GLA is associated with ESCC progression and chemotherapy response via DNA damage repair–related pathways - Scorecard - MDSpire

GLA is associated with ESCC progression and chemotherapy response via DNA damage repair–related pathways

  • By

  • Ke Chen

  • Qinsong Yang

  • Chen Fang

  • Weiran Zhang

  • Yu Feng

  • Haitao Ma

  • July 15, 2026

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Clinical Scorecard: The Role of GLA in the Progression of ESCC and Its Impact on Chemotherapy Efficacy Through DNA Repair Mechanisms

At a Glance

CategoryDetail
ConditionEsophageal squamous cell carcinoma (ESCC)
Key MechanismsDNA damage repair and chemoresistance
Target PopulationPatients with esophageal squamous cell carcinoma
Care SettingOncology clinical management

Key Highlights

  • GLA is significantly upregulated in ESCC and associated with poor prognosis.
  • High GLA expression correlates with DNA damage repair and chemotherapy resistance.
  • GLA knockdown enhances sensitivity to gemcitabine and cisplatin.
  • Migalastat combined with chemotherapy shows potential for increased cytotoxicity.
  • GLA serves as a novel diagnostic and therapeutic target in ESCC.

Guideline-Based Recommendations

Diagnosis

  • GLA expression can be used as a diagnostic marker for ESCC.

Management

  • Consider GLA as a therapeutic target to overcome chemoresistance in ESCC.

Monitoring & Follow-up

  • Monitor GLA levels to assess treatment response and prognosis.

Risks

  • High GLA expression may indicate a risk of chemoresistance in ESCC.

Patient & Prescribing Data

Patients with unresectable or locally advanced ESCC

Combination of Migalastat with gemcitabine or cisplatin may enhance treatment efficacy.

Clinical Best Practices

  • Incorporate GLA expression analysis in the diagnostic workup for ESCC.
  • Evaluate the potential of GLA-targeted therapies in clinical trials.

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