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结直肠癌中的预测性生物标志物:从单一治疗靶点到众多选择

Predictive Biomarkers in Colorectal Cancer: From the Single Therapeutic Target to a Plethora of Options.

作者信息

Rodrigues Daniela, Longatto-Filho Adhemar, Martins Sandra F

机构信息

Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Campus of Gualtar, 4710-057 Braga, Portugal; ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Campus of Gualtar, 4710-057 Braga, Portugal.

Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Campus of Gualtar, 4710-057 Braga, Portugal; ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Campus of Gualtar, 4710-057 Braga, Portugal; Laboratory of Medical Investigation (LIM) 14, Faculty of Medicine, University of São Paulo, 01246-903 São Paulo, SP, Brazil; Molecular Oncology Research Centre, 14784-400 Barretos, SP, Brazil.

出版信息

Biomed Res Int. 2016;2016:6896024. doi: 10.1155/2016/6896024. Epub 2016 Aug 1.

DOI:10.1155/2016/6896024
PMID:27563673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4983659/
Abstract

Colorectal cancer (CRC) is one of the most frequent cancers and is a leading cause of cancer death worldwide. Treatments used for CRC may include some combination of surgery, radiation therapy, chemotherapy, and targeted therapy. The current standard drugs used in chemotherapy are 5-fluorouracil and leucovorin in combination with irinotecan and/or oxaliplatin. Most recently, biologic agents have been proven to have therapeutic benefits in metastatic CRC alone or in association with standard chemotherapy. However, patients present different treatment responses, in terms of efficacy and toxicity; therefore, it is important to identify biological markers that can predict the response to therapy and help select patients that would benefit from specific regimens. In this paper, authors review CRC genetic markers that could be useful in predicting the sensitivity/resistance to chemotherapy.

摘要

结直肠癌(CRC)是最常见的癌症之一,也是全球癌症死亡的主要原因。用于CRC的治疗方法可能包括手术、放射治疗、化疗和靶向治疗的某种组合。目前化疗中使用的标准药物是5-氟尿嘧啶和亚叶酸联合伊立替康和/或奥沙利铂。最近,生物制剂已被证明单独或与标准化疗联合使用对转移性CRC具有治疗益处。然而,患者在疗效和毒性方面表现出不同的治疗反应;因此,识别能够预测治疗反应并帮助选择可能从特定治疗方案中获益的患者的生物标志物非常重要。在本文中,作者综述了可能有助于预测对化疗敏感性/耐药性的CRC基因标志物。

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本文引用的文献

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Excision Repair Cross-complementation Group 1 is a Prognostic Biomarker in Patients with Colorectal Cancer Receiving Chemotherapy.切除修复交叉互补基因1是接受化疗的结直肠癌患者的一种预后生物标志物。
Chin Med J (Engl). 2016 Mar 5;129(5):586-93. doi: 10.4103/0366-6999.176993.
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ERCC1 as a Predictive Marker for FOLFOX Chemotherapy in an Adjuvant Setting.ERCC1作为辅助治疗中FOLFOX化疗的预测标志物。
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Peri-operative chemotherapy for patients with resectable colorectal hepatic metastasis: A meta-analysis.可切除性结直肠癌肝转移患者的围手术期化疗:一项荟萃分析。
Eur J Surg Oncol. 2015 Sep;41(9):1197-203. doi: 10.1016/j.ejso.2015.05.020. Epub 2015 Jun 11.
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Decreased peritherapeutic VEGF expression could be a predictor of responsiveness to first-line FOLFIRI plus bevacizumab in mCRC patients.治疗期间VEGF表达降低可能是转移性结直肠癌患者对一线FOLFIRI联合贝伐单抗治疗反应性的一个预测指标。
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Systematic review of the predictive effect of MSI status in colorectal cancer patients undergoing 5FU-based chemotherapy.对接受基于5-氟尿嘧啶化疗的结直肠癌患者微卫星不稳定性状态预测效果的系统评价。
BMC Cancer. 2015 Mar 21;15:156. doi: 10.1186/s12885-015-1093-4.
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Fluorouracil, leucovorin, and irinotecan plus cetuximab treatment and RAS mutations in colorectal cancer.氟尿嘧啶、亚叶酸钙和伊立替康联合西妥昔单抗治疗与结直肠癌的 RAS 突变。
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A review of the evolution of systemic chemotherapy in the management of colorectal cancer.结直肠癌治疗中全身化疗的进展综述。
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Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012.全球癌症发病与死亡:GLOBOCAN 2012 数据源、方法与主要模式。
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Association between ERCC1 and TS mRNA levels and disease free survival in colorectal cancer patients receiving oxaliplatin and fluorouracil (5-FU) adjuvant chemotherapy.接受奥沙利铂和氟尿嘧啶(5-FU)辅助化疗的结直肠癌患者中ERCC1和TS mRNA水平与无病生存期的关联。
BMC Gastroenterol. 2014 Aug 29;14:154. doi: 10.1186/1471-230X-14-154.