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Activation of signal pathways and the resistance to anti-EGFR treatment in colorectal cancer

✍ Scribed by Jiezhong Chen; Xu-Feng Huang; Andrew Katsifis


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
74 KB
Volume
111
Category
Article
ISSN
0730-2312

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✦ Synopsis


Abstract

Colorectal cancer is the third most common cancer with a 5‐year survival rate of less than 10%. It is caused by alterations of multiple signal pathways which are affected by both genetic and environmental factors. In some cases, EGFR is important in the carcinogenesis of colorectal cancer suggesting anti‐EGFR therapy may be a potential treatment option. However, in other cases it is not effective, which may be related to its down‐stream targeted gene mutations. KRAS is highly emphasized in the literature but other mutations like Src, PIK3CA, and BRAF may also be important. Furthermore, obesity may decrease the effectiveness of anti‐EGFR treatment as it increases the risk factors for colorectal cancer. Using next‐generation sequencing technology, it may be possible to identify all gene mutations in an individual with colorectal cancer. Therefore, gene mutations affecting anti‐EGFR therapy in colorectal cancer patients can be identified. J. Cell. Biochem. 111: 1082–1086, 2010. © 2010 Wiley‐Liss, Inc.


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