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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Novel drug discovery opportunities for colorectal cancer
1Oncology Drug Discovery, Research and Development, Bristol-Myers Squibb, Route 206 and Provinceline Road, Princeton, NJ, USA. Joshua.Curtin@bms.com
Introduction:
Colorectal cancer (CRC) is a leading cause of cancer mortality worldwide, with > 1.2 million new cases and > 600,000 deaths per year. This complex disease is driven by multiple genetic lesions, commonly dysregulated signaling pathways, and aberrant activity of developmental programs such as Notch and Wnt. While emerging therapies such as EGFR inhibitors are improving treatment regimens, recent findings elucidating the role of cancer stem cells provide insights into opportunities for novel therapeutic intervention.
Areas Covered:
This review provides a background on CRC statistics, colon anatomy and CRC pathobiology, CRC genetics and current and emerging therapies. Furthermore, the article discusses the role of developmental signaling pathways governing self-renewal biology as potential points for therapeutic intervention.
Expert Opinion:
Despite recent advances including the introduction of targeted therapeutics, prognosis for advanced CRC patients remains bleak, reinforcing the need for novel therapeutic intervention. Developmental pathways such as Notch and Wnt provide opportunities to address this urgent need, and preclinical evidence supports targeting these pathways in CRC. Progress has been made toward this end, and while challenges persist, an increasing number of preclinical findings show promise.
Insights
Colorectal cancer (CRC) remains a major global health threat. Targeting developmental pathways like Notch and Wnt offers promising new therapeutic strategies for advanced CRC, addressing the need for improved patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Colorectal cancer (CRC) is a leading cause of cancer mortality worldwide.
- CRC pathogenesis involves genetic mutations, dysregulated signaling pathways (Notch, Wnt), and cancer stem cells.
- Current therapies, including EGFR inhibitors, show promise but do not fully resolve advanced disease prognosis.
Purpose of the Study:
- To review colorectal cancer statistics, anatomy, pathobiology, genetics, and therapies.
- To discuss the role of developmental signaling pathways in CRC self-renewal biology.
- To explore these pathways as potential targets for novel therapeutic interventions.
Main Methods:
- Literature review of CRC statistics and pathobiology.
- Analysis of CRC genetics and current/emerging treatment strategies.
- Examination of developmental signaling pathways (Notch, Wnt) in CRC.
Main Results:
- Advanced CRC prognosis remains poor despite targeted therapeutics.
- Developmental pathways like Notch and Wnt are implicated in CRC self-renewal.
- Preclinical evidence supports targeting these pathways for CRC treatment.
Conclusions:
- Novel therapeutic interventions are crucial for improving advanced CRC outcomes.
- Targeting Notch and Wnt pathways presents a promising avenue for CRC therapy.
- Ongoing preclinical research shows encouraging potential for these novel strategies.
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