Colorectal Cancer: From Pathophysiology to Novel Therapeutic Approach

A special issue of Gastrointestinal Disorders (ISSN 2624-5647).

Deadline for manuscript submissions: closed (31 December 2022) | Viewed by 2869

Special Issue Editors


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Guest Editor
Division of Pathology, Department of Pathology and Laboratory Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
Interests: gastroenteropancreatic neuroendocrine tumors; lung neuroendocrine tumors; biliary tract and pancreas neoplasms
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Medical Oncology, IRCCS Foundation National Cancer Institute, Milan, Italy
Interests: gastrointestinal neoplasm; biliary tract and pancreas neoplasms
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Colorectal cancer (CRC) covers at least 10% of human neoplasms detected each year, representing the third most common cancer. Several recent studies suggest that the CRC incidence rate could increase dramatically in the near future. Pathological staging drives CRC prognosis; the 5-year survival rate is 90% when it is detected early, usually localized only in the bowel, and dramatically decreases to 10% in metastatic CRC.

Colorectal cancer carcinogenesis plays a pivotal role in defining CRC progression and paves the way for “tailored” therapy.

Starting from the adenoma to carcinoma transition, several more detailed findings have enriched our knowledge of CRC pathogenesis, allowing CRC disease’s stratification in different prognostic classes associated with both different molecular subgroups and genomic signatures, making it possible to predict CRC outcome. However, molecular characterization and DNA methylation alone do not appear sufficient to drive further improvements of therapeutic regimens, and additional studies taking into account epigenetic changes and interactions with the tumor microenvironment are needed to identify the best therapeutic approach and the potential role of novel therapies.

It is of urgent necessity to identify early diagnosis biomarkers through the identification of new biological and molecular “signatures” and the integration of morphological and immunophenotypical features able to improve the prognosis and efficacy of the therapeutic response.

This Special Issue will also be dedicated to gastroenteropancreatic neuroendocrine neoplasms—a rare and heterogeneous population of tumors whose incidence rate has increased dramatically over the past several years.

We warmly welcome the submission of original research papers and reviews.

Prof. Dr. Massimo Milione
Dr. Federica Morano
Prof. Dr. Matteo Fassan
Guest Editors

Manuscript Submission Information

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Keywords

  • colorectal cancer
  • gastroenteropancreatic neuroendocrine neoplasms
  • familial/hereditary forms
  • surgical pathology
  • molecular pathology
  • new markers
  • microRNAs
  • tumor microenvironment
  • novel therapies

Published Papers (1 paper)

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Review

11 pages, 309 KiB  
Review
The Microbiota and the Relationship with Colorectal Cancer: Surgical Complications—A Review
by Alexandru Michire, Rodica Anghel, Petruta Maria Draghia, Mihnea Gabriel Burlacu, Teodor Florin Georgescu, Dragos Eugen Georgescu, Andra-Elena Balcangiu-Stroescu, Ileana Adela Vacaroiu, Maria Barbu and Alexandra Gaube
Gastrointest. Disord. 2022, 4(2), 66-76; https://doi.org/10.3390/gidisord4020008 - 29 Apr 2022
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Abstract
Colorectal cancer (CRC) is one of the most common cancers and represents a major global health burden. While genetics are implicated in a portion of CRC patients, most cases are sporadic. A new possibility of tumor initiation and promotion might be microbiome composition. [...] Read more.
Colorectal cancer (CRC) is one of the most common cancers and represents a major global health burden. While genetics are implicated in a portion of CRC patients, most cases are sporadic. A new possibility of tumor initiation and promotion might be microbiome composition. It was recently shown that bacteria from the gut microbiome might be used as biomarkers for CRC detection, especially Fusobacterium nucleatum, Peptostreoptococcus stomatis, Parvimonas mica, Solobacterium moorei, and Peptostreptococcus anaerobius. Conversely, the healthy gut microbiome is mostly colonized by Bacterioides (Bacterioides fragilis, vulgatus, uniformis), Firmicutes (Clostridium spp., Ruminococcus faecis, Enterococcus faecium), and Actinobacteria (Bifidobacterium bifidum). Some strains of gut bacteria favor tumor promotion through DNA and RNA damage (directly or through interaction with other known food carcinogens) and through local immune inhibition. It is possible that bacteria (e.g., Bacillus polyfermenticus, Alistipes shahii, Lactobacillus casei) exist with protective functions against tumor promotion. Despite current advances in colorectal cancer treatment, especially in the medical oncology and radiotherapy domains, surgery remains the mainstay of curative treatment for colorectal cancer patients, even in the oligometastatic setting. Surgical complications like anastomotic leakage, excessive blood loss, abscess, and abdominal sepsis can reduce 1-year and 5-year overall survival and increase the recurrence rates for these patients; therefore, we reviewed currently published data focusing on the relationship between gut microbiota and postoperative complications for colorectal cancer patients. Full article
(This article belongs to the Special Issue Colorectal Cancer: From Pathophysiology to Novel Therapeutic Approach)
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