Genetic and immunologic characteristics of colorectal cancer patients with KRAS mutations and predictive significance of tumor immune microenvironment in adjuvant chemotherapy
机构:[1]Department of Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, China.内科科室肿瘤内科昆明医科大学附属第一医院[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.外科科室普通外科普通外一科(胃肠与疝外科)昆明医科大学附属第一医院[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.云南省第一人民医院[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.
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).
基金:
National Natural Science Foundation of China (No. 81960100, 81760511).
第一作者机构:[1]Department of Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, China.
共同第一作者:
通讯作者:
通讯机构:[7]Medical Department, 3D Medicines Inc., Shanghai 201114, China.[8]Zhaotong Health Vocational College, Zhaotong, Yunnan 657000, China.
推荐引用方式(GB/T 7714):
Wen Zhengqi,Li Wenliang,Shi Chengmin,et al.Genetic and immunologic characteristics of colorectal cancer patients with KRAS mutations and predictive significance of tumor immune microenvironment in adjuvant chemotherapy[J].Genes & Diseases.2024,11(3):100983.doi:10.1016/j.gendis.2023.05.002.
APA:
Wen Zhengqi,Li Wenliang,Shi Chengmin,Ma Junrui,Zhao Sihui...&Li Bo.(2024).Genetic and immunologic characteristics of colorectal cancer patients with KRAS mutations and predictive significance of tumor immune microenvironment in adjuvant chemotherapy.Genes & Diseases,11,(3)
MLA:
Wen Zhengqi,et al."Genetic and immunologic characteristics of colorectal cancer patients with KRAS mutations and predictive significance of tumor immune microenvironment in adjuvant chemotherapy".Genes & Diseases 11..3(2024):100983