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Systemic therapy for advanced gastrointestinal stromal tumors: Beyond imatinib

✍ Scribed by Edward J. Kim; Mark M. Zalupski


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
88 KB
Volume
104
Category
Article
ISSN
0022-4790

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✦ Synopsis


Abstract

Progression on first‐line therapy with imatinib in gastrointestinal stromal tumors (GIST) is caused by either initial resistance or more often a secondary mutation in tyrosine kinases KIT or PDGFR. Therapies in development for imatinib‐resistant GIST include agents that target KIT/PDGFR with greater potency or possess broader kinase inhibition profiles including VEGFR. To circumvent secondary mutations in KIT/PDGFR, inhibition of the downstream signaling in PI3K/Akt/mTOR pathway and enhanced degradation of KIT/PDGFR are also under investigation. J. Surg. Oncol. 2011; 104:901–906. Β© 2011 Wiley Periodicals, Inc.


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