Long Apple G, Lundsmith Emma T, Hamilton Kathryn E
Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA.
Curr Colorectal Cancer Rep. 2017 Aug;13(4):341-351. doi: 10.1007/s11888-017-0373-6. Epub 2017 Jun 17.
Colorectal cancer (CRC) is the fourth most common cancer in both men and women in the United States, resulting in over 55,000 deaths annually. Environmental and genetic factors influence the development of CRC, and inflammation is a critical hallmark of cancer that may arise from a variety of factors.
While patients with inflammatory bowel disease (IBD) have a higher risk of developing CRC, sporadic CRCs may engender or be potentiated by inflammation as well. In this review, we focus on recent advances in basic and translational research utilizing murine models to understand the contribution of inflammatory signaling pathways to CRC.
We discuss advances in the utility of three-dimensional enteroid/colonoid/tumoroid cultures to understand immune-epithelial interactions in CRC, as well as the potential for utilizing patient-derived tumoroids for personalized therapies.
This review underscores the importance of understanding the complex molecular mechanisms underlying inflammation in sporadic CRC and highlights up-and-coming or new avenues for CRC biomarkers or therapies.
在美国,结直肠癌(CRC)是男性和女性中第四大常见癌症,每年导致超过55000人死亡。环境和遗传因素影响结直肠癌的发生发展,炎症是癌症的一个关键特征,可能由多种因素引起。
虽然炎症性肠病(IBD)患者患结直肠癌的风险较高,但散发性结直肠癌也可能由炎症引发或因炎症而加重。在本综述中,我们重点关注利用小鼠模型进行基础和转化研究的最新进展,以了解炎症信号通路对结直肠癌的作用。
我们讨论了三维肠类器官/结肠类器官/肿瘤类器官培养在理解结直肠癌免疫-上皮相互作用方面的应用进展,以及利用患者来源的肿瘤类器官进行个性化治疗的潜力。
本综述强调了理解散发性结直肠癌炎症背后复杂分子机制的重要性,并突出了结直肠癌生物标志物或治疗方法的新兴或新途径。