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Orthotopic Mouse Model of Colorectal Cancer
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Updates on immunotherapy for colorectal cancer
Aparna Kalyan1,2, Sheetal Kircher2, Hiral Shah1,2
1Developmental Therapeutics Program, Division of Hematology and Oncology, Feinberg School of Medicine, Chicago, IL, USA.
Journal of Gastrointestinal Oncology
|March 23, 2018
Summary
Immunotherapy shows promise for metastatic colorectal cancer (CRC), particularly in microsatellite unstable tumors. Research is ongoing for new immune agents to improve survival rates for advanced CRC patients.
Area of Science:
- Oncology
- Immunology
- Gastroenterology
Background:
- Metastatic colorectal cancer (CRC) has a poor 5-year survival rate of approximately 12% despite current therapies.
- Immunotherapy has shown limited success in CRC compared to other cancers.
- A subset of CRC tumors, known as microsatellite unstable (MSI-H) CRC, demonstrates significant response to immunotherapy.
Purpose of the Study:
- To review the current landscape of immunotherapy approaches for colorectal cancer.
- To highlight the role of immunotherapy in MSI-H CRC.
- To discuss emerging immune agents and combination therapies for CRC.
Main Methods:
- Literature review of immunotherapy in colorectal cancer.
- Analysis of clinical trial data for immune agents in CRC.
- Examination of FDA approvals and ongoing research for CRC immunotherapy.
Main Results:
- Pembrolizumab is FDA-approved for MSI-H CRC, showing profound response rates.
- Immunotherapy's efficacy varies significantly based on tumor mutational status.
- Several novel immune agents, including IDO inhibitors and vaccines, are under investigation.
Conclusions:
- Immunotherapy is a key therapeutic strategy for MSI-H colorectal cancer.
- Further research into novel immune agents and combinatorial approaches is crucial for improving outcomes in broader CRC populations.
- Targeting the immune system holds significant potential for future CRC treatment paradigms.
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