Recent results in understanding molecular pathways in the medical treatment of esophageal and gastric cancer.

Onkologie

Medizinische Klinik I, Gastroenterologie/Infektiologie/Rheumatologie, Charité- Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.

Published: February 2004

AI Article Synopsis

  • Esophageal and stomach cancers are significant contributors to global cancer mortality, with current treatments still facing challenges, especially in advanced stages.
  • Innovative treatment approaches are needed, focusing on the molecular mechanisms behind tumor development and progression to identify new therapeutic targets.
  • The review highlights various strategies aimed at inhibiting tumor growth and spread, including targeting specific receptors and pathways involved in cell signaling and apoptosis, such as EGFR, MAPK, and others.

Article Abstract

Cancers of the esophagus and stomach constitute a major cause of cancer deaths worldwide. Despite improvements in both surgical techniques and (radio) chemotherapy regimens, these tumors remain a great therapeutic challenge. Thus, there is a need for innovative medical treatment strategies effective even in advanced disease. An emerging understanding of the molecular events that characterize carcinogenesis, tumor growth and spread may provide novel targets in cancer therapy. In this review we discuss novel strategies to inhibit growth, angiogenesis, invasion, and spread of tumors and to induce apoptosis. Therapeutic strategies discussed include agents targeting the epidermal growth factor receptor (EGFR) family, the mitogen-activated protein kinase (MAPK) pathway, regulators of apoptosis (NF-kappaB, bcl-2, and the peripheral benzodiazepine receptor), cyclooxygenase-2, the vascular-endothelial growth factor receptor and matrix metalloproteinases.

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http://dx.doi.org/10.1159/000075600DOI Listing

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