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转移性结直肠癌生物标志物的新前沿:潜力与关键问题

New Frontiers of Biomarkers in Metastatic Colorectal Cancer: Potential and Critical Issues.

作者信息

Medici Bianca, Benatti Stefania, Dominici Massimo, Gelsomino Fabio

机构信息

Department of Medical and Surgical Sciences for Children and Adults, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

出版信息

Int J Mol Sci. 2025 May 30;26(11):5268. doi: 10.3390/ijms26115268.

DOI:10.3390/ijms26115268
PMID:40508077
Abstract

Metastatic colorectal cancer (mCRC) remains a major cause of cancer-related mortality worldwide and requires the development of new biomarkers to improve patient management. Traditional markers, such as RAS mutations and microsatellite instability (MSI), have revolutionized therapeutic decisions, but emerging evidence underlines the importance of integrating multi-omics sciences for a deeper understanding of tumor biology and therapeutic resistance. Although these omics technologies hold great promise for the advancement of precision oncology, significant challenges remain. However, the integration of multi-omics data is opening the way to more accurate diagnostics, personalized therapies, and improved outcomes for mCRC patients. This review provides an in-depth description of the various omics sciences and explores their advantages and critical issues.

摘要

转移性结直肠癌(mCRC)仍是全球癌症相关死亡的主要原因,需要开发新的生物标志物以改善患者管理。传统标志物,如RAS突变和微卫星不稳定性(MSI),已经彻底改变了治疗决策,但新出现的证据强调了整合多组学科学对于更深入理解肿瘤生物学和治疗耐药性的重要性。尽管这些组学技术在精准肿瘤学的发展中具有巨大潜力,但重大挑战依然存在。然而,多组学数据的整合正在为mCRC患者带来更准确的诊断、个性化治疗和更好的治疗效果。本综述深入描述了各种组学科学,并探讨了它们的优势和关键问题。

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本文引用的文献

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Construction of a prognostic score model for breast cancer based on multi-omics analysis of study on bone metastasis.基于骨转移研究的多组学分析构建乳腺癌预后评分模型。
Transl Cancer Res. 2024 May 31;13(5):2419-2436. doi: 10.21037/tcr-23-1881. Epub 2024 May 20.
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Immunotherapy and Cancer: The Multi-Omics Perspective.免疫疗法与癌症:多组学视角。
Int J Mol Sci. 2024 Mar 21;25(6):3563. doi: 10.3390/ijms25063563.
3
Proteogenomic characterization of primary colorectal cancer and metastatic progression identifies proteome-based subtypes and signatures.
原发性结直肠癌和转移进展的蛋白质基因组学特征分析确定了基于蛋白质组的亚型和特征。
Cell Rep. 2024 Feb 27;43(2):113810. doi: 10.1016/j.celrep.2024.113810. Epub 2024 Feb 19.
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Metabolomics signature as a survival predictor in patients with resectable colorectal liver metastasis.代谢组学特征作为可切除结直肠癌肝转移患者生存预测指标
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Advancements and applications of single-cell multi-omics techniques in cancer research: Unveiling heterogeneity and paving the way for precision therapeutics.单细胞多组学技术在癌症研究中的进展与应用:揭示异质性并为精准治疗铺平道路。
Biochem Biophys Rep. 2023 Nov 29;37:101589. doi: 10.1016/j.bbrep.2023.101589. eCollection 2024 Mar.
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Expression of Immune-Related and Inflammatory Markers and Their Prognostic Impact in Colorectal Cancer Patients.免疫相关和炎症标志物的表达及其对结直肠癌患者预后的影响。
Int J Mol Sci. 2023 Jul 18;24(14):11579. doi: 10.3390/ijms241411579.
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Cancers (Basel). 2023 Jul 5;15(13):3509. doi: 10.3390/cancers15133509.
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Clin Cancer Res. 2023 Nov 14;29(22):4530-4539. doi: 10.1158/1078-0432.CCR-23-0079.
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