Colorectal cancer: A paradigmatic model for cancer immunology and immunotherapy.

Abstract:

:Colorectal cancer can be categorized into two major molecular subtypes according to the status of their DNA proofreading and repair machinery. The DNA repair status of tumor cells plays a major role in shaping the immune landscape of tumors and in determining the clinical response of colorectal cancer patients to immune checkpoint blockade therapies. Colorectal cancers that develop in a context of DNA mismatch repair or polymerase proofreading deficiency are generally conspicuously infiltrated by effector memory T cells and are associated with an improved clinical prognosis relative to their replication repair-proficient counterpart. While mismatch repair-deficient colorectal cancers, and most likely POLE and POLD1-mutated cancers, are amenable to immune checkpoint blockade therapies, the promise of immunotherapy still remains unfulfilled for for the majority of colorectal cancer patients. This review focusses on the role of the immune system in the tumorigenesis and clinical behavior of colorectal cancer. Furthermore, we discuss how latest advances in the fields of genomics and oncoimmunology may pave the way to broaden the scope of immunotherapy for this disease.

journal_name

Mol Aspects Med

authors

IJsselsteijn ME,Sanz-Pamplona R,Hermitte F,de Miranda NFCC

doi

10.1016/j.mam.2019.05.003

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

123-129

eissn

0098-2997

issn

1872-9452

pii

S0098-2997(19)30036-6

journal_volume

69

pub_type

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