Nagasaka Takeshi, Mori Yoshiko, Umeda Yuzo, Fujiwara Toshiyoshi
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Nihon Rinsho. 2012 May;70(5):802-8.
Discovery of usable molecular biomarkers is the step closer to a realization of personalized therapy for patients with colorectal cancer(CRC). Herein we present an update of the most recent data on promising biological prognostic and/or predictive markers, including microsatellite instability(MSI) and KRAS/BRAF mutations. Additionally, we propose a new genetic classification for CRC based on MSI and KRAS/BRAF mutation status (a 2 x 3 matrix). The 2 x 3 matrix is constructed of 6 cells that are made by [MSI/non-MSI] x [BRAF mutant/KRAS mutant/wild type of the both genes]. All of CRC including Lynch syndrome could be classified without overlapping into the 6 cells. More interestingly, each cell has each promising biological prognostic and/or predictive feature, which will help clinicians to make personalized treatment strategy for each CRC patient.
发现可用的分子生物标志物是朝着实现结直肠癌(CRC)患者个性化治疗迈出的一步。在此,我们提供了有关有前景的生物学预后和/或预测标志物的最新数据更新,包括微卫星不稳定性(MSI)和KRAS/BRAF突变。此外,我们基于MSI和KRAS/BRAF突变状态(一个2×3矩阵)提出了一种新的CRC基因分类法。该2×3矩阵由6个单元格组成,这些单元格由[MSI/非MSI]×[BRAF突变/KRAS突变/两个基因均为野生型]构成。所有的CRC包括林奇综合征都可以无重叠地分类到这6个单元格中。更有趣的是,每个单元格都有各自有前景的生物学预后和/或预测特征,这将有助于临床医生为每个CRC患者制定个性化的治疗策略。