2019
DOI: 10.4251/wjgo.v11.i7.551
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TYMS/KRAS/BRAF molecular profiling predicts survival following adjuvant chemotherapy in colorectal cancer

Abstract: BACKGROUND Patients with stage II-III colorectal cancer (CRC) treated with adjuvant chemotherapy, gain a 25% survival benefit. In the context of personalized medicine, there is a need to identify patients with CRC who may benefit from adjuvant chemotherapy. Molecular profiling could guide treatment decisions in these patients. Thymidylate synthase ( TYMS ) gene polymorphisms, KRAS and BRAF could be included in the mol… Show more

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Cited by 23 publications
(23 citation statements)
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“…However, the blood metastasis, peritoneal metastasis and lymph node metastasis of colon cancer cells after surgery could cause the recurrence of colon cancer (Martínez-Meza et al 2019 ). The spread of cancer cells caused by blood metastasis was a crucial factor which affected the survival rate of colon cancer patients (Ntavatzikos et al 2019 ). Therefore, we urgently need to develop a new therapy to inhibit the metastasis and spread of colon cancer cells.…”
Section: Discussionmentioning
confidence: 99%
“…However, the blood metastasis, peritoneal metastasis and lymph node metastasis of colon cancer cells after surgery could cause the recurrence of colon cancer (Martínez-Meza et al 2019 ). The spread of cancer cells caused by blood metastasis was a crucial factor which affected the survival rate of colon cancer patients (Ntavatzikos et al 2019 ). Therefore, we urgently need to develop a new therapy to inhibit the metastasis and spread of colon cancer cells.…”
Section: Discussionmentioning
confidence: 99%
“…In recent studies, 5-FU chemotherapy efficacy was found markedly reduced by 50% in patient cohort afflicted with 5′-UTR 2R/3G, 3C/3G, and 3G/3G polymorphisms, when compared to 5′-UTR 2R/2R, 2R/3C, and 3C/3C carriers [ 226 ]. While in separate studies, the loss of heterozygosity (LOH) was factored in as well, reporting lower risk of disease recurrence and death for patients with 2G/3G, 2G/LOH, and 3C/LOH genotypes [ 227 ]. Although no correlation between 3′-UTR polymorphism and 5-FU efficacy was found in the study conducted by Qihong Nie and colleague (2019), it was established by Ntavatzikos and colleagues (2019) that the presence of 3′-UTR ins/LOH is an independent indication for increased risk for disease relapse and death.…”
Section: Mechanism Of Resistance By Key 5-fluorouracil Enzymesmentioning
confidence: 99%
“…Hematogenous metastasis is the dominating cause of failure in the treatment of colon cancer. The survival rate of colon cancer is overtly relevant to clinical stage, and the 5-year survival rates of patients with no metastasis, local metastasis and distant metastasis are 90, 70 and 10%, respectively [5]. Therefore, to find the markers of early diagnosis and explore the key molecules involved in the growth and metastasis of colon cancer is the focus of current research.…”
Section: Introductionmentioning
confidence: 99%