Targeted therapy and immunotherapy for gastric cancer: rational strategies, novel advancements, challenges, and future perspectives
Molecular Medicine,
Journal Year:
2025,
Volume and Issue:
31(1)
Published: Feb. 8, 2025
Abstract
Gastric
cancer
(GC)
is
one
of
the
most
common
malignant
tumors
worldwide,
and
its
treatment
has
been
a
focus
medical
research.
Herein
we
systematically
review
current
status
advancements
in
targeted
therapy
immunotherapy
for
GC,
which
have
emerged
as
important
strategies
recent
years
with
great
potential,
summarize
efficacy
safety
such
treatments.
Targeted
therapies
against
key
targets
including
epidermal
growth
factor
receptor
(EGFR),
human
2
(HER2),
vascular
endothelial
(VEGF)/VEGF
(VEGFR),
shown
remarkable
therapeutic
efficacies
by
inhibiting
tumor
progression
and/or
blood
supply.
In
particular,
markable
breakthroughs
made
HER2-targeting
drugs
HER2-positive
GC
patients.
To
address
intrinsic
acquired
resistances
to
drugs,
novel
agents
bispecific
antibodies
antibody–drug
conjugates
(ADC)
targeting
HER2
developed.
Immunotherapy
enhances
recognition
elimination
cells
activating
body
anticancer
immune
system.
Programmed
cell
death
protein
1
(PD-1)
programmed
death-ligand
(PD-L1)
are
commonly
used
immunotherapeutic
some
success
treatment.
Innovative
modalities,
adoptive
therapy,
vaccines,
non-specific
immunomodulators
oncolytic
viruses
promise
early-stage
clinical
trials
GC.
Clinical
supported
that
can
significantly
improve
survival
quality
life
However,
effects
need
be
further
improved
more
personalized,
advancement
researches
on
microenvironment.
Further
studies
remain
needed
issues
drug
resistance
adverse
events
pertaining
The
combined
application
individualized
should
explored
developed,
provide
effective
treatments
Language: Английский
DNA methyltransferase 3A: A prognostic biomarker and potential target for immunotherapy in gastric cancer
Zhou Wei,
No information about this author
Zhenzhen Kou,
No information about this author
Yun Luo
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et al.
Medicine,
Journal Year:
2025,
Volume and Issue:
104(7), P. e41578 - e41578
Published: Feb. 14, 2025
DNA
methyltransferase
3A
(DNMT3A)
has
been
associated
with
the
occurrence
or
progression
of
various
tumors,
including
gastric
cancer.
However,
role
DNMT3A
in
efficacy
immune-cell
infiltration
tumor
microenvironment
and
immunotherapy
cancer
remains
less
explored.
expression
level
was
analyzed
using
TIMER
2.0,
Sangerbox
3.0,
The
Cancer
Genome
Atlas
database
further
verified
by
immunohistochemical
staining
RT-qPCR.
UALCAN,
chi-square
test,
Kaplan–Meier
plotter
databases
were
performed
to
assess
correlation
clinicopathological
characteristics
prognosis.
GeneMANIA
database,
STRING
R
package
used
construct
a
co-expression
gene
network.
Gene
set
enrichment
analysis
identify
signaling
pathways
related
expression.
correlations
between
immune
infiltrates
investigated
Plotter,
package,
TISIDB
databases.
immunomodulators
Immune
cell
Proportion
Score.
association
mutational
burden
(TMB),
microsatellite
instability,
dryness
evaluated
TMB
function
2.0.
Finally,
biological
cells
assessed
CCK-8,
cloning
formation,
transwell
assay.
remarkably
upregulated
high
poor
clinical
features
survival
patients
Moreover,
analyses
showed
that
its
genes
involved
promoted
influencing
microenvironment.
significantly
tumor-infiltrating
cells,
immunomodulators,
TMB,
checkpoints
knockdown
reduced
proliferation
migration
cells.
Our
findings
highlight
potential
as
prognosis
biomarker
an
immunotherapeutic
target
for
Language: Английский
Identification of molecular therapeutic features of the homeopathy medicine Thuja by genome-wide expression profiling
Chandana Yesudas,
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Yoga Soundarya Mohanraj,
No information about this author
J. Saravanan J. Senthil
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et al.
Pharmacological Research - Modern Chinese Medicine,
Journal Year:
2025,
Volume and Issue:
unknown, P. 100596 - 100596
Published: March 1, 2025
Language: Английский
Comparison of immune checkpoint inhibitors in combination with chemotherapy versus chemotherapy alone in the first-line treatment of advanced gastric cancer patients with low PD-L1 expression: a systematic review and meta-analysis
Yuxin Wang,
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Tong Xie,
No information about this author
Shuai Xiang
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et al.
Therapeutic Advances in Medical Oncology,
Journal Year:
2025,
Volume and Issue:
17
Published: May 1, 2025
Background:
Immune
checkpoint
inhibitors
(ICIs)
+
chemotherapy
became
standard
her2-GC
first
line
treatment.
Objectives:
The
aim
of
this
study
is
to
investigate
whether
ICIs
chemo
provides
benefit
for
patients
with
low
programmed
death-ligand
1
(PD-L1)
expression.
Design:
This
a
systematic
review
and
meta-analysis.
Data
sources:
We
searched
PubMed,
Embase,
Web
Science,
Cochrane
Library
as
well
the
2019
2024
Annual
Meetings
European
Society
Medical
Oncology,
American
Association
Cancer
Research,
Clinical
Oncology
(ASCO),
ASCO
Symposium
on
Gastrointestinal
(ASCO-GI)
ClinicalTrials.gov
database.
Methods:
included
phase
III
randomized
controlled
trials
comparing
first-line
immunotherapy
combined
versus
alone
in
advanced
gastric
cancer.
KMSubtraction
was
used
estimate
survival
data
those
that
did
not
report
PD-L1
low-expression
population.
Results:
total
nine
clinical
trials.
In
positive
score
(CPS)
<
CPS
5,
monoclonal
antibody
show
an
improvement
overall
(OS)
or
progression-free
(PFS)
(CPS
OS:
hazard
ratio
(HR)
=
0.91,
95%
CI:
0.77–1.08;
PFS:
HR
0.88,
0.73–1.07.
5
0.92,
0.79–1.08;
0.78,
0.53–1.14).
However,
using
dual
antibodies,
achieved
improvements
PFS
(HR
0.64,
0.52–0.80).
tumor
area
positivity
(TAP)
scoring,
subgroup
TAP
5%
achieve
benefits
OS
from
plus
(OS:
0.75–1.13;
0.74–1.13).
Conclusion:
Our
results
indicate
treatment
cancer,
does
provide
compared
it
noteworthy
COMPASSION-15
trial,
significant
PFS,
which
may
be
related
bispecific
antibodies
needs
validated
by
further
studies.
Trial
registration:
registered
PROSPERO
(CRD42024568972).
Language: Английский
Predictive Factors of Immunotherapy in Gastric Cancer: A 2024 Update
Vasile Bințințan,
No information about this author
Claudia Burz,
No information about this author
Irena Pintea
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et al.
Diagnostics,
Journal Year:
2024,
Volume and Issue:
14(12), P. 1247 - 1247
Published: June 13, 2024
Many
studies
on
gastric
cancer
treatment
have
identified
predictors
of
immunotherapy
benefits.
This
article
provides
an
update
the
major
developments
in
research
related
to
predictive
factors
for
cancer.
We
used
search
term
“predictive
factors,
immunotherapy,
cancer”
find
most
current
publications
PubMed
database
Programmed
cell
death,
genetic,
and
immunological
are
main
study
topics
immunotherapy’s
Other
preventive
were
also
found,
including
clinical
tumor
microenvironment
imaging
extracellular
factors.
Since
there
is
currently
no
effective
cancer,
we
strongly
propose
that
these
be
prioritized.
Language: Английский
Targeted and combination immunotherapies using biologics for gastric cancer: the state-of-the-art
Expert Opinion on Biological Therapy,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 24, 2024
Gastricadenocarcinoma
(GAC)
remains
a
prevalent
cancer
worldwide
and
its
incidence
is
increasingin
South
America.
The
heterogenous
nature
of
GAC
makes
advances
in
managementchallenging.
Language: Английский