In addition to chemotherapy, targeted therapies have been approved for treatment of locally advanced and metastatic gastric cancer. The therapeutic benefit is significant but more durable responses and improvement of survival should be achieved. Therefore, the identification of new targets and new approaches for clinical treatment are of paramount importance. In this review, we searched the literature for down-regulated microRNAs which interfere with druggable targets and exhibit efficacy in preclinical in vivo efficacy models. As druggable targets, we selected transmembrane receptors, secreted factors and enzymes. We identified 38 microRNAs corresponding to the criteria as outlined. A total of 13 miRs target transmembrane receptors, nine inhibit secreted proteins and 16 attenuate enzymes. These microRNAs are targets for reconstitution therapy of gastric cancer. Further target validation experiments are mandatory for all of the identified microRNAs.Gastric cancer (GC) is the third-leading cause of cancer worldwide and is the fourth most common cancer with an annual death toll of 700 000 worldwide (1). From a molecular point of view the following subtypes have been characterized: Epstein-Barr virus, microsatellite instability, genomically stable and chromosomal instability subtypes, all correlate with differential prognosis (2). Of all GCs, 90% are adenocarcinomas which arise from the glandular epithelium (2). The only curative treatment is surgery. Neo-adjuvant and adjuvant treatment are integrated with chemotherapy and radiation, nevertheless the 5-year survival rate for patients with locally advanced disease is less than 30% and in the metastatic setting, the median survival is in the range of 1 year (3-5). Preferential organs of metastasis are the liver (48%), peritoneum (32%), lung (15%) and bone (12%) (6). New treatment modalities have been introduced, such as trastuzumab in the subclass of patients with human epidermal growth factor receptor 2 (HER2)-positive tumors, and ramucirumab as second-line treatment or in combination with paclitaxel (3-5). More recently, immune-checkpoint inhibitory monoclonal antibodies (mAbs) against programmed cell death protein 1 (PD1), such as nivolumab and pembrolizumab, have been approved for patients with heavily pre-treated GC (3-6). Promising clinical studies are ongoing in claudin 18.2-positive GCs and in those with fibroblast growth factor receptor 2 (FGFR2) amplification (3-6). Nevertheless, there is an urgent need to identify new targets and treatment modalities which lead to durable responses and improved survival. Many of the recently identified targets, e.g., those involved in epigenetic modification or tumor suppressors, are undruggable or difficult to interfere with (7-9). In this review, we focus on microRNAs (miRs) which are down-regulated in GC and interfere with controllable targets (transmembrane receptors, secreted factors and enzymes) with demonstrated efficacy in GC-related preclinical in vivo models. The identified targets need to be validated for treatme...