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Case Presentation - Department of Surgery at SUNY Downstate ...

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Molecularly Targeted Therapy• Since activ<strong>at</strong>ion <strong>of</strong> Kit plays a crucial role in thep<strong>at</strong>hogenesis <strong>of</strong> GIST, inhibition <strong>of</strong> Kit would betherapeutic.• Im<strong>at</strong>inib (Gleevec)) is a competitive and rel<strong>at</strong>ivelyselective antagonist <strong>of</strong> ATP binding th<strong>at</strong> blocksthe ability <strong>of</strong> c-Kit cto transfer phosph<strong>at</strong>e groupsfrom ATP to tyrosine residues on substr<strong>at</strong>eproteins, which in turn interrupts c-kit cmedi<strong>at</strong>edsignal transduction.

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