日本结肠直肠癌精准医学的现状
Yoshiki Kojitani1, Masayuki Takeda1
1Department of Cancer Genomics and Medical Oncology, Nara Medical University, 840 Shijo-Cho, Kashihara 634-8521, Nara, Japan.
International journal of molecular sciences
|June 13, 2025
概括
精准医学优化了在日本使用关键生物标志物和先进诊断的结直肠癌 (CRC) 治疗. 测试时间,治疗可用性和访问方面的挑战仍然存在,需要进一步研究以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
- 药理学 药理学是指药理学的学科.
背景情况:
- 结肠直肠癌 (CRC) 在日本是一个重大的健康挑战.
- 精准医学对于优化CRC治疗策略至关重要.
- 生物标志物指导针对性疗法和免疫疗法在CRC管理.
研究的目的:
- 审查日本结肠直肠癌精准医学的现状.
- 要突出关键的生物标志物,诊断方法和治疗选择.
- 讨论CRC精密瘤学的挑战和未来方向.
主要方法:
- 对日本目前的文献和临床举措进行了全面的审查.
- 对关键生物标志物的分析 (RAS,BRAF,MSI/MMR,HER2,RET,NTRK的融合).
- 检查诊断技术,如全面的基因组分析和ctDNA分析.
主要成果:
- 确定了关键生物标志物和先进的诊断,使精确的治疗选择成为可能.
- 突出了全国性的举措 (c-CAT,SCRUM-Japan) 和现实世界的数据利用.
- 通过ctDNA分析 (CIRCULATE-Japan GALAXY研究) 在最小残留疾病监测方面取得了重大进展.
结论:
- 以生物标志物和先进诊断为指导的精准医学正在改变日本的CRC护理.
- 挑战包括测试周转时间,治疗可访问性和分子瘤板的差异.
- 未来的努力应集中在扩大临床试验,加快药物批准和现实世界的数据集成上.
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