BRAF-Mutated Colorectal Cancer: Clinical and Molecular Insights.


Journal

International journal of molecular sciences
ISSN: 1422-0067
Titre abrégé: Int J Mol Sci
Pays: Switzerland
ID NLM: 101092791

Informations de publication

Date de publication:
28 Oct 2019
Historique:
received: 15 10 2019
revised: 23 10 2019
accepted: 24 10 2019
entrez: 31 10 2019
pubmed: 31 10 2019
medline: 31 3 2020
Statut: epublish

Résumé

Colorectal cancer (CRC) is one of the leading causes of mortality and morbidity in the world. It is a heterogeneous disease, which can be classified into different subtypes, characterized by specific molecular and morphological alterations. In this context, BRAF mutations are found in about 10% of CRC patients and define a particular subtype, characterized by a dismal prognosis, with a median survival of less than 12 months. Chemotherapy plus bevacizumab is the current standard therapy in first-line treatment of BRAF-mutated metastatic CRC (mCRC), with triplet (FOLFOXIRI) plus bevacizumab as a valid option in patients with a good performance status. BRAF inhibitors are not so effective as compared to melanoma, because of various resistance mechanisms. However, the recently published results of the BEACON trial will establish a new standard of care in this setting. This review provides insights into the molecular underpinnings underlying the resistance to standard treatment of BRAF-mutated CRCs, with a focus on their molecular heterogeneity and on the research perspectives both from a translational and a clinical point of view.

Identifiants

pubmed: 31661924
pii: ijms20215369
doi: 10.3390/ijms20215369
pmc: PMC6861966
pii:
doi:

Substances chimiques

Bevacizumab 2S9ZZM9Q9V
BRAF protein, human EC 2.7.11.1
Proto-Oncogene Proteins B-raf EC 2.7.11.1

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

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Auteurs

Francesco Caputo (F)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. francesco1990.caputo@libero.it.

Chiara Santini (C)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. santinic_90@libero.it.

Camilla Bardasi (C)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. camilla.bardasi@gmail.com.

Krisida Cerma (K)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. kridi90@gmail.com.

Andrea Casadei-Gardini (A)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. casadeigardini@gmail.com.

Andrea Spallanzani (A)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. andrea.spallanzani@gmail.com.

Kalliopi Andrikou (K)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. k.andrikou@hotmail.com.

Stefano Cascinu (S)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. cascinu.stefano@hsr.it.
IRCCS San Raffaele Scientific Institute Hospital, 20019 Milan, Italy. cascinu.stefano@hsr.it.

Fabio Gelsomino (F)

Department of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41121 Modena, Italy. fabiogelsomino83@yahoo.it.

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Classifications MeSH