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11/4/2026 3:47:11 AM | Browse: 1 | Download: 1
Publication Name World Journal of Translational Medicine
Manuscript ID 127329
Country India
Received
2026-08-27 03:11
Peer-Review Started
2026-08-27 03:11
First Decision by Editorial Office Director
Return for Revision
2026-09-16 08:52
Revised
2026-09-21 06:36
Publication Fee Transferred
Second Decision by Editor
2026-10-30 03:06
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-30 03:28
Articles in Press
2026-10-30 03:28
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-11-02 00:31
Publish the Manuscript Online
2026-11-04 03:47
ISSN 2220-6132 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Pharmacology & Pharmacy
Manuscript Type Review
Article Title Molecularly guided therapy in gastrointestinal malignancies: From established targets to resistance and emerging precision strategies
Manuscript Source Unsolicited Manuscript
All Author List Himanshu Agrawal, Sahil Goel and Nikhil Gupta
ORCID
Author(s) ORCID Number
Himanshu Agrawal http://orcid.org/0000-0001-7994-2356
Nikhil Gupta http://orcid.org/0000-0001-7265-8168
Funding Agency and Grant Number
Corresponding Author Himanshu Agrawal, Associate Professor, Department of Surgery, University College of Medical Sciences (University of Delhi), GTB Hospital, Dilshad Garden, Delhi 110095, India. himagr1987@gmail.com
Key Words Gastrointestinal neoplasms; Precision medicine; Tumor biomarkers; Neoplasm drug resistance; Antineoplastic agents
Core Tip Molecularly targeted therapy has transformed the management of selected gastrointestinal malignancies by linking specific genomic or protein alterations to individualized treatment. This narrative review summarizes established and emerging molecular targets across colorectal, gastric and gastroesophageal junction, biliary, pancreatic, and gastrointestinal stromal tumors, while contextualizing therapies according to clinical evidence, biomarker requirements, and resistance mechanisms. Emerging approaches—including circulating tumor DNA, antibody–drug conjugates, bispecific antibodies, KRAS-directed therapies, and targeted–immunotherapy combinations—may help address treatment resistance, although their clinical roles vary in maturity and require continued prospective evaluation.
Publish Date 2026-11-04 03:47
Citation

Agrawal H, Goel S, Gupta N. Molecularly guided therapy in gastrointestinal malignancies: From established targets to resistance and emerging precision strategies. World J Transl Med 2026; 12(4): 127329

URL https://www.wjgnet.com/2220-6132/full/v12/i4/127329.htm
DOI https://doi.org/10.5528/wjtm.127329
Full Article (PDF) WJTM-12-127329-with-cover.pdf