Immune Checkpoint Inhibition in Metastatic Colorectal Cancer Harboring Microsatellite Instability or Mismatch Repair Deficiency.

Lynch syndrome colorectal cancer deficient mismatch repair immunotherapy microsatellite instability

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
08 Mar 2021
Historique:
received: 09 02 2021
revised: 02 03 2021
accepted: 04 03 2021
entrez: 3 4 2021
pubmed: 4 4 2021
medline: 4 4 2021
Statut: epublish

Résumé

Microsatellite instability (MSI) is a tumor phenotype related to a deficient DNA mismatch repair system (dMMR). This phenotype, observed in 5% of metastatic mCRC but 10-18% of localized CRC, is associated with high tumor mutational burden with highly immunogenic neoantigens. It has emerged as a major predictive biomarker for the efficacy of ICIs. In this review, we will present a comprehensive overview of the literature concerning the efficacy of ICIs in MSI/dMMR mCRC, with a focus on new developments in first-line metastatic setting. Then, we will present current and future challenges of immuno-oncology for patients with MSI/dMMR metastatic CRC.

Identifiants

pubmed: 33800202
pii: cancers13051149
doi: 10.3390/cancers13051149
pmc: PMC7962453
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Romain Cohen (R)

Department of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Saint-Antoine Hospital, Sorbonne Université, F-75012 Paris, France.
Centre de Recherche Saint Antoine, Équipe Instabilité des Microsatellites et Cancer, Équipe Labellisée par la Ligue Nationale Contre le Cancer et SIRIC CURAMUS, INSERM UMRS 938, Sorbonne Université, F-75012 Paris, France.

Raphaël Colle (R)

Department of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Saint-Antoine Hospital, Sorbonne Université, F-75012 Paris, France.

Thomas Pudlarz (T)

Department of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Saint-Antoine Hospital, Sorbonne Université, F-75012 Paris, France.

Maximilien Heran (M)

Department of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Saint-Antoine Hospital, Sorbonne Université, F-75012 Paris, France.

Alex Duval (A)

Centre de Recherche Saint Antoine, Équipe Instabilité des Microsatellites et Cancer, Équipe Labellisée par la Ligue Nationale Contre le Cancer et SIRIC CURAMUS, INSERM UMRS 938, Sorbonne Université, F-75012 Paris, France.

Magali Svrcek (M)

Centre de Recherche Saint Antoine, Équipe Instabilité des Microsatellites et Cancer, Équipe Labellisée par la Ligue Nationale Contre le Cancer et SIRIC CURAMUS, INSERM UMRS 938, Sorbonne Université, F-75012 Paris, France.
Department of Pathology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, F-75012 Paris, France.

Thierry André (T)

Department of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Saint-Antoine Hospital, Sorbonne Université, F-75012 Paris, France.
Centre de Recherche Saint Antoine, Équipe Instabilité des Microsatellites et Cancer, Équipe Labellisée par la Ligue Nationale Contre le Cancer et SIRIC CURAMUS, INSERM UMRS 938, Sorbonne Université, F-75012 Paris, France.

Classifications MeSH