Nature Medicine,
Journal Year:
2023,
Volume and Issue:
30(1), P. 271 - 278
Published: Dec. 5, 2023
Abstract
KRAS
G12C
mutation
is
prevalent
in
~4%
of
colorectal
cancer
(CRC)
and
associated
with
poor
prognosis.
Divarasib,
a
inhibitor,
has
shown
modest
activity
as
single
agent
KRA
S
-positive
CRC
at
400
mg.
Epidermal
growth
factor
receptor
been
recognized
major
upstream
activator
RAS–MAPK
signaling,
proposed
key
mechanism
resistance
to
inhibition
CRC.
Here,
we
report
on
divarasib
plus
cetuximab
(epidermal
inhibitor)
patients
(
n
=
29)
from
arm
C
an
ongoing
phase
1b
trial.
The
primary
objective
was
evaluate
safety.
Secondary
objectives
included
preliminary
antitumor
activity.
safety
profile
this
combination
consistent
those
single-agent
cetuximab.
Treatment-related
adverse
events
led
dose
reductions
four
(13.8%);
there
were
no
treatment
withdrawals.
response
rate
62.5%
(95%
confidence
interval:
40.6%,
81.2%)
inhibitor-naive
24).
median
duration
6.9
months.
progression-free
survival
8.1
months
5.5,
12.3).
As
exploratory
objective,
observed
decline
variant
allele
frequency
identified
acquired
genomic
alterations
disease
progression
that
may
be
resistance.
manageable
encouraging
support
the
further
investigation
ClinicalTrials.gov
identifier:
NCT04449874
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(7), P. 3295 - 3295
Published: March 24, 2021
Cancer
is
one
of
the
leading
causes
death
worldwide.
Conventional
therapies,
including
surgery,
radiation,
and
chemotherapy
have
achieved
increased
survival
rates
for
many
types
cancer
over
past
decades.
However,
recurrence
and/or
metastasis
to
distant
organs
remain
major
challenges,
resulting
in
a
large,
unmet
clinical
need.
Oligonucleotide
therapeutics,
which
include
antisense
oligonucleotides,
small
interfering
RNAs,
aptamers,
show
promising
outcomes
disease
indications
such
as
Duchenne
muscular
dystrophy,
familial
amyloid
neuropathies,
macular
degeneration.
While
no
approved
oligonucleotide
drug
currently
exists
any
type
cancer,
results
obtained
preclinical
studies
trials
are
encouraging.
Here,
we
provide
an
overview
recent
developments
field
therapeutics
oncology,
review
current
trials,
discuss
associated
challenges.
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(23), P. 12828 - 12828
Published: Nov. 27, 2021
Aberrant
activation
of
the
epidermal
growth
factor
receptor
(EGFR/ERBB1)
by
erythroblastic
leukemia
viral
oncogene
homolog
(ERBB)
ligands
contributes
to
various
tumor
malignancies,
including
lung
cancer
and
colorectal
(CRC).
Epiregulin
(EREG)
is
one
EGFR
low
expressed
in
most
normal
tissues.
Elevated
EREG
cancers
mainly
activates
signaling
pathways
promotes
progression.
Notably,
a
higher
expression
level
CRC
with
wild-type
Kirsten
rat
sarcoma
(KRAS)
related
better
efficacy
therapeutic
treatment.
By
contrast,
resistance
anti-EGFR
therapy
was
driven
expression,
aberrant
genetic
mutation
signal
pathway
alterations.
Additionally,
overexpression
non-small
cell
(NSCLC)
anticipated
be
target
for
EGFR-tyrosine
kinase
inhibitor
(EGFR-TKI).
However,
recent
findings
indicate
that
derived
from
macrophages
NSCLC
EGFR-TKI
The
emerging
events
EREG-mediated
promotion
signals
are
generated
autocrine
paracrine
loops
arise
epithelial
cells,
fibroblasts,
microenvironment
(TME).
TME
crucial
element
development
types
drug
resistance.
regulation
EREG/EGFR
depends
on
distinct
oncogenic
driver
mutations
contexts
allows
specific
pharmacological
targeting
alone
or
combinational
treatment
tailored
therapy.
Novel
strategies
EREG/EGFR,
tumor-associated
macrophages,
alternative
oncoproteins
under
undergoing
clinical
trials.
In
this
review,
we
summarize
outcomes
interaction
ligand
TME.
may
potential
combined
other
targets
combat
cancers.
Frontiers in Cell and Developmental Biology,
Journal Year:
2022,
Volume and Issue:
10
Published: Feb. 10, 2022
Ferroptosis,
a
type
of
cell
death
triggered
by
excessive
accumulation
iron-dependent
lipid
peroxidation,
possesses
an
excellent
potential
in
cancer
treatment.
However,
many
colorectal
(CRC)
lines
are
resistant
to
ferroptosis
induced
erastin
and
RSL3,
the
classical
ferroptotic
inducers.
Moreover,
underlying
mechanism
resistance
remains
poorly
elucidated.
This
study
sought
discover
major
factor
contributing
CRC.
The
findings
will
help
design
strategies
for
triggering
application
individualized
tumor
therapy.
Here,
we
show
that
tetrahydrobiopterin
(BH4)
determines
sensitivity
CRC
cells
erastin.
GTP
cyclohydrolase-1
(GCH1)
is
first
rate-limiting
enzyme
BH4.
Genetic
or
pharmacological
inhibition
GCH1
decreased
BH4
assisted
induction,
peroxidation
enhancement,
ferrous
iron
accumulation.
supplementation
completely
inhibited
features
resulting
from
knockdown.
Unexpectedly,
knockdown
failed
enhance
RSL3-induced
Mechanistically,
drastically
activated
ferritinophagy
during
treatment
rather
than
RSL3
Administration
autophagy
inhibitor
reversed
GCH1-knockdown
cells.
co-treatment
vivo
synergistically
growth
Overall,
our
results
identified
GCH1/BH4
metabolism
as
burgeoning
defense
Inhibiting
promoted
erastin-induced
activating
ferritinophagy,
suggesting
combining
inhibitors
with
novel
therapeutic
strategy.
Nanomaterials,
Journal Year:
2022,
Volume and Issue:
12(7), P. 1102 - 1102
Published: March 27, 2022
Nanoparticles
are
currently
used
for
cancer
theranostics
in
the
clinical
field.
Among
nanoparticles,
gold
nanoparticles
(AuNPs)
attract
much
attention
due
to
their
usability
and
high
performance
imaging
techniques.
The
wide
availability
of
biological
precursors
plant-based
synthesized
AuNPs
allows
development
large-scale
production
a
greener
manner.
Conventional
therapies,
such
as
surgery
chemotherapy,
have
significant
limitations
frequently
fail
produce
satisfying
results.
prolonged
circulation
time,
allow
easy
modification
with
ligands
detected
via
cell
surface
receptors,
increase
uptake
through
receptor-mediated
endocytosis.
To
exploit
these
unique
features,
studies
been
carried
out
on
use
contrast
agents
X-ray-based
techniques
(i.e.,
computed
tomography).
As
nanocarriers,
by
nontoxic
biocompatible
plants
deliver
therapeutic
biomolecules
could
be
stride
forward
effective
treatment
various
cancers.
Fluorescent-plant-based
markers,
including
AuNPs,
fabricated
using
Medicago
sativa,
Olax
Scandens,
H.
ambavilla,
lanceolatum,
detecting
Moreover,
green
extracts
applied
different
types
solid
tumors.
However,
cytotoxicity
primarily
depends
size,
reactivity,
area.
In
this
review,
benefits
materials
therapy
firstly
explained.
Then,
considering
valuable
position
medicine,
application
detection
is
highlighted
an
emphasis
faced
NPs
drug
delivery
platforms.
International Journal of Molecular Medicine,
Journal Year:
2021,
Volume and Issue:
47(3)
Published: Jan. 7, 2021
Colorectal
cancer
(CRC)
is
the
third
most
frequently
detected
type
of
cancer,
and
second
common
cause
cancer‑related
mortality
globally.
The
American
Cancer
Society
predicted
that
approximately
147,950
individuals
would
be
diagnosed
with
CRC,
out
which
53,200
succumb
to
disease
in
USA
alone
2020.
CRC‑related
ranks
among
both
males
females
USA.
CRC
arises
from
3
major
pathways:
i)
adenoma‑carcinoma
sequence;
ii)
serrated
pathway;
iii)
inflammatory
pathway.
majority
cases
are
sporadic
result
risk
factors,
such
as
a
sedentary
lifestyle,
obesity,
processed
diets,
alcohol
consumption
smoking.
also
preventable
cancer.
With
widespread
screening,
incidence
have
decreased
developed
countries.
However,
over
past
few
decades,
been
on
rise
young
adults
(age,
<50
years).
In
addition,
increasing
developing
countries
low
gross
domestic
product
(GDP)
due
lifestyle
changes.
an
etiologically
heterogeneous
classified
by
tumor
location
alterations
global
gene
expression.
Accumulating
genetic
epigenetic
perturbations
aberrations
time
suppressor
genes,
oncogenes
DNA
mismatch
repair
genes
could
precursor
onset
colorectal
can
divided
sporadic,
familial,
inherited
depending
origin
mutation.
Germline
mutations
APC
MLH1
proven
play
etiological
role,
resulting
predisposition
CRC.
Genetic
dysregulation
signaling
pathways
leading
drug
resistance,
inhibition
apoptosis
induction
proliferation,
invasion
migration,
development
metastasis.
Timely
detection
effective
precision
therapies
based
present
knowledge
essential
for
successful
treatment
patient
survival.
review
presents
incidence,
dysregulated
targeted
therapies.
Biology,
Journal Year:
2021,
Volume and Issue:
10(9), P. 854 - 854
Published: Aug. 31, 2021
5-Fluorouracil
(5-FU)
plus
leucovorin
(LV)
remain
as
the
mainstay
standard
adjuvant
chemotherapy
treatment
for
early
stage
colon
cancer,
and
preferred
first-line
option
metastatic
cancer
patients
in
combination
with
oxaliplatin
FOLFOX,
or
irinotecan
FOLFIRI
regimens.
Despite
success
to
a
certain
extent,
incidence
of
failure
attributed
resistance
is
still
reported
many
patients.
This
resistance,
which
can
be
defined
by
tumor
tolerance
against
chemotherapy,
either
intrinsic
acquired,
primarily
driven
dysregulation
various
components
distinct
pathways.
In
recent
years,
it
has
been
established
that
5-FU
akin
multidrug
alterations
drug
transport,
evasion
apoptosis,
changes
cell
cycle
DNA-damage
repair
machinery,
regulation
autophagy,
epithelial-to-mesenchymal
transition,
stem
involvement,
microenvironment
interactions,
miRNA
dysregulations,
epigenetic
alterations,
well
redox
imbalances.
Certain
mechanisms
are
5-FU-specific
have
also
ascertained
include
upregulation
thymidylate
synthase,
dihydropyrimidine
dehydrogenase,
methylenetetrahydrofolate
reductase,
downregulation
thymidine
phosphorylase.
Indeed,
successful
modulation
these
game
plan
numerous
studies
had
employed
small
molecule
inhibitors,
plant-based
molecules,
non-coding
RNA
regulators
effectively
reverse
cells.
It
hoped
would
provide
fundamental
knowledge
further
our
understanding
prior
developing
novel
drugs
near
future
synergistically
work
potentiate
its
antitumor
effects
improve
patient’s
overall
survival.
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(17), P. 9118 - 9118
Published: Aug. 24, 2021
Cancer
is
one
of
the
primary
causes
worldwide
human
deaths.
Most
cancer
patients
receive
chemotherapy
and
radiotherapy,
but
these
treatments
are
usually
only
partially
efficacious
lead
to
a
variety
serious
side
effects.
Therefore,
it
necessary
develop
new
therapeutic
strategies.
The
emergence
nanotechnology
has
had
profound
impact
on
general
clinical
treatment.
application
facilitated
development
nano-drug
delivery
systems
(NDDSs)
that
highly
tumor
selective
allow
for
slow
release
active
anticancer
drugs.
In
recent
years,
vehicles
such
as
liposomes,
dendrimers
polymer
nanomaterials
have
been
considered
promising
carriers
tumor-specific
drug
delivery,
reducing
toxicity
improving
biocompatibility.
Among
them,
nanoparticles
(NPs)
most
innovative
methods
non-invasive
delivery.
Here,
we
review
NPs
in
gene
therapy,
early
diagnostics
therapy.
Cancers,
Journal Year:
2021,
Volume and Issue:
13(24), P. 6206 - 6206
Published: Dec. 9, 2021
Colorectal
cancer
(CRC)
is
the
third
most
common
malignancy
and
second
cause
of
cancer-related
mortality
worldwide.
A
total
20%
CRC
patients
present
with
distant
metastases,
frequently
to
liver
lung.
In
primary
tumor,
as
well
at
each
metastatic
site,
cellular
components
tumor
microenvironment
(TME)
contribute
engraftment
metastasis.
These
include
immune
cells
(macrophages,
neutrophils,
T
lymphocytes,
dendritic
cells)
stromal
(cancer-associated
fibroblasts
endothelial
cells).
this
review,
we
highlight
how
TME
influences
progression
invasion
site
its
function
in
fostering
niches
lungs.
We
also
discuss
emerging
clinical
strategies
target
TME.