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KMID : 1141820190190040375
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Journal of Gastric Cancer
2019 Volume.19 No. 4 p.375 ~ p.392
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Novel Biomarkers for Prediction of Response to Preoperative Systemic Therapies in Gastric Cancer
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Cavaliere Alessandro
Merz Valeria
Casalino Simona
Zecchetto Camilla
Simionato Francesca
Salt Hayley Louise
Contarelli Serena
Santoro Raffaela
Melisi Davide
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Abstract
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Preoperative chemo- and radiotherapeutic strategies followed by surgery are currently a standard approach for treating locally advanced gastric and esophagogastric junction cancer in Western countries. However, in a large number of cases, the tumor is extremely resistant to these treatments and the patients are exposed to unnecessary toxicity and delayed surgical therapy. The current clinical trials evaluating the combination of preoperative systemic therapies with modern targeted and immunotherapeutic agents represent a unique opportunity for identifying predictive biomarkers of response to select patients that would benefit the most from these treatments. However, it is of utmost importance that these potential biomarkers are corroborated by extensive preclinical and translational research. The aim of this review article is to present the most promising biomarkers of response to classic chemotherapeutic, anti-HER2, antiangiogenic, and immunotherapeutic agents that can be potentially useful for personalized preoperative systemic therapies in gastric cancer patients.
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KEYWORD
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Gastric cancer, Microsatellite instability, Baculoviral IAP repeat-containing 3 protein, Receptor, fibroblast growth factor, type 3, HOXB9 protein, human
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