Treatment Individualization in Colorectal Cancer

Colorectal cancer has been characterized as a genetically heterogeneous disease, with a large diversity in molecular pathogenesis resulting in differential responses to therapy. However, the currently available validated biomarkers KRAS, BRAF, and microsatellite instability do not sufficiently cover...

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Main Authors: van Geel, Robin M. J. M., Beijnen, Jos H., Bernards, René, Schellens, Jan H.M.
Format: Online
Language:English
Published: Springer US 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653238/
id pubmed-4653238
recordtype oai_dc
spelling pubmed-46532382015-11-27 Treatment Individualization in Colorectal Cancer van Geel, Robin M. J. M. Beijnen, Jos H. Bernards, René Schellens, Jan H.M. Therapeutic Approaches to Metastatic Colorectal Cancers (L Vecchione, Section Editor) Colorectal cancer has been characterized as a genetically heterogeneous disease, with a large diversity in molecular pathogenesis resulting in differential responses to therapy. However, the currently available validated biomarkers KRAS, BRAF, and microsatellite instability do not sufficiently cover this extensive heterogeneity and are therefore not suitable to successfully guide personalized treatment. Recent studies have focused on novel targets and rationally designed combination strategies. Furthermore, a more comprehensive analysis of the underlying biology of the disease revealed distinct phenotypic differences within subgroups of patients harboring the same genetic driver mutation with both prognostic and predictive relevance. Accordingly, patient stratification based on molecular intrinsic subtypes rather than on single gene aberrations holds promise to improve the clinical outcome of patients with colorectal cancer. Springer US 2015-08-26 2015 /pmc/articles/PMC4653238/ /pubmed/26617477 http://dx.doi.org/10.1007/s11888-015-0288-z Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author van Geel, Robin M. J. M.
Beijnen, Jos H.
Bernards, René
Schellens, Jan H.M.
spellingShingle van Geel, Robin M. J. M.
Beijnen, Jos H.
Bernards, René
Schellens, Jan H.M.
Treatment Individualization in Colorectal Cancer
author_facet van Geel, Robin M. J. M.
Beijnen, Jos H.
Bernards, René
Schellens, Jan H.M.
author_sort van Geel, Robin M. J. M.
title Treatment Individualization in Colorectal Cancer
title_short Treatment Individualization in Colorectal Cancer
title_full Treatment Individualization in Colorectal Cancer
title_fullStr Treatment Individualization in Colorectal Cancer
title_full_unstemmed Treatment Individualization in Colorectal Cancer
title_sort treatment individualization in colorectal cancer
description Colorectal cancer has been characterized as a genetically heterogeneous disease, with a large diversity in molecular pathogenesis resulting in differential responses to therapy. However, the currently available validated biomarkers KRAS, BRAF, and microsatellite instability do not sufficiently cover this extensive heterogeneity and are therefore not suitable to successfully guide personalized treatment. Recent studies have focused on novel targets and rationally designed combination strategies. Furthermore, a more comprehensive analysis of the underlying biology of the disease revealed distinct phenotypic differences within subgroups of patients harboring the same genetic driver mutation with both prognostic and predictive relevance. Accordingly, patient stratification based on molecular intrinsic subtypes rather than on single gene aberrations holds promise to improve the clinical outcome of patients with colorectal cancer.
publisher Springer US
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653238/
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