hickish, M O'Brien, T Iveson, M Watson, C Underhill, A Wardley, M Meehan, Randomized trial comparing epirubicin, cisplatin, and fluorouracil versus fluorouracil, doxorubicin, and methotrexate in advanced esophagogastric cancer. Journal of Clinical Oncology. ,vol. 15, pp. 261- 267 ,(1997) , 10.1200/JCO.1997.15.1.261
Renzo M. Canetta, Renzo M. Canetta, Eric K. Rowinsky, Eric K. Rowinsky, Susan G. Arbuck, Susan G. Arbuck, Nicole Onetto, Nicole Onetto, Taxol: the first of the taxanes, an important new class of antitumor agents. Seminars in Oncology. ,vol. 19, pp. 646- 662 ,(1992) , 10.5555/URI:PII:009377549290034X
Joel H. Rubenstein, Amnon Sonnenberg, Jennifer Davis, Laurence McMahon, John M. Inadomi, Effect of a prior endoscopy on outcomes of esophageal adenocarcinoma among United States veterans Gastrointestinal Endoscopy. ,vol. 68, pp. 849- 855 ,(2008) , 10.1016/J.GIE.2008.02.062
K Sumpter, C Harper-Wynne, D Cunningham, S Rao, N Tebbutt, A R Norman, C Ward, T Iveson, M Nicolson, T Hickish, M Hill, J Oates, Report of two protocol planned interim analyses in a randomised multicentre phase III study comparing capecitabine with fluorouracil and oxaliplatin with cisplatin in patients with advanced oesophagogastric cancer receiving ECF. British Journal of Cancer. ,vol. 92, pp. 1976- 1983 ,(2005) , 10.1038/SJ.BJC.6602572
F Lordick, C von Schilling, H Bernhard, M Hennig, R Bredenkamp, C Peschel, Phase II trial of irinotecan plus docetaxel in cisplatin-pretreated relapsed or refractory oesophageal cancer. British Journal of Cancer. ,vol. 89, pp. 630- 633 ,(2003) , 10.1038/SJ.BJC.6601168
Junichi Matsubara, Yasuhide Yamada, Takako E. Nakajima, Ken Kato, Tetsuya Hamaguchi, Kuniaki Shirao, Yasuhiro Shimada, Tadakazu Shimoda, Clinical Significance of Insulin-Like Growth Factor Type 1 Receptor and Epidermal Growth Factor Receptor in Patients with Advanced Gastric Cancer Oncology. ,vol. 74, pp. 76- 83 ,(2008) , 10.1159/000139127