Mechanisms and Strategies to Overcome Drug Resistance in Colorectal Cancer
Jennifer Haynes,
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Prasath Manogaran
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International 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
Computational Elucidation of Hub Genes and Pathways Correlated with the Development of 5-Fluorouracil Resistance in HCT 116 Colorectal Carcinoma Cell Line
Biochemical Genetics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 30, 2025
Language: Английский
Innovative Therapeutic Approach Targeting Colon Cancer Stem Cells: Transitional Cold Atmospheric Plasma
ACS Omega,
Journal Year:
2025,
Volume and Issue:
10(12), P. 12109 - 12121
Published: March 6, 2025
Transitional
cold
atmospheric
plasma
(TCAP)
represents
a
novel
technique
for
generating
remotely
from
primary
source.
It
consists
of
partially
nonthermal
ionized
gas
mixture
containing
charged
and
neutral
particles,
photons,
free
radicals.
In
recent
years,
TCAP
has
attracted
considerable
attention
in
biomedical
applications.
order
to
evaluate
colon
cancer
stem
cells'
(CCSCs)
proliferation,
apoptotic
induction,
inflammatory
response,
survival,
was
utilized
both
directly
indirectly
this
study.
Using
argon
helium
gases,
continuously
delivered
two
stages
during
the
experiment.
For
direct
state,
irradiated
onto
CCSCs
3
5
min.
indirect
technique,
Matrigel
treated
with
min
before
introduction
cells.
vitro
assays
demonstrated
that
exposure
significantly
reduced
viability
CCSCs;
application
had
greater
impacts
than
argon.
Numerous
investigations
confirmed
induction
apoptosis,
showing
groups
more
cells
altered
cellular
structures
controls
(****p
<
0.0001).
A
substantial
increase
Bax/Bcl-2
ratio
found
by
analyzing
expression
Bax
Bcl-2
genes,
indicating
increased
susceptibility
apoptosis
(*p
=
0.0177
***p
0.0004).
The
higher
efficacy
mode
further
highlighted
marker
analysis,
which
showed
significant
reduction
interleukin-6
interleukin-8
TCAP-helium
compared
TCAP-argon
(**p
0.0015
0.0007).
Lastly,
proliferation
test,
relies
on
Ki-67
expression,
noteworthy
decline
all
TCAP-treated
groups,
group
exhibiting
most
robust
impact
0.0014).
Overall,
findings
highlight
potential
TCAP,
particularly
helium,
as
promising
approach
selectively
targeting
providing
insights
into
its
therapeutic
mechanisms
treatment.
therefore,
emerges
unique
strategy
applications
cell-targeted
therapies.
Language: Английский
Targeting mitochondrial ribosomal protein expression by andrographolide and melatonin for colon cancer treatment.
Advaitha Midde,
No information about this author
Navpreet Arri,
No information about this author
Tibor Kristián
No information about this author
et al.
Cancer Letters,
Journal Year:
2025,
Volume and Issue:
unknown, P. 217647 - 217647
Published: March 1, 2025
Language: Английский
Biomarkers in Colorectal Cancer: Actual and Future Perspectives
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(21), P. 11535 - 11535
Published: Oct. 27, 2024
Biomarkers
in
colorectal
cancer
(CRC)
are
of
great
interest
the
current
literature
due
to
improvements
techniques
such
as
liquid
biopsy
and
next-generation
sequencing
(NGS).
However,
screening
methods
vary
globally,
with
multi-target
stool
DNA
(mt-sDNA)
predominantly
used
USA
and,
more
recently,
Cologuard
Plus;
biomarkers
Galectins
family
septins
show
promise
early
detection.
Gut
microbiome
assessments,
Fusobacterium
nucleatum,
under
intense
exploration.
Diagnostic
tests,
circulating
analysis
via
NGS,
exhibit
effectiveness
being
increasingly
adopted.
Circulating
tumor
cells
emerge
potential
alternatives
traditional
terms
diagnosis
prognosis.
Predictive
well
established
guidelines;
nonetheless,
aid
machine
learning
artificial
intelligence,
these
may
be
improved.
This
review
critically
explores
actual
dynamic
landscape
CRC
future,
promising
involved
screening,
diagnosis,
Language: Английский
Construction of a Controlled Drug Delivery and Optical Monitoring System for Colorectal Cancer via Natural Fiber Modification
Quan Cheng,
No information about this author
Hongxia Fu,
No information about this author
Yong Mao
No information about this author
et al.
Journal of Medical and Biological Engineering,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 28, 2025
Language: Английский
Evaluation of Key Risk Factors Associated with Postoperative Complications in Colorectal Cancer Surgery
Silviu Stefan Marginean,
No information about this author
Mihai Zurzu,
No information about this author
Dragoş Garofil
No information about this author
et al.
Journal of Mind and Medical Sciences,
Journal Year:
2025,
Volume and Issue:
12(1), P. 22 - 22
Published: April 17, 2025
Background:
Colorectal
surgery
remains
a
cornerstone
in
the
management
of
colorectal
cancer,
yet
postoperative
complications
continue
to
impact
surgical
outcomes.
This
study
investigates
key
risk
factors
influencing
morbidity,
focusing
on
patient
comorbidities,
tumor
characteristics,
techniques,
and
anastomotic
methods.
Methods:
A
retrospective
analysis
was
conducted
195
patients
who
underwent
cancer
between
January
2021
December
2024
at
Clinical
Hospital
Nephrology
“Carol
Davila”.
Variables
analyzed
included
demographics,
staging,
approach,
complications.
Statistical
methods
chi-square
tests
multivariate
logistic
regression
(significance
threshold:
p
<
0.05).
Results:
The
overall
complication
rate
21%,
with
leakage
observed
8.2%
cases.
Significant
for
morbidity
cardiovascular
disease
(p
=
0.001),
chronic
respiratory
failure
0.003),
renal
0.002).
Laparoscopic
had
lower
(7.1%)
than
open
(28%)
0.003).
Mechanical
anastomosis
showed
rates
manual
suturing
0.009).
Left-sided
resections
were
associated
higher
right-sided
procedures
0.013).
Conclusions:
Optimizing
outcomes
requires
personalized
perioperative
strategies.
approaches
mechanical
significantly
reduce
Further
multicenter
studies
are
needed
confirm
these
findings
enhance
guidelines.
Language: Английский
Therapeutic potential of stem cells in colorectal cancer management: Current trends and future prospects
Developmental Dynamics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 13, 2025
Abstract
Colorectal
cancer
(CRC)
ranks
among
the
leading
causes
of
cancer‐related
morbidity
and
mortality
worldwide.
Despite
progress
in
understanding
its
molecular
intricacies,
management
CRC,
especially
advanced
stages,
remains
a
significant
clinical
hurdle.
This
review
delves
into
evolving
landscape
stem
cell‐based
therapeutic
strategies
with
specific
focus
on
interplay
between
cells
(CSCs)
CRC
pathogenesis
treatment
resistance.
Highlighting
pivotal
roles
CSCs
tumor
initiation,
progression,
metastasis,
recurrence,
comprehensively
examines
their
involvement
ranging
from
normal
colonic
tissue
to
initiation.
The
potential
for
medicinal
purposes
is
explored,
encompassing
diverse
modalities
such
as
transplantation,
differentiation
therapy,
immunotherapy,
gene/cell‐based
approaches.
Challenges
opportunities
associated
these
are
also
evaluated,
providing
insights
limitations.
appraises
preclinical
investigations
contributing
cells.
Current
trials,
patient
stratification
strategies,
regulatory
considerations
related
therapies
scrutinized.
Furthermore,
explores
emerging
trends
future
directions,
including
developments
cell
technologies
ethical
considerations.
It
highlights
transformative
CRC.
Language: Английский
CD133 and CD166 Stem Cells Markers Expression, Clinicopathological Parameters, and Fragmentation Response Patterns of ypT3 Rectal Cancer Following Neoadjuvant Chemoradiotherapy
Diana Lavinia Pricope,
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Adriana Grigoraș,
No information about this author
Gabriel Mihail Dimofte
No information about this author
et al.
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(6), P. 1300 - 1300
Published: May 26, 2025
Background:
The
effectiveness
of
neoadjuvant
chemoradiotherapy
(nCRT)
is
variable
in
locally
advanced
rectal
cancer
(LARC)
patients,
the
ypT3
stage
having
a
minimal
or
moderate
response.
aim
our
study
was
evaluation
association
between
CD133
(Prominin1)
and
CD166
(ALCAM)
expression,
survival
parameters,
clinicopathological
characteristics
subgroup
LARC
patients
who
achieved
ypT3,
showing
post-nCRT
TME
tumor
fragmentation
response
assessment
these
CSCs
biomarkers
value
as
indicators
nCRT
Methods:
Our
group
comprised
60
status
exhibited
pattern
following
nCRT.
Clinicopathological
parameter
evaluations,
along
with
immunohistochemistry
scoring,
were
performed
associations
different
parameters
tested.
Results:
High
expression
significantly
associated
ypN
category
(p
=
0.018),
lymphovascular
invasion
(LVI)
0.009),
perineural
(PnI)
0.006),
grading
0.047),
while
high
LVI
0.020)
PnI
0.028).
Tumors
expressions
decreased
overall
(OS)
0.004
p
0.006).
Cox
regression
analysis
identified
independent
factors
reduced
(HR
3.237,
0.014
HR
2.866,
0.020).
Conclusions:
results
support
hypothesis
that
are
putative
CSC
aggressive
behavior
poor
prognosis
LARC,
offering
opportunities
for
personalized
targeted
therapies.
Language: Английский