MAGI'S LAB, Rovereto (TN), Italy.
Department of Pharmaceutical Sciences, University of Perugia, Italy.
Clin Ter. 2023 Nov-Dec;174(Suppl 2(6)):55-67. doi: 10.7417/CT.2023.2472.
Colon cancer presents a complex pathophysiological landscape, which poses a significant challenge to the precise prediction of patient prognosis and treatment response. However, the emergence of omics sciences such as genomics, transcriptomics, proteomics, and metabolomics has provided powerful tools to identify molecular alterations and pathways involved in colon cancer development and progression. To address the lack of literature exploring the intersection of omics sciences, precision medicine, and colon cancer, we conducted a comprehensive search in ScienceDirect and PubMed databases. We included systematic reviews, reviews, case studies, clinical studies, and randomized controlled trials that were published between 2015-2023. To refine our search, we excluded abstracts and non-English studies. This review provides a comprehensive summary of the current understanding of the latest developments in precision medicine and omics sciences in the context of colon cancer. Studies have identified molecular subtypes of colon cancer based on genomic and transcrip-tomic profiles, which have implications for prognosis and treatment selection. Furthermore, precision medicine (which involves tailoring treatments, based on the unique molecular characteristics of each patient's tumor) has shown promise in improving outcomes for colon cancer patients. Omics sciences and precision medicine hold great promise for identifying new therapeutic targets and developing more effective treatments for colon cancer. Although not strictly designed as a systematic review, this review provides a readily accessible and up-to-date summary of the latest developments in the field, highlighting the challenges and opportunities for future research.
结直肠癌呈现出复杂的病理生理学特征,这给患者预后和治疗反应的准确预测带来了重大挑战。然而,组学科学(如基因组学、转录组学、蛋白质组学和代谢组学)的出现为识别涉及结直肠癌发生和发展的分子改变和途径提供了强大的工具。为了解决缺乏探索组学科学、精准医学和结直肠癌交叉点的文献的问题,我们在 ScienceDirect 和 PubMed 数据库中进行了全面检索。我们纳入了发表于 2015 年至 2023 年之间的系统评价、综述、病例研究、临床研究和随机对照试验。为了细化我们的搜索,我们排除了摘要和非英语研究。本综述全面总结了精准医学和组学科学在结直肠癌背景下的最新进展。研究已经根据基因组和转录组谱确定了结直肠癌的分子亚型,这对预后和治疗选择具有重要意义。此外,精准医学(基于每个患者肿瘤的独特分子特征来定制治疗)已显示出改善结直肠癌患者结局的潜力。组学科学和精准医学有望为结直肠癌确定新的治疗靶点并开发更有效的治疗方法。虽然本综述不是严格意义上的系统评价,但它提供了一个易于访问和最新的领域最新进展的摘要,突出了未来研究的挑战和机遇。