Molecular targets in GI malignancies – A pathologist's perspective

Newer molecular diagnostics and improved understanding of cancer pathogenesis have identified multiple pathways that can be potentially targeted with the use of novel therapeutics in development. These developments have ushered cancer therapeutics in newer era of personalized medicine. Same is refle...

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Autores principales: Satyajit Pawar, Atul Sharma
Formato: article
Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/171d9dfced4441d6a20268cc176da3e6
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spelling oai:doaj.org-article:171d9dfced4441d6a20268cc176da3e62021-12-02T17:28:22ZMolecular targets in GI malignancies – A pathologist's perspective0377-492910.4103/IJPM.IJPM_1239_20https://doaj.org/article/171d9dfced4441d6a20268cc176da3e62021-01-01T00:00:00Zhttp://www.ijpmonline.org/article.asp?issn=0377-4929;year=2021;volume=64;issue=5;spage=43;epage=51;aulast=Pawarhttps://doaj.org/toc/0377-4929Newer molecular diagnostics and improved understanding of cancer pathogenesis have identified multiple pathways that can be potentially targeted with the use of novel therapeutics in development. These developments have ushered cancer therapeutics in newer era of personalized medicine. Same is reflected on current management strategies for advanced gastrointestinal malignancies. Molecular profiling for BRAF and RAS is standard for colorectal cancer while Her2 and PDL1 status is needed for planning therapy of advanced gastroesophageal cancers. Tissue agnostic markers like MSI, TMB and NTRK are making headways in therapeutic armamentarium. While newer targeted therapies against FGFR, EGFR, PI3K-AKT, DDR pathways are showing promising results in initial studies. Here we review traditional as well as upcoming molecular markers in field of GI malignancies, methods of testing and evidence for rational use in clinical practice.Satyajit PawarAtul SharmaWolters Kluwer Medknow Publicationsarticlegastrointestinal cancermolecular targetsmonoclonal antibodiestargeted therapytyrosine kinase inhibitorsPathologyRB1-214MicrobiologyQR1-502ENIndian Journal of Pathology and Microbiology, Vol 64, Iss 5, Pp 43-51 (2021)
institution DOAJ
collection DOAJ
language EN
topic gastrointestinal cancer
molecular targets
monoclonal antibodies
targeted therapy
tyrosine kinase inhibitors
Pathology
RB1-214
Microbiology
QR1-502
spellingShingle gastrointestinal cancer
molecular targets
monoclonal antibodies
targeted therapy
tyrosine kinase inhibitors
Pathology
RB1-214
Microbiology
QR1-502
Satyajit Pawar
Atul Sharma
Molecular targets in GI malignancies – A pathologist's perspective
description Newer molecular diagnostics and improved understanding of cancer pathogenesis have identified multiple pathways that can be potentially targeted with the use of novel therapeutics in development. These developments have ushered cancer therapeutics in newer era of personalized medicine. Same is reflected on current management strategies for advanced gastrointestinal malignancies. Molecular profiling for BRAF and RAS is standard for colorectal cancer while Her2 and PDL1 status is needed for planning therapy of advanced gastroesophageal cancers. Tissue agnostic markers like MSI, TMB and NTRK are making headways in therapeutic armamentarium. While newer targeted therapies against FGFR, EGFR, PI3K-AKT, DDR pathways are showing promising results in initial studies. Here we review traditional as well as upcoming molecular markers in field of GI malignancies, methods of testing and evidence for rational use in clinical practice.
format article
author Satyajit Pawar
Atul Sharma
author_facet Satyajit Pawar
Atul Sharma
author_sort Satyajit Pawar
title Molecular targets in GI malignancies – A pathologist's perspective
title_short Molecular targets in GI malignancies – A pathologist's perspective
title_full Molecular targets in GI malignancies – A pathologist's perspective
title_fullStr Molecular targets in GI malignancies – A pathologist's perspective
title_full_unstemmed Molecular targets in GI malignancies – A pathologist's perspective
title_sort molecular targets in gi malignancies – a pathologist's perspective
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/171d9dfced4441d6a20268cc176da3e6
work_keys_str_mv AT satyajitpawar moleculartargetsingimalignanciesapathologistsperspective
AT atulsharma moleculartargetsingimalignanciesapathologistsperspective
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