Articoli originali
15 maggio 2024

Valutazione prognostica delle mutazioni di KRAS e BRAF in relazione allo stato delle proteine del Mismatch Repair: analisi preliminare di sopravvivenza dei pazienti con adenocarcinoma colorettale

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
2846
Visite
927
Downloads

Autori

Obiettivi: l’impatto prognostico delle mutazioni nei geni BRAF e KRAS nei pazienti con tumore del colon-retto è stato valutato per individuare le variazioni di sopravvivenza tra i pazienti con queste mutazioni, in relazione alle diverse caratteristiche morfologiche identificate alla diagnosi ed all’espressione delle proteine di Mismatch Repair. Lo scopo finale del progetto sarà quello di stabilire modelli per prevedere le variazioni di sopravvivenza in diversi sottoinsiemi di pazienti con tumore del colon-retto. Materiali e Metodi: sono state condotte analisi di sopravvivenza parziale su 32 soggetti in relazione a tre diverse variabili: mutazione nei geni BRAF o KRAS, espressione delle proteine dei Mismatch Repair e caratteristiche morfologiche del tumore. Risultati: i risultati preliminari di questo studio dimostrano che la sopravvivenza in diverse sottopopolazioni di pazienti con tumore del colon-retto può essere influenzata da diversi fattori, che includono, oltre alle indagini immunoistochimiche e molecolari, la valutazione di diverse caratteristiche morfologiche. Conclusioni: l’integrazione di diverse caratteristiche può rivelare quali fattori abbiano un impatto più significativo sulla sopravvivenza in questi sottogruppi. Sarà necessario un numero maggiore di pazienti per progettare diversi modelli di sopravvivenza e verificare in maniera più efficace questi risultati preliminari.

Altmetrics

Downloads

La data di download non è ancora disponibile.

Citations

Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA: A Cancer Journal for Clinicians. 2011;61:69-90.
Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71:209-49.
Wang W, Kandimalla R, Huang H, et al. Molecular subtyping of colorectal cancer: Recent progress, new challenges and emerging opportunities. Semin Cancer Biol. 2019;55:37-52.
Müller MF, Ibrahim AE, Arends MJ. Molecular pathological classification of colorectal cancer. Virchows Arch. 2016;469:125-34.
Munkholm P. Review article: the incidence and prevalence of colorectal cancer in inflammatory bowel disease. Aliment Pharmacol Ther. 2003;18:1-5.
Tariq K, Ghias K. Colorectal cancer carcinogenesis: a review of mechanisms. Cancer Biol Med. 2016;13:120-35.
Pino MS, Chung DC. The chromosomal instability pathway in colon cancer. Gastroenterology. 2010;138:2059-72.
Pfuderer PL, Ballhausen A, Seidler F, et al. High endothelial venules are associated with microsatellite instability, hereditary background and immune evasion in colorectal cancer. Br J Cancer. 2019;121:395-404.
Leclerc J, Vermaut C, Buisine MP. Diagnosis of Lynch Syndrome and Strategies to Distinguish Lynch-Related Tumors from Sporadic MSI/dMMR Tumors. Cancers (Basel). 2021;13:467.
Taieb J, Le Malicot K, Shi Q, et al. Prognostic Value of BRAF and KRAS Mutations in MSI and MSS Stage III Colon Cancer. J Natl Cancer Inst. 2016;109:djw272.
Formica V, Sera F, Cremolini C, et al. KRAS and BRAF Mutations in Stage II and III Colon Cancer: A Systematic Review and Meta-Analysis. J Natl Cancer Inst. 2022;114:517-27.
Boeckx N, Peeters M, Van Camp G, et al. Prognostic and Predictive Value of RAS Gene Mutations in Colorectal Cancer: Moving Beyond KRAS Exon 2. Drugs. 2015;75:1739-56.
Roth AD, Tejpar S, Delorenzi M, et al. Prognostic role of KRAS and BRAF in stage II and III resected colon cancer: results of the translational study on the PETACC-3, EORTC 40993, SAKK 60-00 trial. J Clin Oncol. 2010;28:466-74.
Blons H, Emile JF, Le Malicot K, et al. Prognostic value of KRAS mutations in stage III colon cancer: post hoc analysis of the PETACC8 phase III trial dataset. Ann Oncol. 2014;25:2378-85.
Lièvre A, Bachet JB, Boige V, et al. KRAS mutations as an independent prognostic factor in patients with advanced colorectal cancer treated with cetuximab. J Clin Oncol. 2008;26:374-9.
Montagut C, Settleman J. Targeting the RAF-MEK-ERK pathway in cancer therapy. Cancer Lett. 2009;283:125-34.
Tejpar S, Bertagnolli M, Bosman F, et al. Prognostic and predictive biomarkers in resected colon cancer: current status and future perspectives for integrating genomics into biomarker discovery. Oncologist. 2010;15:390-404.
Sinicrope FA, Shi Q, Allegra CJ, et al. Association of DNA Mismatch Repair and Mutations in BRAF and KRAS With Survival After Recurrence in Stage III Colon Cancers : A Secondary Analysis of 2 Randomized Clinical Trials. JAMA Oncol. 2017;3:472-80.
Midthun L, Shaheen S, Deisch J, et al. Concomitant KRAS and BRAF mutations in colorectal cancer. J Gastrointest Oncol. 2019;10:577-81.
Fishel R. Mismatch repair. J Biol Chem. 2015;290:26395-403.
De' Angelis GL, Bottarelli L, Azzoni C, et al. Microsatellite instability in colorectal cancer. Acta Biomed. 2018;89:97-101.
Normanno N, Tejpar S, Morgillo F, et al. Implications for KRAS status and EGFR-targeted therapies in metastatic CRC. Nat Rev Clin Oncol. 2009;6:519-27.
Avruch J, Khokhlatchev A, Kyriakis JM, et al. Ras activation of the Raf kinase: tyrosine kinase recruitment of the MAP kinase cascade. Recent Progress in Hormone Research. 2001;56:127-55.
Kudryavtseva AV, Lipatova AV, Zaretsky AR, et al. Important molecular genetic markers of colorectal cancer. Oncotarget. 2016;7:53959-83.
Barras D. BRAF Mutation in Colorectal Cancer: An Update. Biomark Cancer. 2015;7:9-12.
Tran B, Kopetz S, Tie J, et al. Impact of BRAF mutation and microsatellite instability on the pattern of metastatic spread and prognosis in metastatic colorectal cancer. Cancer. 2011;117:4623-32.
Souglakos J, Philips J, Wang R, et al. Prognostic and predictive value of common mutations for treatment response and survival in patients with metastatic colorectal cancer. Br J Cancer. 2009;101:465-72.
Lian SY, Tan LX, Liu XZ, et al. KRAS, NRAS, BRAF signatures, and MMR status in colorectal cancer patients in North China. Medicine (Baltimore). 2023;102:e33115.
Formica V, Sera F, Cremolini C, et al. KRAS and BRAF Mutations in Stage II and III Colon Cancer: A Systematic Review and Meta-Analysis. J Natl Cancer Inst. 2022;114:517-27. 30. Ganesh K, Stadler ZK, Cercek A, et al. Immunotherapy in colorectal cancer: rationale, challenges and potential. Nat Rev Gastroenterol Hepatol. 2019;16:361-75.
Ueno H, Price AB, Wilkinson KH, et al. A new prognostic staging system for rectal cancer. Ann Surg. 2004;240:832-9.
Karlberg M, Stenstedt K, Hallström M, et al. Tumor Budding Versus Mismatch Repair Status in Colorectal Cancer - An Exploratory Analysis. Anticancer Res. 2018;38:4713-21.
Neugut AI, Lin A, Raab GT, et al. FOLFOX and FOLFIRI Use in Stage IV Colon Cancer: Analysis of SEER- Medicare Data. Clin Colorectal Cancer. 2019;18:133-40.
Lichtenstern CR, Ngu RK, Shalapour S, Karin M. Immunotherapy, Inflammation and Colorectal Cancer. Cells. 2020;9:618.
Zugazagoitia J, Guedes C, Ponce S, et al. Current Challenges in Cancer Treatment. Clin Ther. 2016;38:1551-66.

Come citare



Valutazione prognostica delle mutazioni di KRAS e BRAF in relazione allo stato delle proteine del Mismatch Repair: analisi preliminare di sopravvivenza dei pazienti con adenocarcinoma colorettale. (2024). Working Paper of Public Health, 12(1). https://doi.org/10.4081/wpph.2024.9921