Molecular therapy of colorectal cancer: progress and future directions

Int J Cancer. 2015 Feb 1;136(3):493-502. doi: 10.1002/ijc.28722. Epub 2014 Feb 7.

Abstract

Colorectal cancer (CRC) remains one of the most common types of cancer and leading causes of cancer death worldwide. Although the introduction of cytotoxic drugs such as oxaliplatin, irinotecan and fluorouracil has improved the treatment of advanced CRC, the individual response to chemoradiotherapy varies tremendously from one patient to another. However, recent progress in CRC molecular therapies may provide new insight into the treatment of this disease. Currently, components of the EGFR, VEGF, Wnt and NF-kB pathways are the most important targets for CRC therapy. This review chronicles the development of molecular CRC therapies over the past few decades. We also provide an update on the current progress of research concerning the molecular pathways leading to CRC and discuss the possible implications for CRC therapy.

Keywords: colorectal cancer; molecular therapy; progress.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Colorectal Neoplasms / drug therapy*
  • ErbB Receptors / antagonists & inhibitors
  • Humans
  • Molecular Targeted Therapy
  • NF-kappa B / antagonists & inhibitors
  • NF-kappa B / physiology
  • Phosphoinositide-3 Kinase Inhibitors
  • Proto-Oncogene Proteins c-akt / antagonists & inhibitors
  • TOR Serine-Threonine Kinases / antagonists & inhibitors
  • Wnt Signaling Pathway / drug effects

Substances

  • Angiogenesis Inhibitors
  • Anti-Inflammatory Agents, Non-Steroidal
  • NF-kappa B
  • Phosphoinositide-3 Kinase Inhibitors
  • ErbB Receptors
  • Proto-Oncogene Proteins c-akt
  • TOR Serine-Threonine Kinases