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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Wolters Kluwer Medknow Publications
2021
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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) |
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gastrointestinal cancer molecular targets monoclonal antibodies targeted therapy tyrosine kinase inhibitors Pathology RB1-214 Microbiology QR1-502 |
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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 |
_version_ |
1718380717723877376 |