Weng Wenhao, Feng Junlan, Qin Huanlong, Ma Yanlei
Department of Clinical laboratory, Shanghai Tenth People's Hospital Affiliated with Tongji University, Shanghai, People's Republic of China.
Int J Cancer. 2015 Feb 1;136(3):493-502. doi: 10.1002/ijc.28722. Epub 2014 Feb 7.
Colorectal cancer (CRC) remains one of the most common types of cancer and leading causes of cancer death worldwide. Although the introduction of cytotoxic drugs such as oxaliplatin, irinotecan and fluorouracil has improved the treatment of advanced CRC, the individual response to chemoradiotherapy varies tremendously from one patient to another. However, recent progress in CRC molecular therapies may provide new insight into the treatment of this disease. Currently, components of the EGFR, VEGF, Wnt and NF-kB pathways are the most important targets for CRC therapy. This review chronicles the development of molecular CRC therapies over the past few decades. We also provide an update on the current progress of research concerning the molecular pathways leading to CRC and discuss the possible implications for CRC therapy.
结直肠癌(CRC)仍然是全球最常见的癌症类型之一,也是癌症死亡的主要原因。尽管奥沙利铂、伊立替康和氟尿嘧啶等细胞毒性药物的引入改善了晚期CRC的治疗,但个体对放化疗的反应在患者之间差异极大。然而,CRC分子疗法的最新进展可能为这种疾病的治疗提供新的见解。目前,表皮生长因子受体(EGFR)、血管内皮生长因子(VEGF)、Wnt和核因子κB(NF-κB)信号通路的组成部分是CRC治疗的最重要靶点。本综述记录了过去几十年来CRC分子疗法的发展。我们还提供了有关导致CRC的分子途径的当前研究进展的最新情况,并讨论了其对CRC治疗的可能影响。