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结直肠癌分子机制与治疗方面的进展与创新

英文原题:Advancements and innovations in the molecular mechanisms and treatment of colorectal cancer.

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Advancements and innovations in the molecular mechanisms and treatment of colorectal cancer.

PubMed 2026/03/10(内容时间) Discov Oncol Q3 · IF 2.8(JCR 2025)

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中文摘要

结直肠癌(CRC)因其高发病率和死亡率仍然是全球主要的健康挑战。CRC的发生和进展由复杂的分子机制驱动,涉及原癌基因如BRAF、PIK3CA和K-ras的遗传改变,以及抑癌基因包括APC、p53和PTEN的突变。这些遗传变化进一步受到关键信号通路如Wnt/β-Catenin、PI3K/Akt和STAT3失调的影响,这些通路共同促进肿瘤细胞增殖、侵袭和转移。

此外,由促炎细胞因子如TNF-α、IL-6和IL-8介导的慢性炎症,以及肠道微生物群稳态的破坏,通过促进免疫逃逸和肿瘤进展,在CRC发病机制中发挥关键作用。近年来,治疗策略的显著进步改善了CRC患者的预后。免疫治疗,包括免疫检查点抑制剂、肿瘤疫苗和过继细胞疗法,已显示出有希望的结果,特别是在具有特定分子特征的患者中。针对生物标志物如EGFR、VEGF、KRAS和BRAF的靶向治疗也显示出疗效,而补充方法如中医药因其增强治疗结果的潜力而受到关注。

然而,肿瘤异质性、耐药性和复杂的肿瘤微环境等挑战继续阻碍治疗成功,强调需要进一步研究以克服这些障碍并改善患者生存。

展开英文摘要原文

Colorectal cancer (CRC) remains a major global health challenge due to its high incidence and mortality rates. The development and progression of CRC are driven by complex molecular mechanisms involving genetic alterations in proto-oncogenes such as BRAF, PIK3CA, and K-ras, as well as tumor suppressor genes including APC, p53, and PTEN. These genetic changes are further compounded by the dysregulation of key signaling pathways such as Wnt/β-Catenin, PI3K/Akt, and STAT3, which collectively promote tumor cell proliferation, invasion, and metastasis.

Additionally, chronic inflammation mediated by pro-inflammatory cytokines like TNF-α, IL-6, and IL-8, along with disruptions in gut microbiota homeostasis, play critical roles in CRC pathogenesis by facilitating immune evasion and tumor progression. In recent years, significant advancements in therapeutic strategies have improved outcomes for CRC patients.

Immunotherapy, including immune checkpoint inhibitors, tumor vaccines, and adoptive cell therapy, has shown promising results, particularly in patients with specific molecular profiles. Targeted therapies directed against biomarkers such as EGFR, VEGF, KRAS, and BRAF have also demonstrated efficacy, while complementary approaches like traditional Chinese medicine have gained attention for their potential to enhance treatment outcomes.

However, challenges such as tumor heterogeneity, drug resistance, and the complex tumor microenvironment continue to hinder therapeutic success, underscoring the need for further research to overcome these barriers and improve patient survival.

论文信息

作者
Wang X、Yang J
第一作者单位
Department of Infectious Diseases, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), No. 2 Zheshan West Road, Jinghu District, Wuhu, 241001, Anhui, China.China
通讯作者单位
Department of Infectious Diseases, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), No. 2 Zheshan West Road, Jinghu District, Wuhu, 241001, Anhui, China. yjhpath@163.com.China
文献类型
综述
期刊
Discover oncology2026 Mar 10
原文标识
PubMed 41806134 · DOI 10.1007/s12672-026-04796-6