Immune Checkpoint Inhibition in Metastatic Colorectal Cancer Harboring Microsatellite Instability or Mismatch Repair Deficiency
Open accessAbstract
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.
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The efficacy of ICIs in phase II studies with dMMR/MSI and BRAFV600E tumors versus dMMR/MSI and BRAF wild type tumors was similar.
“Additionally, the efficacy of ICIs in phase II studies with dMMR/MSI and BRAFV600E tumors versus dMMR/MSI and BRAF wild type was similar [53,54,55,56].”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [53]
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Neoantigens and their clinical applications in human gastrointestinal cancers
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Self-citationA Review of 10-Year Survivability of Immunotherapy in the Management of Colon Cancer
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Immune checkpoint inhibitors in colorectal cancer: dream and reality
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Pharmacotherapy for unresectable metastatic colorectal cancer
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Updates in BRAF V600E-Mutated Metastatic Colorectal Cancer
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Rethinking Immune Checkpoint Inhibition in Cancer
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Updates on DNA Repair Gene Deficiency in Colorectal Cancer (dMMR)
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Self-citationBeeindruckende Effektivität der primären PD-1-Hemmung
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Beeindruckende Effektivität der primären PD-1-Hemmung
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- Authors
- Cohen, R., Colle, R., Pudlarz, T., Heran, M., Duval, A., Svrcek, M., & André, T.
- Affiliations
- Inserm (FR)
- Sorbonne Université (FR)
- Corresponding author
- Cohen, Romain
- Venue
- Cancers
- Publisher
- MDPI AG
- Published
- 2021-03-08
- Volume
- 13
- Issue
- 5
- Pages
- 1149
- ISSN
- 2072-6694 (ISSN-L)
- PMC
- PMC7962453
- OpenAlex
- W3133781842
- Cited by
- 47
- References
- 59
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 12
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cancers (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Keywords
- immune checkpoint inhibitors, metastatic colorectal cancer, microsatellite instability, mismatch repair deficiency, tumor mutational burden, neoantigens, predictive biomarkers, first-line therapy, immunotherapy efficacy
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