Radioimmunotherapy in colorectal cancer treatment: present and future

Colorectal cancer (CRC) is a deadly form of cancer worldwide. Patients with locally advanced rectal cancer and metastatic CRC have a poor long-term prognosis, and rational and effective treatment remains a major challenge. Common treatments include multi-modal combinations of surgery, radiotherapy,...

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Main Authors: Jingyi Shi, Zhuang Sun, Zhaoya Gao, Dandan Huang, Haopeng Hong, Jin Gu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1105180/full
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author Jingyi Shi
Zhuang Sun
Zhaoya Gao
Zhaoya Gao
Dandan Huang
Haopeng Hong
Jin Gu
Jin Gu
Jin Gu
author_facet Jingyi Shi
Zhuang Sun
Zhaoya Gao
Zhaoya Gao
Dandan Huang
Haopeng Hong
Jin Gu
Jin Gu
Jin Gu
author_sort Jingyi Shi
collection DOAJ
description Colorectal cancer (CRC) is a deadly form of cancer worldwide. Patients with locally advanced rectal cancer and metastatic CRC have a poor long-term prognosis, and rational and effective treatment remains a major challenge. Common treatments include multi-modal combinations of surgery, radiotherapy, and chemotherapy; however, recurrence and metastasis rates remain high. The combination of radiotherapy and immunotherapy (radioimmunotherapy [RIT]) may offer new solutions to this problem, but its prospects remain uncertain. This review aimed to summarize the current applications of radiotherapy and immunotherapy, elaborate on the underlying mechanisms, and systematically review the preliminary results of RIT-related clinical trials for CRC. Studies have identified several key predictors of RIT efficacy. Summarily, rational RIT regimens can improve the outcomes of some patients with CRC, but current study designs have limitations. Further studies on RIT should focus on including larger sample sizes and optimizing the combination therapy regimen based on underlying influencing factors.
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spelling doaj.art-d8296b82d8a640119199773e16dcf62d2023-05-10T05:13:25ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-05-011410.3389/fimmu.2023.11051801105180Radioimmunotherapy in colorectal cancer treatment: present and futureJingyi Shi0Zhuang Sun1Zhaoya Gao2Zhaoya Gao3Dandan Huang4Haopeng Hong5Jin Gu6Jin Gu7Jin Gu8Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing, ChinaKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing, ChinaDepartment of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing, ChinaDepartment of General Surgery, Peking University First Hospital, Beijing, ChinaDepartment of Oncology, Peking University Shougang Hospital, Beijing, ChinaKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing, ChinaKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing, ChinaDepartment of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing, ChinaPeking Tsinghua Center for Life Science, Peking University International Cancer Center, Beijing, ChinaColorectal cancer (CRC) is a deadly form of cancer worldwide. Patients with locally advanced rectal cancer and metastatic CRC have a poor long-term prognosis, and rational and effective treatment remains a major challenge. Common treatments include multi-modal combinations of surgery, radiotherapy, and chemotherapy; however, recurrence and metastasis rates remain high. The combination of radiotherapy and immunotherapy (radioimmunotherapy [RIT]) may offer new solutions to this problem, but its prospects remain uncertain. This review aimed to summarize the current applications of radiotherapy and immunotherapy, elaborate on the underlying mechanisms, and systematically review the preliminary results of RIT-related clinical trials for CRC. Studies have identified several key predictors of RIT efficacy. Summarily, rational RIT regimens can improve the outcomes of some patients with CRC, but current study designs have limitations. Further studies on RIT should focus on including larger sample sizes and optimizing the combination therapy regimen based on underlying influencing factors.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1105180/fullcolorectal cancerradiotherapyimmunotherapymetastasislocally advanced rectal cancer
spellingShingle Jingyi Shi
Zhuang Sun
Zhaoya Gao
Zhaoya Gao
Dandan Huang
Haopeng Hong
Jin Gu
Jin Gu
Jin Gu
Radioimmunotherapy in colorectal cancer treatment: present and future
Frontiers in Immunology
colorectal cancer
radiotherapy
immunotherapy
metastasis
locally advanced rectal cancer
title Radioimmunotherapy in colorectal cancer treatment: present and future
title_full Radioimmunotherapy in colorectal cancer treatment: present and future
title_fullStr Radioimmunotherapy in colorectal cancer treatment: present and future
title_full_unstemmed Radioimmunotherapy in colorectal cancer treatment: present and future
title_short Radioimmunotherapy in colorectal cancer treatment: present and future
title_sort radioimmunotherapy in colorectal cancer treatment present and future
topic colorectal cancer
radiotherapy
immunotherapy
metastasis
locally advanced rectal cancer
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1105180/full
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AT zhaoyagao radioimmunotherapyincolorectalcancertreatmentpresentandfuture
AT dandanhuang radioimmunotherapyincolorectalcancertreatmentpresentandfuture
AT haopenghong radioimmunotherapyincolorectalcancertreatmentpresentandfuture
AT jingu radioimmunotherapyincolorectalcancertreatmentpresentandfuture
AT jingu radioimmunotherapyincolorectalcancertreatmentpresentandfuture
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