Lam Ka-On, Kwong Dora L W
Department of Clinical Oncology, LKS Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Methods Mol Biol. 2018;1756:51-65. doi: 10.1007/978-1-4939-7734-5_5.
Adenocarcinoma of the esophagus is a deadly disease and median survival of patients with metastatic disease is around 1 year only. There is an unmet need to personalize treatment by identifying molecular targets and respective target therapy in esophageal adenocarcinoma. There has been success in targeting the human epidermal growth factor receptor 2 (HER2) and vasoendothelial growth factor (VEGF) pathway while more failures were encountered in the clinical studies targeting epidermal growth factor (EGFR), mammalian target of rapamycin (mTOR), and mesenchymal-epithelial transition (MET). Studies using immune-checkpoint inhibitors have shown early success, and we await mature data for clinical application. In the chapter, the target therapy and novel treatment strategy will be reviewed. In the future, it is hoped that advances in translational research in targeted therapy against esophageal adenocarcinoma will bring about new progress in clinical practice.
食管腺癌是一种致命疾病,转移性疾病患者的中位生存期仅约为1年。通过识别食管腺癌的分子靶点和相应的靶向治疗来实现个性化治疗存在未满足的需求。在靶向人类表皮生长因子受体2(HER2)和血管内皮生长因子(VEGF)途径方面已取得成功,而在针对表皮生长因子(EGFR)、雷帕霉素靶蛋白(mTOR)和间充质-上皮转化(MET)的临床研究中遇到了更多失败。使用免疫检查点抑制剂的研究已显示出早期成功,我们正在等待成熟数据用于临床应用。在本章中,将对靶向治疗和新的治疗策略进行综述。未来,希望针对食管腺癌的靶向治疗转化研究进展能在临床实践中带来新的进展。