The DOI matches its Crossref record; 88 of the 88 references it cites were found in a registry or an index.
The evolving role of microsatellite instability in colorectal cancer: A review
Open accessAbstract
Microsatellite instability (MSI) is a molecular marker of a deficient mismatch repair (MMR) system and occurs in approximately 15% of colorectal cancers (CRCs), more frequently in early than late-stage of disease. While in sporadic cases (about two-thirds of MSI-H CRCs) MMR deficiency is caused by an epigenetic inactivation of MLH1 gene, the remainder are associated with Lynch syndrome, that is linked to a germ-line mutation of one of the MMR genes (MLH1, MSH2, MSH6, PMS2). MSI-H colorectal cancers have distinct clinical and pathological features such as proximal location, early-stage (predominantly stage II), poor differentiation, mucinous histology and association with BRAF mutations. In early-stage CRC, MSI can select a group of tumors with a better prognosis, while in metastatic disease it seems to confer a negative prognosis. Although with conflicting results, a large amount of preclinical and clinical evidence suggests a possible resistance to 5-FU in these tumors. The higher mutational load in MSI-H CRC can elicit an endogenous immune anti-tumor response, counterbalanced by the expression of immune inhibitory signals, such as PD-1 or PD-L1, that resist tumor elimination. Based on these considerations, MSI-H CRCs seem to be particularly responsive to immunotherapy, such as anti-PD-1, opening a new era in the treatment landscape for patients with metastatic CRC.
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PD-1 Blockade in Tumors with Mismatch-Repair Deficiency
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Oxaliplatin, Fluorouracil, and Leucovorin as Adjuvant Treatment for Colon Cancer
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Systematic Review of Microsatellite Instability and Colorectal Cancer Prognosis
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Cited by
Eng, C., Kim, T. W., Bendell, J., Argilés, G., Tebbutt, N. C., Di Bartolomeo, M., Falcone, A., Fakih, M., Kozloff, M., Segal, N. H., et al. (2019) · The Lancet Oncology · doi:10.1016/s1470-2045(19)30027-0 · Cited by 577
Ueno, M., Ikeda, M., Morizane, C., Kobayashi, S., Ohno, I., Kondo, S., Okano, N., Kimura, K., Asada, S., Namba, Y., et al. (2019) · The Lancet Gastroenterology & Hepatology · doi:10.1016/s2468-1253(19)30086-x · Cited by 328
Metadata
- Authors
- Gelsomino, F., Barbolini, M., Spallanzani, A., Pugliese, G., & Cascinu, S.
- Venue
- Cancer Treatment Reviews
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 51
- Pages
- 19-26
- ISSN
- 0305-7372 (ISSN-L)
- OpenAlex
- W2546257383
- Cited by
- 313
- References
- 88
- FWCI
- 18.76
- Type
- journal article
- Language
- en
- Open access
- green
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- Gelsomino, F., Barbolini, M., Spallanzani, A., Pugliese, G., & Cascinu, S. (2016). The evolving role of microsatellite instability in colorectal cancer: A review. Cancer Treatment Reviews. https://doi.org/10.1016/j.ctrv.2016.10.005
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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