
Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 20, 2024
Language: Английский
Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 20, 2024
Language: Английский
International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(13), P. 7131 - 7131
Published: June 28, 2024
Colorectal cancer (CRC) is the second leading cause of cancer-related death worldwide. Therefore, need for new therapeutic strategies still a challenge. Surgery and chemotherapy represent first-line interventions; nevertheless, prognosis metastatic CRC (mCRC) patients remains unacceptable. An important step towards targeted therapy came from inhibition epidermal growth factor receptor (EGFR) pathway, by anti-EGFR antibody, Cetuximab, or specific tyrosine kinase inhibitors (TKI). mouse-human chimeric monoclonal antibody (mAb), binds to extracellular domain EGFR thus impairing EGFR-mediated signaling reducing cell proliferation. TKI can affect biochemical pathway at different steps along cascade. Apart other mAbs have been developed, such as Panitumumab. Both antibodies approved treatment KRAS-NRAS wild type mCRC, alone in combination with chemotherapy. These display strong differences activating host immune system against CRC, due their immunoglobulin isotypes. Although are efficient, drug resistance occurs high frequency. Resistant tumor populations either already be present before develop later adaptations genomic mutations pathway. Numerous efforts made improve efficacy find agents that able block downstream cascade molecules. Indeed, we examined importance analyzing antibody-drug conjugates (ADC) developed overcome and/or stimulate host's immunity growth. Also, patient-derived organoid cultures useful feasible vitro model study behavior response. Organoids reflect genetic heterogeneity found tissue origin, representing unique tool personalized medicine. Thus, CRC-derived smart studying microenvironment preclinical assay drugs.
Language: Английский
Citations
4Gene Reports, Journal Year: 2025, Volume and Issue: unknown, P. 102163 - 102163
Published: Feb. 1, 2025
Language: Английский
Citations
0International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(5), P. 1988 - 1988
Published: Feb. 25, 2025
Colorectal cancer (CRC) is a major cause of cancer-related mortality worldwide, with significant impact on public health. Current treatment options include surgery, chemotherapy, radiotherapy, molecular-targeted therapy, and immunotherapy. Despite advancements in these therapeutic modalities, resistance remains challenge, often leading to failure, poor progression-free survival, recurrence. Mechanisms CRC are multifaceted, involving genetic mutations, epigenetic alterations, tumor heterogeneity, the microenvironment. Understanding mechanisms at molecular level crucial for identifying novel targets developing strategies overcome resistance. This review provides an overview diverse driving drug sporadic discusses currently under investigation counteract this Several promising being explored, including targeting transport, key signaling pathways, DNA damage response, cell death modifications, stem cells, The integration emerging approaches that target aims enhance efficacy current treatments improve patient outcomes.
Language: Английский
Citations
0International Journal of Clinical Oncology, Journal Year: 2025, Volume and Issue: unknown
Published: March 17, 2025
Language: Английский
Citations
0Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 12
Published: March 20, 2025
Background Colorectal cancer (CRC) ranks among the most common gastrointestinal cancers globally, with both its incidence and mortality rates showing an upward trend. In particular, 5-year survival rate for stage IV CRC patients is only 14%. Conventional treatments such as chemotherapy immunotherapy can lead to drug resistance, exacerbate function damage, induce immunosuppression. Sijunzi decoction (SJZD), a fundamental formula of Traditional Chinese medicine (TCM), has been demonstrated confer distinct advantages in treatment CRC. Therefore, we designed this trial explore efficacy SJZD advanced refractory Methods A multicenter, randomized, double-blind, placebo-controlled being conducted assess effectiveness combined standard therapy treating Patients will be recruited randomly allocated either group or placebo 1:1 ratio. Both groups receive treatment. The intervention period last 6 months, follow-up assessments every 8 10 weeks. Progression-free (PFS) main outcome measure. And secondary outcomes contain duration disease control (DDC), overall (OS), completion chemotherapy, treatment-related adverse events, quality scale score tumor changes spleen deficiency patient-reported (PRO) scores following intervention. Expected To best our knowledge, marks first clinical investigation into therapeutic potential managing primary aim study provide robust evidence support integration TCM Western Trial registration was registered at Clinical Registry, http://www.chictr.org.cn (Registration No: ChiCTR2200065434); Date: 2022-11-04.
Language: Английский
Citations
0Cancer Cell International, Journal Year: 2025, Volume and Issue: 25(1)
Published: April 7, 2025
The incidence and mortality rates of colorectal cancer (CRC) are rising, it is the second most common cause cancer-related deaths worldwide. Although transcription factor, Brachyury intricately linked with various clinical malignancies, mechanisms by which influences CRC cell proliferation migration inadequately understood. Tissue microarray was used to evaluate expression in adjacent normal tissues. effects on HCT116 SW480 cells were also examined vitro, including using Cell Counting Kit-8, colony formation, transwell assays, vivo through subcutaneous tumorigenesis assays a nude mouse xenograft model. Chromatin immunoprecipitation binding MMP14 promoter its impact expression. Rescue experiments elucidate MMP14's role mediating Brachyury's effect behavior. significantly higher tissues than tissues, promotes oncogenesis vitro vivo. established as direct, downstream target, affirming that enhanced Brachyury-driven proliferation. Our findings highlight targeting Brachyury-MMP14 axis potential novel approach for therapy.
Language: Английский
Citations
0Cancers, Journal Year: 2024, Volume and Issue: 16(7), P. 1360 - 1360
Published: March 30, 2024
Combination chemotherapy regimens that include fluoropyrimidine (FP) drugs, e.g., 5-fluorouracil (5-FU), are central to the treatment of colorectal cancer liver metastases (CRLMs), a major cause mortality. We tested second-generation FP polymer, CF10, in CC531/WAGRij syngeneic orthotopic rat model metastasis determine if CF10 improved response relative 5-FU. displayed increased potency 5-FU CC531 cells based on clonogenic assay results and caused apoptosis, as shown using live/dead assay. The was associated with replication stress, assessed by Western blot for biomarkers ATR/Chk1 ATM/Chk2 pathway activation. dosed deliver equivalent content an established dose rats (50 mg/kg) did not weight loss WAGRij even when combined ethynyl uracil (EU), inhibitor dihydropyrimidine dehydrogenase, enzyme primarily responsible degradation liver. In contrast, significant exacerbated combination EU. Importantly, significantly more effective than at inhibiting tumor progression (~90% reduction) CC531/WAG/Rij CRLM model. Our reveal strong potential be used treatment.
Language: Английский
Citations
3Cureus, Journal Year: 2024, Volume and Issue: unknown
Published: Oct. 6, 2024
Colorectal cancer (CRC) remains a leading global health challenge, being highly prevalent and major cause of cancer-related deaths worldwide. The incidence CRC varies significantly between high-income countries (HICs) low- middle-income (LMICs), with higher rates but lower mortality in HICs. Factors such as genetic predisposition, lifestyle, dietary habits play significant roles development, the Western diet limited access to screening contributing increased incidence. This review highlights disparities screening, management, outcomes HICs LMICs, benefiting from advanced methods like colonoscopy sigmoidoscopy, while LMICs face challenges due healthcare infrastructure resources. Tailored strategies, including low-cost options community-based initiatives, are critical improve early detection outcomes. Future directions for improving care globally include telemedicine, artificial intelligence, mobile technologies bridge gaps, well personalized medicine enhance treatment efficacy. Global collaboration investment necessary reduce CRC-related mortality, particularly resource-limited settings.
Language: Английский
Citations
3Translational Oncology, Journal Year: 2024, Volume and Issue: 48, P. 102078 - 102078
Published: Aug. 7, 2024
Glutamine is a non-essential amino acid that critical for cell growth. However, the differential metabolism of l-glutamine in metastatic versus primary colorectal cancer (CRC) has not been evaluated adequately.
Language: Английский
Citations
2Pharmaceutics, Journal Year: 2024, Volume and Issue: 16(6), P. 734 - 734
Published: May 29, 2024
Fluoropyrimidine (FP) drugs are central components of combination chemotherapy regimens for the treatment colorectal cancer (CRC). FP-based has improved survival outcomes over last several decades with much therapeutic benefit derived from optimization dose and delivery. To provide further advances in efficacy, next-generation prodrugs nanodelivery systems FPs being developed. This review focuses on recent innovative approaches FP that display promise. We summarize established, clinically useful prodrug strategies, including capecitabine, which exploit tumor-specific enzyme expression optimal anticancer activity. then describe use DNA-based polymers (e.g., CF10) delivery activated nucleotides as a approach proven activity pre-clinical models clinical potential. Multiple show promise CRC we albumin-mediated delivery, development mesoporous silica nanoparticles, emulsion-based metal hydrogel-based liposomes lipid nanoparticles particular development. Nanodelivery is anticipated to impact coming years improve patients.
Language: Английский
Citations
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