PMID- 37046637 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230415 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 7 DP - 2023 Mar 26 TI - The Role of cMET in Gastric Cancer-A Review of the Literature. LID - 10.3390/cancers15071976 [doi] LID - 1976 AB - Gastric cancer (GC) is an important cause of cancer worldwide with over one million new cases yearly. The vast majority of cases present in stage IV disease, and it still bears a poor prognosis. However, since 2010, progress has been made with the introduction of targeted therapies against HER2 and with checkpoint inhibitors (PDL1). More agents interfering with other targets (FGFR2B, CLDN18.2) are being investigated. cMET is a less frequent molecular target that has been studied for gastric cancer. It is a proto-oncogene that leads to activation of the MAPK pathway and the PI3K pathway, which is responsible for activating the MTOR pathway. The prevalence of cMET is strongly debated as different techniques are being used to detect MET-driven tumors. Because of the difference in diagnostic assays, selecting patients who benefit from cMET inhibitors is difficult. In this review, we discuss the pathway of cMET, its clinical significance and the different diagnostic assays that are currently used, such as immunohistochemy (IHC), fluorescence in situ hybridization (FISH), the H-score and next-generation sequencing (NGS). Next, we discuss all the current data on cMET inhibitors in gastric cancer. Since the data on cMET inhibitors are very heterogenous, it is difficult to provide a general consensus on the outcome, as inclusion criteria differ between trials. Diagnosing cMET-driven gastric tumors is difficult, and potentially the only accurate determination of cMET overexpression/amplification may be next-generation sequencing (NGS). FAU - Van Herpe, Filip AU - Van Herpe F AD - Department of Digestive Oncology, University Hospitals Gasthuisberg, 3000 Leuven, Belgium. FAU - Van Cutsem, Eric AU - Van Cutsem E AD - Department of Digestive Oncology, University Hospitals Gasthuisberg, 3000 Leuven, Belgium. LA - eng PT - Journal Article PT - Review DEP - 20230326 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC10093530 OTO - NOTNLM OT - cMET OT - gastric cancer OT - gastro-oesophageal cancer OT - review COIS- The authors declare no conflict of interest. EDAT- 2023/04/14 06:00 MHDA- 2023/04/14 06:01 PMCR- 2023/03/26 CRDT- 2023/04/13 01:07 PHST- 2022/11/22 00:00 [received] PHST- 2023/03/10 00:00 [revised] PHST- 2023/03/23 00:00 [accepted] PHST- 2023/04/14 06:01 [medline] PHST- 2023/04/13 01:07 [entrez] PHST- 2023/04/14 06:00 [pubmed] PHST- 2023/03/26 00:00 [pmc-release] AID - cancers15071976 [pii] AID - cancers-15-01976 [pii] AID - 10.3390/cancers15071976 [doi] PST - epublish SO - Cancers (Basel). 2023 Mar 26;15(7):1976. doi: 10.3390/cancers15071976.