Frontiers in Genetics (Aug 2023)

Immune regulation in gastric adenocarcinoma is linked with therapeutic efficacy and improved recovery

  • Zhenglei Xu,
  • Ximin Lin,
  • Haotian Zeng,
  • Xiaoxin Ma,
  • Ghulam Nabi,
  • Zain Ul Abidin,
  • Luolin Wang,
  • Lisheng Wang

DOI
https://doi.org/10.3389/fgene.2023.1238248
Journal volume & issue
Vol. 14

Abstract

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Adenocarcinomas are one of the most common histological types of gastric cancer. It has been ranked fifth among common cancers and is the third among death causing cancers worldwide. The high mortality rate among patients with gastric cancer is because of its silent evolution, genetic heterogeneity, high resistance to chemotherapy as well as unavailability of highly effective therapeutic strategy. Until now a number of several treatment strategies have been developed and are being practiced such as surgery, chemotherapy, radio therapy, and immunotherapy, however, further developments are required to improve the treatment responses and reduce the side effects. Therefore, novel personal therapeutic strategies based on immunological responses should be developed by targeting different check points and key immune players. Targeting macrophages and related molecular elements can be useful to achieve these goals. In this minireview, we discuss the available treatment options, molecular underpinnings and immunological regulations associated with gastric adenocarcinoma. We further describe the possible check points and immunological targets that can be used to develop novel therapeutic options.

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