Systemic therapy for advanced gastrointestinal stromal tumors: Beyond imatinib
β 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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β¦ Synopsis
Abstract
Progression on firstβline 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 imatinibβresistant 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; 104:901β906. Β© 2011 Wiley Periodicals, Inc.
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