Singh Manish Pratap, Rai Sandhya, Pandey Ashutosh, Singh Nand K, Srivastava Sameer
Department of Biotechnology, Motilal Nehru National Institute of Technology, Allahabad, UP, 211004, India.
Genes Dis. 2019 Oct 30;8(2):133-145. doi: 10.1016/j.gendis.2019.10.013. eCollection 2021 Mar.
Molecular subtypes-based therapies offer new potential framework for desired and precise outcome in clinical settings. Current treatment strategies in colorectal cancer are largely 'one drug fit all' model for patients that display same pathological conditions. However, CRC is a very heterogenous set of malignancy that does not support for above criteria. Each subtype displays different pathological and genetic signatures. Based on these features, therapeutic stratification for individual patients may be designed, which may ultimately lead to improved therapeutic outcomes. In this comprehensive review, we have attempted to briefly outline major CRC pathways. A detailed overview of molecular subtypes and their clinical significance has been discussed. Present and future methods, governing CRC subtyping in the era of personalized therapy with a special emphasis on CMS subtypes of CRC has been reviewed. Together, discovery and validation of new CRC patient stratification methods, screening for novel therapeutic targets, and enhanced diagnosis of CRC may improve the treatment outcome.
基于分子亚型的疗法为临床环境中实现理想和精确的治疗结果提供了新的潜在框架。目前结直肠癌的治疗策略在很大程度上是针对表现出相同病理状况的患者采用“一种药物适用于所有患者”的模式。然而,结直肠癌是一组非常异质性的恶性肿瘤,并不符合上述标准。每个亚型都表现出不同的病理和基因特征。基于这些特征,可以为个体患者设计治疗分层,这最终可能导致治疗效果的改善。在这篇综述中,我们试图简要概述主要的结直肠癌途径。已经讨论了分子亚型及其临床意义的详细概述。回顾了在个性化治疗时代指导结直肠癌亚型分类的当前和未来方法,特别强调了结直肠癌的CMS亚型。总之,新的结直肠癌患者分层方法的发现和验证、新型治疗靶点的筛选以及结直肠癌诊断的加强可能会改善治疗结果。