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Current Advances in Diagnostic and Therapeutic Approaches for Gastric Cancer

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: 20 February 2025 | Viewed by 1970

Special Issue Editor


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Guest Editor
Laboratory of Medical Genomics, A.C. Camargo Cancer Center, São Paulo 01508-010, Brazil
Interests: use of genomics tools; evaluation of cancer diagnosis and prognosis biomarkers; evaluation of liquid biopsy components; tumor associated microbiota

Special Issue Information

Dear Colleagues,

Patients with gastric adenocarcinoma (GA) are commonly diagnosed with advanced disease, since the most common symptoms are generally non-specific, such as dyspepsia, heartburn, indigestion, anemia, and weight loss, among others. Additionally, a significant number of patients are asymptomatic. The gold-standard test for GA diagnosis is upper endoscopy with biopsy collection, which is an invasive procedure with implied intrinsic risks. Most patients will be subjected to therapeutic regimens combining chemotherapy with surgery and in some cases also immunotherapy, without knowing which of them will respond to treatment.

This Special Issue welcomes manuscripts presenting:

  • Non-invasive and less-invasive methodologies for gastric cancer diagnosis, staging and prognosis, including but not restricted to liquid and breath biopsies and digital pathology and imaging. Additionally, we welcome papers on the evaluation of patients at risk of developing gastric cancer or prone to developing gastric malignancy due to history of familial disease.
  • Methodologies or biomarkers to determine patients’ response to gastric cancer treatment modalities (neoadjuvant and adjuvant chemotherapies, surgical or immunotherapies).
  • Artificial intelligence algorithms, or other digital tools, supporting the identification of clinically relevant patterns from a patient’s images and metadata, such as tumor aggressiveness, toxicity to treatment, response to treatment, etc.

Dr. Diana Noronha Nunes
Guest Editor

Manuscript Submission Information

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Keywords

  • gastric cancer
  • non-invasive diagnostic methodologies
  • biomarkers
  • artificial intelligence
  • digital pathology
  • response to treatment

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Published Papers (1 paper)

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Research

11 pages, 5213 KiB  
Communication
Comparison of Tepotinib, Paclitaxel, or Ramucirumab Efficacy According to the Copy Number or Phosphorylation Status of the MET Gene: Doublet Treatment versus Single Agent Treatment
by Sung-Hwa Sohn, Hee Jung Sul, Bum Jun Kim and Dae Young Zang
Int. J. Mol. Sci. 2024, 25(3), 1769; https://doi.org/10.3390/ijms25031769 - 1 Feb 2024
Viewed by 1440
Abstract
Although conventional combination chemotherapies for advanced gastric cancer (GC) increase survival, such therapies are associated with major adverse effects; more effective and less toxic treatments are required. Combinations of different anti-cancer drugs, for example, paclitaxel plus ramucirumab, have recently been used as second-line [...] Read more.
Although conventional combination chemotherapies for advanced gastric cancer (GC) increase survival, such therapies are associated with major adverse effects; more effective and less toxic treatments are required. Combinations of different anti-cancer drugs, for example, paclitaxel plus ramucirumab, have recently been used as second-line treatments for advanced GC. This study evaluated how copy number variations of the MET gene, MET mutations, and MET gene and protein expression levels in human GC cells modulate the susceptibility of such cells to single-agent (tepotinib, ramucirumab, or paclitaxel) and doublet (tepotinib-plus-paclitaxel or ramucirumab-plus-paclitaxel treatment regimens. Compared with ramucirumab-plus-paclitaxel, tepotinib-plus-paclitaxel better inhibited the growth of GC cells with MET exon 14 skipping mutations and those lacking MET amplification but containing phosphorylated MET; such inhibition was dose-dependent and associated with cell death. Tepotinib-plus-paclitaxel and ramucirumab-plus-paclitaxel similarly inhibited the growth of GC cells lacking MET amplification or MET phosphorylation, again in a dose-dependent manner, but without induction of cell death. However, tepotinib alone or tepotinib-plus-ramucirumab was more effective against c-MET-positive GC cells (>30 copy number variations) than was ramucirumab or paclitaxel alone or ramucirumab-plus-paclitaxel. These in vitro findings suggest that compared with ramucirumab-plus-paclitaxel, tepotinib-plus-paclitaxel better inhibits the growth of c-MET-positive GC cells, cells lacking MET amplification but containing phosphorylated MET, and cells containing MET mutations. Clinical studies are required to confirm the therapeutic effects of these regimens. Full article
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