Alzahrani Shiekhah Mohammad, Al Doghaither Huda Abdulaziz, Al-Ghafari Ayat Badr
Department of Biochemistry, Faculty of Science, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Mol Clin Oncol. 2021 Dec;15(6):271. doi: 10.3892/mco.2021.2433. Epub 2021 Nov 1.
Cancer is currently among the leading causes of mortality globally. Colorectal cancer (CRC) ranks second among the most common types of cancer in terms of mortality worldwide. This type of cancer arises from mutations in the colonic and rectal epithelial tissues that target oncogenes, tumor suppressor genes and genes related to DNA repair mechanisms. The aim of the present review was to provide an explanation of CRC classification, which is carried out according to the histological subtype, location and molecular pathways implicated in its development. The pathogenic mechanisms implicated in CRC may involve one of three different molecular pathways: Chromosomal instability, microsatellite instability and cytosine preceding guanine island methylator phenotype. In addition, a variety of mutated genes associated with CRC, which affect certain signaling pathways, including DNA mismatch repair, cell cycle checkpoints and apoptotic pathways, were discussed. Moreover, a brief description of the risk factors and the symptoms associated with CRC was also provided. Finally, the treatment approaches to CRC were outlined.
癌症是目前全球主要的死亡原因之一。结直肠癌(CRC)在全球最常见的癌症类型中,死亡率排名第二。这种类型的癌症源于结肠和直肠上皮组织中的突变,这些突变靶向癌基因、肿瘤抑制基因以及与DNA修复机制相关的基因。本综述的目的是解释CRC的分类,其分类是根据组织学亚型、位置以及其发展过程中涉及的分子途径进行的。CRC涉及的致病机制可能包括三种不同分子途径之一:染色体不稳定、微卫星不稳定和鸟嘌呤岛甲基化表型之前的胞嘧啶。此外,还讨论了与CRC相关的各种突变基因,这些基因影响某些信号通路,包括DNA错配修复、细胞周期检查点和凋亡通路。此外,还简要描述了与CRC相关的风险因素和症状。最后,概述了CRC的治疗方法。