结直肠癌的一致分子亚型及其临床意义。

International biological and biomedical journal Pub Date : 2017-01-01 Epub Date: 2017-06-13
Ketan Thanki, Michael E Nicholls, Aakash Gajjar, Anthony J Senagore, Suimin Qiu, Csaba Szabo, Mark R Hellmich, Celia Chao
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引用次数: 0

摘要

结直肠癌(CRC)亚型联盟基于基因表达数据,将6个独立的分子分类系统统一为一个具有4个不同组的单一共识系统,称为共识分子亚型(CMS);本综述讨论了临床意义。本文基于PubMed(美国国家医学图书馆)检索的与CRC CMS相关的文献综述以及作者自己发表的数据。CMS与表观基因组学、转录组学、微环境、遗传学、预后和临床特征相关。CMS1亚型是免疫原性和超突变的。CMS2肿瘤由WNT-β-catenin通路激活,具有最高的总生存率。CMS3具有代谢性癌症表型,而CMS4癌症的存活率最差,并且具有很强的基质基因特征。共识的CRC分子亚型可以更好地告知临床医生预后、治疗反应和潜在的新治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Consensus Molecular Subtypes of Colorectal Cancer and their Clinical Implications.

The colorectal cancer (CRC) Subtyping Consortium has unified six independent molecular classification systems, based on gene expression data, into a single consensus system with four distinct groups, known as the Consensus Molecular Subtypes (CMS); clinical implications are discussed in this review. This article is based on a literature review relevant to the CMS of CRC indexed in PubMed (US National Library of Medicine) as well as the authors' own published data. The CMS were determined and correlated with epigenomic, transcriptomic, microenvironmental, genetic, prognostic and clinical characteristics. The CMS1 subtype is immunogenic and hypermutated. CMS2 tumors are activated by the WNT-β-catenin pathway and have the highest overall survival. CMS3 feature a metabolic cancer phenotype and CMS4 cancers have the worst survival and have a strong stromal gene signature. The Consensus Molecular Subtypes of CRC may better inform clinicians of prognosis, therapeutic response, and potential novel therapeutic strategies.

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