Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, P.R. China.
Mol Med Rep. 2018 Aug;18(2):1238-1246. doi: 10.3892/mmr.2018.9145. Epub 2018 Jun 6.
Despite significant progress in the treatment of gastric cancer (GC), the prognosis remains poor and the mortality is high. Targeted drugs have been incorporated into routine treatment to improve treatment efficacy. However, the therapy response is still below 50%. Therefore, there is a need to identify predictive factors for patient response to a specific drug in order to improve the efficacy of drug therapy. The present article reviewed the predictive factors for target therapy in GC, including epidermal growth factor receptor, human epidermal receptor 2, vascular endothelial growth factor family, molecules in the mesenchymal‑epithelial transition pathway and the mammalian target of rapamycin. Additionally, the present review described the interactions between these molecules and signaling pathways.
尽管胃癌(GC)的治疗取得了重大进展,但预后仍然较差,死亡率较高。靶向药物已被纳入常规治疗以提高治疗效果。然而,治疗反应仍低于 50%。因此,有必要确定患者对特定药物反应的预测因素,以提高药物治疗的疗效。本文综述了 GC 靶向治疗的预测因素,包括表皮生长因子受体、人表皮受体 2、血管内皮生长因子家族、间质-上皮转化途径中的分子和哺乳动物雷帕霉素靶蛋白。此外,本综述还描述了这些分子与信号通路之间的相互作用。