PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong BE 1410, Brunei.
Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya 60115, Indonesia.
Biomolecules. 2022 Jun 23;12(7):878. doi: 10.3390/biom12070878.
Colorectal cancer is one of the most prevalent cancer types. Although there have been breakthroughs in its treatments, a better understanding of the molecular mechanisms and genetic involvement in colorectal cancer will have a substantial role in producing novel and targeted treatments with better safety profiles. In this review, the main molecular pathways and driver genes that are responsible for initiating and propagating the cascade of signaling molecules reaching carcinoma and the aggressive metastatic stages of colorectal cancer were presented. Protein kinases involved in colorectal cancer, as much as other cancers, have seen much focus and committed efforts due to their crucial role in subsidizing, inhibiting, or changing the disease course. Moreover, notable improvements in colorectal cancer treatments with in silico studies and the enhanced selectivity on specific macromolecular targets were discussed. Besides, the selective multi-target agents have been made easier by employing in silico methods in molecular de novo synthesis or target identification and drug repurposing.
结直肠癌是最常见的癌症类型之一。尽管在其治疗方面已经取得了突破,但更好地了解结直肠癌的分子机制和遗传参与将在产生具有更好安全性的新型靶向治疗方面发挥重要作用。在这篇综述中,介绍了导致结直肠癌起始和传播信号分子级联的主要分子途径和驱动基因,以及侵袭性转移阶段。由于蛋白激酶在促进、抑制或改变疾病进程方面的关键作用,它们在结直肠癌以及其他癌症中受到了极大的关注和投入。此外,还讨论了通过计算机模拟研究和针对特定大分子靶点的增强选择性,在结直肠癌治疗方面取得的显著进展。此外,通过计算机模拟方法进行分子从头合成或目标识别和药物再利用,使得选择性多靶标药物的开发变得更加容易。