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结直肠癌精准治疗中药物重新利用的进展与挑战

Advances and challenges in drug repurposing in precision therapeutics of colorectal cancer.

作者信息

Yu Xin-Ning, Wu Hua-Tao, Wu Bing-Xuan, Zhi Shu-Feng, Lan Yang-Zheng, Chen Wen-Jia, Liu Jing

机构信息

The Breast Center, Cancer Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China.

Department of General Surgery, First Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China.

出版信息

World J Gastrointest Oncol. 2025 Jul 15;17(7):107681. doi: 10.4251/wjgo.v17.i7.107681.

DOI:10.4251/wjgo.v17.i7.107681
PMID:40697217
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12278253/
Abstract

Colorectal cancer (CRC) ranks as the third most common cancer globally and the second leading cause of cancer-related deaths, representing a significant health burden. Despite advancements in traditional treatments such as surgery, chemotherapy, targeted therapy, and immunotherapy, these approaches still face challenges, including high costs, limited efficacy, and drug resistance. Drug repurposing has emerged as a promising strategy for CRC treatment, offering advantages with reduced development timelines, lower costs, and improved drug accessibility. This review explores drug repurposing strategies for CRC, supported by multidisciplinary technologies, and discusses the current challenges in the field.

摘要

结直肠癌(CRC)是全球第三大常见癌症,也是癌症相关死亡的第二大主要原因,构成了重大的健康负担。尽管手术、化疗、靶向治疗和免疫治疗等传统治疗方法取得了进展,但这些方法仍面临挑战,包括成本高、疗效有限和耐药性。药物重新利用已成为一种有前景的结直肠癌治疗策略,具有缩短开发时间、降低成本和提高药物可及性等优势。本综述探讨了多学科技术支持的结直肠癌药物重新利用策略,并讨论了该领域当前面临的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/617d/12278253/dea945ccf7c5/wjgo-17-7-107681-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/617d/12278253/dea945ccf7c5/wjgo-17-7-107681-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/617d/12278253/dea945ccf7c5/wjgo-17-7-107681-g001.jpg

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本文引用的文献

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Long-term use of low-dose aspirin for cancer prevention: A 20-year longitudinal cohort study of 1,506,525 Hong Kong residents.长期使用低剂量阿司匹林预防癌症:对1,506,525名香港居民进行的20年纵向队列研究。
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The Therapeutic Effects of Bioactive Compounds on Colorectal Cancer via PI3K/Akt/mTOR Signaling Pathway: A Critical Review.生物活性化合物通过PI3K/Akt/mTOR信号通路对结直肠癌的治疗作用:一项综述
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Neutralizing GDF-15 can overcome anti-PD-1 and anti-PD-L1 resistance in solid tumours.
中和生长分化因子-15(GDF-15)可克服实体瘤中抗程序性死亡蛋白1(anti-PD-1)和抗程序性死亡配体1(anti-PD-L1)的耐药性。
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Precision Medicine for Metastatic Colorectal Cancer: Where Do We Stand?转移性结直肠癌的精准医学:我们目前的进展如何?
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7
Mining drug-target interactions from biomedical literature using chemical and gene descriptions-based ensemble transformer model.使用基于化学和基因描述的集成变压器模型从生物医学文献中挖掘药物-靶点相互作用。
Bioinform Adv. 2024 Jul 22;4(1):vbae106. doi: 10.1093/bioadv/vbae106. eCollection 2024.
8
Investigating the therapeutic promise of drug-repurposed-loaded nanocarriers: A pioneering strategy in advancing colorectal cancer treatment.探讨载药再利用纳米载体的治疗潜力:推进结直肠癌治疗的开创性策略。
Int J Pharm. 2024 Oct 25;664:124473. doi: 10.1016/j.ijpharm.2024.124473. Epub 2024 Jul 16.
9
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Lancet. 2024 Jul 20;404(10449):294-310. doi: 10.1016/S0140-6736(24)00360-X. Epub 2024 Jun 20.
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Int J Surg. 2024 Apr 1;110(4):1941-1950. doi: 10.1097/JS9.0000000000001066.