Gastrointestinal stromal tumour: From the clinic to the molecules

I. Hapkova, F. Bernex, Barbara Pds, J. Veselý
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引用次数: 1

Abstract

GastroIntestional stromal tumours (GISTs), the most frequent sarcoma in the gastro-intestinal (GI) tract, are highly resistant to conventional chemotherapy and radiotherapy. These tumours have activating mutations in two closely related genes, KIT (75-80%) or/and PDGFRA (5-10%). Targeting these mutated activated proteins with imatinib mesylate has proven efficient in the treatment of GISTs. The median survival after diagnosis of GIST increased from 1.5 to 4.8 years with imatinib treatment. However, resistance to imatinib eventually develops and new-targeted therapies are needed. This paper reviews the medical, clinical and pathological aspects of GISTs based on latest research in human cell lines and animal models.
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胃肠道间质瘤:从临床到分子
胃肠道间质瘤(gist)是胃肠道中最常见的肉瘤,对常规化疗和放疗具有高度耐药性。这些肿瘤在两个密切相关的基因中有激活突变,KIT(75-80%)或/和PDGFRA(5-10%)。用甲磺酸伊马替尼靶向这些突变的活化蛋白已被证明是治疗胃肠道间质瘤的有效方法。经伊马替尼治疗后,胃肠道间质瘤的中位生存期从1.5年增加到4.8年。然而,对伊马替尼的耐药性最终会发展,需要新的靶向治疗。本文基于人类细胞系和动物模型的最新研究,综述了gist的医学、临床和病理方面的研究进展。
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