Frontiers in Immunology,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 14, 2025
Background
Combining
radiation
therapy
with
immunotherapy
produces
a
synergistic
effect
in
patients
microsatellite
stable/mismatch
repair-proficient
(MSS/pMMR)
locally
advanced
rectal
cancer
(LARC).
This
study
aimed
to
evaluate
the
long-term
outcomes
and
safety
of
combined
long-course
chemoradiotherapy
(ICIs
+
nCRT)
versus
total
neoadjuvant
TNT).
Methods
retrospective
collected
clinical
data
adult
T3-4
and/or
N1
adenocarcinoma
who
underwent
ICIs
TNT
or
nCRT
followed
by
curative
surgery
at
four
medical
centers
between
March
2020
August
2021.
The
compared
efficacy,
disease-free
survival
(DFS),
overall
(OS)
3
years
postoperatively,
adverse
event.
Results
Among
211
enrolled
patients,
89
(42%)
received
TNT,
while
122
(58%)
nCRT,
median
age
56.0
(range,
20.0-75.0
years).
group
had
higher
number
resected
lymph
nodes
(15.0
[range,
4.0-37.0]
vs.
13.0
3.0-33.0],
P
=0.028)
ICIs+nCRT
group.
However,
groups
no
substantial
difference
operative
time.
pathological
complete
response
(pCR)
rate
was
49.4%
(44/89,
95%
confidence
interval
[CI]
39.8%-61.3%)
35.3%
(43/122,
CI
26.8%-44.4%)
group,
respectively,
significant
(
=0.039).
After
adjusting
for
potential
confounders,
3-year
DFS
rates
were
comparable
two
(84.3%
81.9%;
=0.620),
as
OS
(94.0%
91.1%;
=0.634).
Factors
independently
associated
poorer
included
≤50
=0.044)
(NAR)
score
≥8
=0.008).
Similarly,
aged
=0.025)
exhibited
trend
toward
worse
than
those
older
50
years.
profiles
treatment
similar.
Conclusions
Overall,
demonstrated
therapeutic
efficacy
profile
LARC
MSS/pMMR
status.
Although
achieved
numerically
downstaging
rates,
it
not
improved
outcomes.
These
findings
underscore
importance
refining
patient
selection
criteria
making
judicious
decisions
enhance
prognosis
individuals
cancer.
Signal Transduction and Targeted Therapy,
Год журнала:
2024,
Номер
9(1)
Опубликована: Окт. 18, 2024
PROteolysis
TArgeting
Chimeras
(PROTACs)
have
been
considered
the
next
blockbuster
therapies.
However,
due
to
their
inherent
limitations,
efficacy
of
PROTACs
is
frequently
impaired
by
limited
tissue
penetration
and
particularly
insufficient
cellular
internalization
into
action
sites.
Herein,
based
on
ultra-pH-sensitive
enzyme-sensitive
nanotechnology,
a
type
polymer
PROTAC
conjugated
pH/cathepsin
B
sequential
responsive
nanoparticles
(PSRNs)
are
deliberately
designed,
following
construction
for
Cyclin-dependent
kinase
4
6
(CDK4/6).
Colorectal
cancer
(CRC)
which
hardly
responds
many
treatments
even
immune
checkpoint
blockades
was
selected
as
tumor
model
in
this
study.
As
result,
PSRNs
were
found
maintain
nanostructure
(40
nm)
circulation
efficiently
accumulated
tumors
via
enhanced
permeation
retention
effect.
Then,
they
dissociated
unimers
(<10
response
an
acidic
microenvironment,
facilitating
internalization.
Eventually,
CDK4/6
degrading
released
intracellularly
cleavage
cathepsin
B.
Importantly,
led
degradation
target
protein
vitro
vivo.
The
also
augmented
blockades,
through
upregulation
programmed
cell
death-ligand
1
(PD-L1)
expression
cells
suppression
regulatory
T
proliferation
microenvironment.
By
combination
with
α-PD-1,
anti-tumor
outcome
well
achieved
CT26
model.
Overall,
our
study
verifies
significance
precise
intracellular
delivery
introduces
promising
therapeutic
strategy
targeted
treatment
CRC.
Cancer Letters,
Год журнала:
2023,
Номер
562, С. 216167 - 216167
Опубликована: Апрель 7, 2023
Cancer
immunotherapies
have
yielded
promising
outcomes
in
various
malignant
tumors
by
blocking
specific
immune
checkpoint
molecules,
such
as
programmed
cell
death
1
and
cytotoxic
T
lymphocyte
antigen
4.
However,
only
a
few
patients
respond
to
blockade
therapy
because
of
the
poor
immunogenicity
tumor
cells
immune-suppressive
microenvironment.
Accumulating
evidence
suggests
that
chemotherapeutic
agents,
including
oxaliplatin
doxorubicin,
not
mediate
direct
cytotoxicity
but
also
induce
immunogenic
cancer
stimulate
powerful
anti-cancer
response
In
this
review,
we
summarize
recent
advances
combination
based
on
inhibitors
plus
inducers.
Despite
some
clinical
failures
challenges,
inducers
displayed
great
potential
when
combined
with
for
treatment
both
preclinical
studies
trials.
Cancer Letters,
Год журнала:
2023,
Номер
572, С. 216351 - 216351
Опубликована: Авг. 15, 2023
Immune
escape
is
a
major
challenge
in
tumour
immunotherapy.
Pleckstrin-2(PLEK2)
plays
critical
role
progression,
but
its
immune
gastric
cancer
(GC)
remains
uncharacterized.
RNA
sequencing
was
used
to
explore
the
differentially
expressed
genes
GC
cell
line
that
resistant
antitumor
effect
of
Natural
killer
(NK)
cells.
Apoptosis
and
expression
IFN-γ
TNF-α
were
detected
by
flow
cytometry
(FCM).
PLEK2
examined
Western
blotting
immunohistochemistry
(IHC).
upregulated
MGC803R
cells
NK
knockout
increased
sensitivity
killing.
negatively
correlated
with
MICA
positively
MT1-MMP
both
vitro
vivo.
promoted
Sp1
phosphorylation
through
PI3K-AKT
pathway,
thereby
upregulating
expression,
which
ultimately
led
shedding.
In
mouse
xenograft
models,
inhibited
intraperitoneal
metastasis
infiltration.
summary,
suppressed
surveillance
promoting
shedding,
serves
as
potential
therapeutic
target
for
GC.
Biomedicine & Pharmacotherapy,
Год журнала:
2023,
Номер
165, С. 115040 - 115040
Опубликована: Июнь 25, 2023
Colorectal
cancer
(CRC)
is
one
of
highly
prevalent
cancer.
Immunotherapy
with
immune
checkpoint
inhibitors
(ICIs)
has
dramatically
changed
the
landscape
treatment
for
many
advanced
cancers,
but
CRC
still
exhibits
suboptimal
response
to
immunotherapy.
The
gut
microbiota
can
affect
both
anti-tumor
and
pro-tumor
responses,
further
modulate
efficacy
immunotherapy,
particularly
in
context
therapy
ICIs.
Therefore,
a
deeper
understanding
how
modulates
responses
crucial
improve
outcomes
patients
receiving
immunotherapy
overcome
resistance
nonresponders.
present
review
aims
describe
relationship
between
microbiota,
CRC,
antitumor
particular
focus
on
key
studies
recent
findings
effect
activity.
We
also
discuss
potential
mechanisms
by
which
influences
host
as
well
prospective
role
intestinal
flora
treatment.
Furthermore,
therapeutic
limitations
different
modulation
strategies
are
discussed.
These
insights
may
facilitate
better
comprehend
interplay
provide
new
research
pathways
enhance
expand
patient
population
that
could
be
benefited
Frontiers in Oncology,
Год журнала:
2025,
Номер
15
Опубликована: Фев. 5, 2025
Background
Colorectal
cancer
(CRC)
is
the
second
leading
cause
of
deaths
globally,
which
poses
a
heavy
burden
on
our
healthcare
and
economy.
In
recent
years,
increasing
researches
suggest
that
tumor
microenvironment
(TME)
influences
onset,
progression,
metastasis,
treatment.
This
has
become
popular
direction
for
researching
attacking
cancer.
However,
to
date,
there
no
bibliometric
analysis
colorectal
from
2014
2024.
study
aims
provide
comprehensive
picture
current
research
status,
hotspots,
future
trends
in
this
field
perspective.
Methods
study,
publications
about
2024
were
searched
based
Web
Science
Core
Collection
database.
Then
we
analyzed
visualized
data
using
CiteSpace,
VOSviewer,
bibliometrix
package,
Microsoft
Excel
2019.
Results
A
total
748
included
number
entered
period
rapid
growth
after
China
United
States
are
major
collaboration
centers
field.
Elkord,
Eyad
most
prolific
author,
Frontiers
Immunology
journal
published
papers
TME
CRC.
addition,
keyword
cluster
showed
immune
checkpoint
inhibitors,
cancer-associated
fibroblasts,
macrophage
polarization,
intestinal
microbiota,
liver
drug
resistance,
scRNA-seq,
etc.
may
be
hotspots
Conclusions
developmental
stage,
strengthening
international
cooperation
can
help
drive
forward.
The
main
components
signaling
TME,
CRC
immunotherapy,
new
techniques
hot
directions
domain.
Our
findings
will
scholars
with
an
up-to-date
perspective
state
research,
International Journal of Molecular Sciences,
Год журнала:
2025,
Номер
26(2), С. 625 - 625
Опубликована: Янв. 13, 2025
Colorectal
cancer
(CRC)
is
the
third
most
common
globally,
with
limited
effective
biomarkers
and
sensitive
therapeutic
targets.
An
increasing
number
of
studies
have
highlighted
critical
role
tumor
microenvironment
(TME)
imbalances,
particularly
immune
escape
due
to
impaired
chemokine-mediated
trafficking,
in
tumorigenesis
progression.
Notably,
CC
chemokines
(CCLs)
been
shown
either
promote
or
inhibit
angiogenesis,
metastasis,
responses
tumors,
thereby
influencing
development
patient
outcomes.
However,
diagnostic
prognostic
significance
CCLs
CRC
remains
unclear.
In
this
study,
multiple
online
tools
for
bioinformatics
analyses
were
utilized.
The
findings
revealed
that
mRNA
expression
levels
CCL3,
CCL4,
CCL26
significantly
elevated
tissues
compared
normal
tissues,
whereas
CCL2,
CCL5,
CCL11,
CCL21,
CCL28
markedly
downregulated.
Additionally,
dysregulation
CCL21
was
strongly
associated
clinical
staging,
linked
prolonged
survival
patients.
Functional
enrichment
analysis
indicated
cellular
roles
predominantly
chemokine,
Wnt,
Toll-like
receptor
signaling
pathways,
as
well
protein
kinase
activity.
Furthermore,
transcriptional
regulation
involved
RELA
NFKB1.
Key
downstream
targets
included
members
SRC
family
tyrosine
kinases
(HCK,
LYN,
LCK),
serine/threonine
(ATR
ATM),
others
such
CSNK1G2,
NEK2,
CDK2.
Moreover,
(CCL2,
CCL28)
exhibited
strong
correlations
major
infiltration-related
cells,
including
B
CD8+
T
CD4+
macrophages,
neutrophils,
dendritic
cells.
conclusion,
our
study
provides
novel
insights
into
potential
utility
prevention
immunotherapy.
An
immunosuppressive
tumor
microenvironment
limits
the
efficacy
of
immunotherapy,
thus
patients
with
MSS
and
pMMR
mCRC
often
face
great
challenges.In
this
phase
II
trial,
received
Gamma
Knife
SBRT
combined
Tislelizumab.
P
Biomarker
analysis
was
performed
pre-
post-treatment.
From
November
2022
to
July
2024,
13
20
achieved
PR,
6
SD.
mPFS
10.7
months
(95%
CI,
6.4-15.0).
With
no
grade
4
events
noted,
common
adverse
included
nausea
(65%),
anemia
(55%),
fatigue
(45%).
For
who
had
not
responded
first
second-line
therapies,
combo
tislelizumab
showed
high
reasonable
safety.
Significant
post-radiotherapy
improvements
in
tumor’s
microenvironment.
These
results
imply
that
pMMR/MSS/MSI-L
were
unresponsive
chemotherapy,
provides
a
safe
powerful
later-line
treatment
alternative.
An
immunosuppressive
tumor
microenvironment
limits
the
efficacy
of
immunotherapy,
thus
patients
with
MSS
and
pMMR
mCRC
often
face
great
challenges.In
this
phase
II
trial,
received
Gamma
Knife
SBRT
combined
Tislelizumab.
P
Biomarker
analysis
was
performed
pre-
post-treatment.
From
November
2022
to
July
2024,
13
20
achieved
PR,
6
SD.
mPFS
10.7
months
(95%
CI,
6.4-15.0).
With
no
grade
4
events
noted,
common
adverse
included
nausea
(65%),
anemia
(55%),
fatigue
(45%).
For
who
had
not
responded
first
second-line
therapies,
combo
tislelizumab
showed
high
reasonable
safety.
Significant
post-radiotherapy
improvements
in
tumor’s
microenvironment.
These
results
imply
that
pMMR/MSS/MSI-L
were
unresponsive
chemotherapy,
provides
a
safe
powerful
later-line
treatment
alternative.
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 28, 2025
AbstractBackground:Folic
acid
plays
a
key
role
in
cellular
regulation
and
metabolism,
commonly
found
dietary
supplements.
However,
its
complex
colorectal
cancer
(CRC),
particularly
metabolism
immune
evasion,
remains
unclear.
Methods:We
developed
the
FMRG_score
system
using
machine
learning
algorithms
based
on
TCGA
GEO
databases
to
assess
modification
patterns
influencing
CRC
patients'
clinical
characteristics.
The
system’s
reliability
was
validated
multiple
external
cohorts
receiving
immunotherapy.
We
further
explored
relationships
between
FMRGs-related
features
traits,
mutation
profiles,
biological
functions,
infiltration,
therapy
response,
drug
sensitivity.
Results:By
combining
vitro
experiments
bioinformatics
analysis,
we
established
9-gene
risk
model
associated
with
folate
predict
prognosis.
Notably,
CYP26A1,
component
of
model,
upregulated
tissues,
promoting
cell
proliferation,
migration,
invasion.
Significant
differences
checkpoint
expression,
sensitivity
were
observed
groups.
Conclusion:The
scoring
can
prognosis,
tumor
microenvironment,
response.
This
is
first
study
proposing
CYP26A1
as
an
oncogene
CRC.