2020
DOI: 10.3390/ijms21061991
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Biology and Therapeutic Targets of Colorectal Serrated Adenocarcinoma; Clues for a Histologically Based Treatment against an Aggressive Tumor

Abstract: Serrated adenocarcinoma (SAC) is a tumor recognized by the WHO as a histological subtype accounting for around 9% of colorectal carcinomas. Compared to conventional carcinomas, SACs are characterized by a worse prognosis, weak development of the immune response, an active invasive front and a frequent resistance to targeted therapy due to a high occurrence of KRAS or BRAF mutation. Nonetheless, several high-throughput studies have recently been carried out unveiling the biology of this cancer and identifying p… Show more

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Cited by 8 publications
(2 citation statements)
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“…Furthermore, organoids have been suggestively to hone its capacity in modelling different cancer subtypes with the help of genetic engineering technology. Serrated CRC, for example, represents an aggressive subtype of CRC with often relative resistance to anti-EGFR therapy and poor prognosis [ 73 ]. The organoids with clustered regularly interspaced short palindromic repeats-Cas9 (CRISPR-Cas9) which incorporate common genetic alterations [ Kras or B-Raf proto-oncogene ( BRAF )] revealed a specific tumor niche and prognostic gene markers representing human serrated CRC [ 74 , 153 ].…”
Section: Application Of Spheroids and Organoids For Drug Screeningmentioning
confidence: 99%
“…Furthermore, organoids have been suggestively to hone its capacity in modelling different cancer subtypes with the help of genetic engineering technology. Serrated CRC, for example, represents an aggressive subtype of CRC with often relative resistance to anti-EGFR therapy and poor prognosis [ 73 ]. The organoids with clustered regularly interspaced short palindromic repeats-Cas9 (CRISPR-Cas9) which incorporate common genetic alterations [ Kras or B-Raf proto-oncogene ( BRAF )] revealed a specific tumor niche and prognostic gene markers representing human serrated CRC [ 74 , 153 ].…”
Section: Application Of Spheroids and Organoids For Drug Screeningmentioning
confidence: 99%
“…However, given the fact that SAC, compared to conventional colorectal carcinoma, exhibits a higher frequency of KRAS or BRAF mutations and that most SACs are microsatellite stable [ 3 , 4 ], this CRC subtype is especially resistant to targeted therapy such as anti-EGFR and immune checkpoint inhibitors, respectively. Therefore, there is an urgent need to count with a targeted molecular therapy for treating SAC [ 5 ].…”
Section: Introductionmentioning
confidence: 99%