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Genetic and immunologic characteristics of colorectal cancer patients with KRAS mutations and predictive significance of tumor immune microenvironment in adjuvant chemotherapy

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收录情况: ◇ SCIE ◇ CSCD-C ◇ 卓越:高起点新刊

机构: [1]Department of Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, China. [2]The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Center), Kunming, Yunnan 650021, China. [3]Gastrointestinal and Hernia Surgery, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, China. [4]School of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan 650022, China. [5]Department of General Surgery, The First People's Hospital of Yunnan Province, Kunming, Yunnan 650000, China. [6]Department of General Surgery, The Affiliated Hospital of Yunnan University, Yunnan 650011, China. [7]Medical Department, 3D Medicines Inc., Shanghai 201114, China. [8]Zhaotong Health Vocational College, Zhaotong, Yunnan 657000, China.
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Colorectal cancer (CRC) is one of the most common cancers around the world, and it is one of the leading causes of cancer-related death.1 Although anti-EGFR therapy and immune checkpoint inhibitor (ICI) therapy are becoming more and more important for colorectal therapy, however, clinical outcomes of current treatments for metastatic CRC, especially with ICIs, have been shown to be affected by the status of KRAS. Therefore, KRAS mutation status detection has become a very important diagnostic factor for managing metastatic CRC patients. There have also been a lot of immunotherapy explorations in CRC, such as clinical trials of pembrolizumab and nivolumab. The clinical trial Keynote 177 is a groundbreaking research in CRC, which evaluated the efficacy of programmed death 1 blockade as first-line therapy for MSI-H-dMMR advanced or metastatic CRC. However, the results of subgroups revealed that immunotherapy did not benefit more than chemotherapy in patients with KRAS mutation.2 While the mechanism behind these clinical results keeps unclear, herein, we comprehensively analyzed the genetic and immunologic characteristics of CRC with KRAS mutation, and try to explore the mechanisms and potential predictive biomarkers, especially from the prospect of tumor immune microenvironment (TIME).

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大类 | 2 区 医学
小类 | 2 区 生化与分子生物学 2 区 遗传学
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Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Q1 GENETICS & HEREDITY

影响因子: 最新[2023版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

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第一作者机构: [1]Department of Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, China.
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通讯机构: [7]Medical Department, 3D Medicines Inc., Shanghai 201114, China. [8]Zhaotong Health Vocational College, Zhaotong, Yunnan 657000, China.
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