Unresectable biliary tract cancer: Current and future systemic therapy DOI Creative Commons
Danmei Zhang, Klara Dorman, C. Benedikt Westphalen

et al.

European Journal of Cancer, Journal Year: 2024, Volume and Issue: 203, P. 114046 - 114046

Published: April 12, 2024

For decades, treatment of advanced biliary tract cancer (BTC) was confined to the use chemotherapy. In recent years however, number therapeutic options available for patients with unresectable BTC have drastically increased, immunotherapy and targeted gradually joining ranks guideline-recommended regimens.The aim present review is summarise current knowledge on focusing epidemiology, anatomical distribution strategies systemic treatment. We further outline ongoing clinical trials provide an outlook future interventions.In realm gastrointestinal malignancies, increasing finally delivering longstanding commitment personalised oncology. This emphasises need considering a comprehensive genomic-based pathology assessment right from initial diagnosis fully leverage expanding array that recently become accessible.

Language: Английский

Impact of KRAS mutation on the tumor microenvironment in colorectal cancer DOI Creative Commons

Yiru Zhou,

Yeye Kuang,

Chan Wang

et al.

International Journal of Biological Sciences, Journal Year: 2024, Volume and Issue: 20(5), P. 1947 - 1964

Published: Jan. 1, 2024

Kirsten rat sarcoma viral oncogene homolog (KRAS) is an implicated in the pathophysiology of many cancers.Increasing evidence shows that KRAS mutation correlated with poor prognosis numerous cancers, including colorectal cancer (CRC), breast cancer, and melanoma.KRAS also participates regulating CRC microenvironment.However, direct indirect therapeutic targets have not been identified; thus, elucidating mechanisms interactions between tumor microenvironment (TME) in-depth paramount.Herein, we present some major roles plays shaping heterogeneity TME propose a potential strategy for targeting downstream components signaling pathway CRC.

Language: Английский

Citations

11

The Clinical Implications of KRAS Mutations and Variant Allele Frequencies in Pancreatic Ductal Adenocarcinoma DOI Open Access

Faria Nusrat,

Akshay Khanna, Aditi Jain

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(7), P. 2103 - 2103

Published: April 4, 2024

The KRAS proto-oncogene is a major driver of pancreatic tumorigenesis and nearly ubiquitously mutated in ductal adenocarcinoma (PDAC). point mutations are detected over 90% PDAC cases, these have been shown to be associated with worse therapy response overall survival. Pathogenic mostly limited codons 12, 13 61, G12D, G12V, G12R, Q61H, G13D accounting for approximately 95% the mutant cases. Emerging data importance specific subtypes, as well variant allele frequency on clinical prognosis. Furthermore, novel technologies therapies being developed target encouraging early results. In this paper, we aim review recent studies regarding relative impact subtypes oncologic outcomes, application next generation sequencing analyses, ongoing research into targeting subtypes.

Language: Английский

Citations

11

MYC and KRAS cooperation: from historical challenges to therapeutic opportunities in cancer DOI Creative Commons
Sílvia Casacuberta‐Serra, Íñigo González-Larreategui,

Daniel Capitán-Leo

et al.

Signal Transduction and Targeted Therapy, Journal Year: 2024, Volume and Issue: 9(1)

Published: Aug. 21, 2024

Abstract RAS and MYC rank amongst the most commonly altered oncogenes in cancer, with being frequently mutated amplified. The cooperative interplay between constitutes a complex multifaceted phenomenon, profoundly influencing tumor development. Together individually, these two regulate most, if not all, hallmarks of including cell death escape, replicative immortality, tumor-associated angiogenesis, invasion metastasis, metabolic adaptation, immune evasion. Due to their frequent alteration role tumorigenesis, emerge as highly appealing targets cancer therapy. However, due nature, both have been long considered “undruggable” and, until recently, no drugs directly targeting them had reached clinic. This review aims shed light on partnership, special attention active collaboration fostering an immunosuppressive milieu driving immunotherapeutic resistance cancer. Within this review, we also present update different inhibitors currently undergoing clinical trials, along outcomes combination strategies explored overcome drug resistance. recent development suggests paradigm shift long-standing belief “undruggability”, hinting at new era therapeutic targeting.

Language: Английский

Citations

11

Current trends in sensitizing immune checkpoint inhibitors for cancer treatment DOI Creative Commons
Jing Wei, Wenke Li, Pengfei Zhang

et al.

Molecular Cancer, Journal Year: 2024, Volume and Issue: 23(1)

Published: Dec. 26, 2024

Immune checkpoint inhibitors (ICIs) have dramatically transformed the treatment landscape for various malignancies, achieving notable clinical outcomes across a wide range of indications. Despite these advances, resistance to immune blockade (ICB) remains critical challenge, characterized by variable response rates and non-durable benefits. However, growing research into complex intrinsic extrinsic characteristics tumors has advanced our understanding mechanisms behind ICI resistance, potentially improving outcomes. Additionally, robust predictive biomarkers are crucial optimizing patient selection maximizing efficacy ICBs. Recent studies emphasized that multiple rational combination strategies can overcome enhance susceptibility ICIs. These findings not only deepen tumor biology but also reveal unique action sensitizing agents, extending benefits in cancer immunotherapy. In this review, we will explore underlying ICIs, discuss significance microenvironment (TIME) biomarkers, analyze current outline alternative effectiveness including personalized

Language: Английский

Citations

10

Unresectable biliary tract cancer: Current and future systemic therapy DOI Creative Commons
Danmei Zhang, Klara Dorman, C. Benedikt Westphalen

et al.

European Journal of Cancer, Journal Year: 2024, Volume and Issue: 203, P. 114046 - 114046

Published: April 12, 2024

For decades, treatment of advanced biliary tract cancer (BTC) was confined to the use chemotherapy. In recent years however, number therapeutic options available for patients with unresectable BTC have drastically increased, immunotherapy and targeted gradually joining ranks guideline-recommended regimens.The aim present review is summarise current knowledge on focusing epidemiology, anatomical distribution strategies systemic treatment. We further outline ongoing clinical trials provide an outlook future interventions.In realm gastrointestinal malignancies, increasing finally delivering longstanding commitment personalised oncology. This emphasises need considering a comprehensive genomic-based pathology assessment right from initial diagnosis fully leverage expanding array that recently become accessible.

Language: Английский

Citations

9