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Updated: Jun 30, 2026

Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
[Molecular pathogenesis. Its importance in targeted therapy in colorectal cancer]
M Kloor1, S Michel, M von Knebel Doeberitz
1Abteilung für Angewandte Tumorbiologie, Institut für Pathologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 220, 69120 Heidelberg. matthias.kloor@med.uni-heidelberg.de
Abstract:
Colorectal cancer has the second highest mortality of all cancers in Germany. In spite of advances in surgical and chemotherapeutic treatment, efficient new therapies need to be developed. In recent years, advances have been achieved by novel targeted therapies that are specifically directed against altered signaling pathways of malignant cells. Colorectal cancers represent a heterogeneous tumor entity, and response to targeted therapies varies individually. About 15% of colorectal carcinomas are characterized by a deficient DNA mismatch repair system and microsatellite instability (MSI). These MSI cancers apparently have a decreased sensitivity to chemotherapy and frequently show evidence of a pronounced anti-tumoral immune response of the host. This immune response is likely to be mediated by a high number of tumor-specific antigens generated during MSI tumorigenesis. Interventions specifically targeting these antigens may be the basis for novel therapeutic strategies in MSI colorectal cancer and will be evaluated in clinical trials.
Insights
New therapies are needed for colorectal cancer, especially for the 15% of cases with microsatellite instability (MSI). These MSI tumors may respond to novel treatments targeting tumor-specific antigens and the host
Area of Science:
- Oncology
- Cancer Immunology
- Molecular Biology
Context:
- Colorectal cancer (CRC) is a leading cause of cancer mortality in Germany.
- Current treatments, including surgery and chemotherapy, have limitations.
- Novel targeted therapies show promise but exhibit variable patient responses.
Purpose:
- To explore the potential of novel therapeutic strategies for colorectal cancer.
- To investigate the role of microsatellite instability (MSI) in CRC treatment response.
- To evaluate the anti-tumoral immune response in MSI colorectal cancer.
Summary:
- Approximately 15% of colorectal carcinomas exhibit deficient DNA mismatch repair and microsatellite instability (MSI).
- MSI-high colorectal cancers demonstrate reduced sensitivity to conventional chemotherapy.
- These tumors often elicit a strong host anti-tumoral immune response, likely driven by numerous tumor-specific antigens.
Impact:
- Highlights MSI colorectal cancer as a distinct entity with unique therapeutic vulnerabilities.
- Suggests that targeting MSI-generated tumor-specific antigens could form the basis for new treatments.
- Indicates that these novel antigen-targeted interventions warrant clinical evaluation for MSI CRC.
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