大肠癌靶向治疗的当前视角和治疗策略

P. Maurya, Ashutosh Mani
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引用次数: 0

摘要

结直肠癌(CRC)是全球第三大常见癌症,也是导致癌症相关死亡的第二大原因。长期以来,手术、化疗和放疗等传统治疗方法一直是患者的主要选择。然而,它们的治疗成功率相对较低,因此有必要开发新型技术。最近,我们的工作重点是加深对 CRC 进展的理解,从而改善 CRC 的治疗,并确定参与结直肠癌的关键调控基因。肿瘤微环境与 CRC 进展之间复杂的相互作用揭示了新的免疫疗法靶点,包括免疫检查点抑制剂和基于 CART 细胞的疗法。此外,针对促进 CRC 细胞增殖和转移的细胞信号通路的新方法也显示出改善患者预后的巨大潜力。本文探讨并总结了 CRC 的流行病学、癌变和分期,以及当前的治疗策略和药物靶点。文章强调了结直肠癌肿瘤发生和发展的分子机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current Perspective and Treatment Strategies in Targeted Therapy for Colorectal Cancer
Colorectal cancer (CRC) is the third most commonly occurring cancer and the second leading cause of cancer-related deaths worldwide. Conventional treatments for CRC, such as surgery, chemotherapy, and radiotherapy, have long been the primary options for patients. However, their therapeutic success rates are relatively low, necessitating the development of novel technologies. The prognosis for metastatic CRC patients has historically been unsatisfactory. Recent efforts have focused on advancing our understanding of CRC progression, leading to improvements in CRC management and the identification of key regulatory genes involved in colorectal cancer. The complex interaction between the tumor microenvironment and CRC progression has unveiled new immunotherapy targets, including immune checkpoint inhibitors and CAR T-cell-based therapies. Additionally, novel approaches targeting cell signaling pathways that promote cell proliferation and metastasis in CRC show great potential for improving patient outcomes. This article explores and summarizes the epidemiology, carcinogenesis, and stages of CRC, as well as current treatment strategies and drug targets. It highlights the molecular mechanisms underlying tumorigenesis and progression in colorectal cancer.
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