Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2002-7-2
pubmed:abstractText
Gastrointestinal stromal tumor (GIST) is the most common mesenchymal neoplasm of the gastrointestinal tract. Until recently, surgery has been the only effective therapy for GIST. However, even after complete resection of tumor, many patients still eventually die of disease recurrence. Conventional chemotherapy and radiation therapy have been of limited value. Within the last few years, it was discovered that most GISTs have a gain-of-function mutation in the c-kit proto-oncogene. This results in ligand-independent activation of the KIT receptor tyrosine kinase and an unopposed stimulus for cell growth. STI-571 is a small molecule that selectively inhibits the enzymatic activity of the ABL, platelet-derived growth factor receptor, and KIT tyrosine kinases and the BCR-ABL fusion protein and is a landmark development in cancer therapy. Its clinical development marks a new era of rational and targeted molecular inhibition of cancer that emanates from direct collaborations between scientists and clinicians. It provides proof of the principle that a specific molecular inhibitor can drastically and selectively alter the survival of a neoplastic cell with a particular genetic aberration. The advent of STI-571 has markedly altered the clinical approach to GIST. It has proven to be effective in metastatic GIST and is also under investigation as a neoadjuvant and adjuvant therapy.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0046-8177
pubmed:author
pubmed:copyrightInfo
Copyright 2002, Elsevier Science (USA). All rights reserved.
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
466-77
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:12094371-Adult, pubmed-meshheading:12094371-Aged, pubmed-meshheading:12094371-Aged, 80 and over, pubmed-meshheading:12094371-Antineoplastic Agents, pubmed-meshheading:12094371-Chemotherapy, Adjuvant, pubmed-meshheading:12094371-Female, pubmed-meshheading:12094371-Gastrointestinal Neoplasms, pubmed-meshheading:12094371-Humans, pubmed-meshheading:12094371-Male, pubmed-meshheading:12094371-Middle Aged, pubmed-meshheading:12094371-Mutation, pubmed-meshheading:12094371-Piperazines, pubmed-meshheading:12094371-Proto-Oncogene Proteins c-kit, pubmed-meshheading:12094371-Pyrimidines, pubmed-meshheading:12094371-Sarcoma, pubmed-meshheading:12094371-Stromal Cells, pubmed-meshheading:12094371-Survival Analysis, pubmed-meshheading:12094371-Survival Rate, pubmed-meshheading:12094371-Tumor Markers, Biological
pubmed:year
2002
pubmed:articleTitle
Clinical management of gastrointestinal stromal tumors: before and after STI-571.
pubmed:affiliation
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, U.S. Gov't, Non-P.H.S., Research Support, Non-U.S. Gov't