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结直肠癌肝转移:机制与临床治疗(综述)

Liver metastasis of colorectal cancer: Mechanism and clinical therapy (Review).

作者信息

Yang Changjiang, Zhao Long, Wang Caihong, Ye Yingjiang, Shen Zhanlong

机构信息

Department of Gastroenterological Surgery, Peking University People's Hospital, Beijing 100044, P.R. China.

出版信息

Oncol Rep. 2025 Oct;54(4). doi: 10.3892/or.2025.8963. Epub 2025 Aug 8.


DOI:10.3892/or.2025.8963
PMID:40776741
Abstract

Liver metastasis is a common complication in colorectal cancer (CRC), with its presence and progression significantly shortening patient survival. Therefore, a deeper understanding of the underlying mechanisms driving liver metastasis in CRC is essential to identify more effective and actionable therapeutic targets and improve prognosis. Liver metastasis in CRC is a multifaceted and dynamic process. Tumor cells with invasive properties communicate with the surrounding microenvironment through mechanisms such as immune checkpoint molecules and cytokines, thereby establishing a supportive niche for their colonization and proliferation. Moreover, suppressive immune cells may enhance the invasiveness of tumor cells. The interplay between tumor cells and the microenvironment is an interdependent process. Targeting these interactions offers promising potential for novel therapeutic strategies. The present review outlined mechanisms of colorectal cancer liver metastasis, emphasizing the immune microenvironment's role, current treatment approaches, and future development prospects.

摘要

肝转移是结直肠癌(CRC)常见的并发症,其出现和进展会显著缩短患者生存期。因此,深入了解CRC肝转移的潜在机制对于确定更有效且可实施的治疗靶点及改善预后至关重要。CRC肝转移是一个多方面的动态过程。具有侵袭性的肿瘤细胞通过免疫检查点分子和细胞因子等机制与周围微环境相互作用,从而为其定植和增殖建立支持性微环境。此外,抑制性免疫细胞可能增强肿瘤细胞的侵袭性。肿瘤细胞与微环境之间的相互作用是一个相互依存的过程。针对这些相互作用为新型治疗策略提供了有前景的潜力。本综述概述了结直肠癌肝转移的机制,强调了免疫微环境的作用、当前的治疗方法以及未来的发展前景。

相似文献

[1]
Liver metastasis of colorectal cancer: Mechanism and clinical therapy (Review).

Oncol Rep. 2025-10

[2]
Hyperglycemia induces an immunosuppressive microenvironment in colorectal cancer liver metastases by recruiting peripheral blood monocytes through the CCL3-CCR1 axis.

J Immunother Cancer. 2025-6-22

[3]
Bioengineered Tumor-Derived Extracellular Vehicles Suppressed Colorectal Cancer Liver Metastasis and Bevacizumab Resistance.

Adv Sci (Weinh). 2025-6

[4]
Interplay between tumor mutation burden and the tumor microenvironment predicts the prognosis of pan-cancer anti-PD-1/PD-L1 therapy.

Front Immunol. 2025-7-24

[5]
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Ageing Res Rev. 2025-7-8

[6]
Histone deacetylases 10 as a prognostic biomarker correlates with tumor microenvironment and therapy response in colorectal cancer.

World J Gastroenterol. 2025-7-14

[7]
m6A modified BACE1-AS contributes to liver metastasis and stemness-like properties in colorectal cancer through TUFT1 dependent activation of Wnt signaling.

J Exp Clin Cancer Res. 2023-11-21

[8]
[F]FMISO-PET imaging reveals the role of hypoxia severity in checkpoint blockade response.

Nucl Med Biol. 2024

[9]
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Curr Med Chem. 2024-1-3

[10]
Identification of DNA methylation characteristics associated with metastasis and prognosis in colorectal cancer.

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本文引用的文献

[1]
New Frontiers of Biomarkers in Metastatic Colorectal Cancer: Potential and Critical Issues.

Int J Mol Sci. 2025-5-30

[2]
Oncolytic Viruses as a Novel Therapeutic Approach for Colorectal Cancer: Mechanisms, Current Advances, and Future Directions.

Cancers (Basel). 2025-5-31

[3]
Mechanisms of CD8 T cell exhaustion and its clinical significance in prognosis of anti-tumor therapies: A review.

Int Immunopharmacol. 2025-6-26

[4]
Advancing Cancer Treatment: A Review of Immune Checkpoint Inhibitors and Combination Strategies.

Cancers (Basel). 2025-4-23

[5]
mA-modified MIR670HG suppresses tumor liver metastasis through enhancing Kupffer cell phagocytosis.

Cell Mol Life Sci. 2025-4-28

[6]
Hepatic iNKT cells facilitate colorectal cancer metastasis by inducing a fibrotic niche in the liver.

iScience. 2025-4-6

[7]
The E3 Ligase NEDD4L Prevents Colorectal Cancer Liver Metastasis via Degradation of PRMT5 to Inhibit the AKT/mTOR Signaling Pathway.

Adv Sci (Weinh). 2025-7

[8]
Promising immunotherapeutic treatments for colon cancer.

Med Oncol. 2025-4-23

[9]
Reprogramming liver metastasis-associated macrophages toward an anti-tumoral phenotype through enforced miR-342 expression.

Cell Rep. 2025-5-27

[10]
PRIM1 enhances colorectal cancer liver metastasis via promoting neutrophil recruitment and formation of neutrophil extracellular trap.

Cell Signal. 2025-8

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