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Novel biotechnology approaches in colorectal cancer diagnosis and therapy

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Abstract

With ever-increasing molecular information about colorectal cancer (CRC), there is an expectation to detect more sensitive and specific molecular markers for new advanced diagnostic methods that can surpass the limitations of current screening tests. Moreover, enhanced molecular pathology knowledge about cancer has led to the development of targeted therapies, designed to interfere with specific aberrant biological pathways in cancer. Furthermore, biotechnology has opened a new window in CRC diagnosis and treatment by introducing different application of antibodies, antibody fragments, non-Ig scaffold proteins, and aptamers in targeted therapy and drug delivery. This review summarizes the molecular diagnostic and therapeutic approaches in CRC with a focus on genetic and epigenetic alterations, protein and metabolite markers as well as targeted therapy and drug delivery by Ig-scaffold proteins, non-Ig scaffold proteins, nanobodies, and aptamers.

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Abbreviations

AMER1:

APC membrane recruitment 1

APC:

Adenomatous polyposis coli

APC2:

Adenomatosis polyposis coli 2

ARMS:

Amplification refractory mutation system

CEA:

Carcino embryonic antigen

CDKN2A:

Cyclin-dependent kinase inhibitor 2a

CE:

Capillary electrophoresis

CHIP:

Chromatin immunoprecipitation

CIMP:

CpG island methylator phenotype

CIN:

Chromosomal instability

CRC:

Colorectal cancer

CSC:

Cancer stem cell

CTAs:

Cancer testis antigens

DNMTs:

DNA methyltransferases

DLL4:

DLL4 delta-like ligand 4

Dox:

Doxorubicin

EGFR:

Epithelial growth factor receptor

(EpCAM):

Epithelial cell adhesion molecule

ErbB:

Erythroblastosis oncogene b

EZH2:

Enhancer of zeste homolog 2

FIT:

Fecal immunochemical test

FOBT:

Faecal occult blood test

gFOBT:

Guaiac-based fecal occult blood test

HGF:

Hepatocyte growth factor

HPLC:

High performance liquid chromatography

IGF-1R:

Insulin-like growth factor 1 receptor

ITGA4:

Integrin subunit alpha 4

K-Ras:

Kirsten rat sarcoma viral oncogene homologue

LINE-1:

Long interspersed nuclear element 1

MAPK:

Mitogen-activated protein kinase

Methyl-BEAMing:

Methyl-beads, emulsion, amplification and magnetics

MGMT:

Methyl guanine methyl transferase

MLH1:

MutL homolog 1

MMR:

Mismatch repair

MMR:

Macrophage mannose receptor

MS-AFLP:

Methylation-sensitive amplification length polymorphism

MS-MLPA:

Methylation-specific multiplex ligation-dependent probe amplification

MSP:

Methylation specific PCR

MSI:

Microsatellite instability

NK:

Natural killer

PTMs:

Post-translational modifications

PKCB:

Protein kinase C beta

PI3K:

Phosphatidyl inositol 3-kinase

SAM:

S-(adenosyl)-methionine

SEREX:

Serologic identification of antigens by recombinant expression

SELEX:

Systematic evolution of ligands by exponential enrichment

SERPA:

Serological proteome analysis

SFRP2:

Secreted frizzled-related protein 2

SINE:

Short interspersed nuclear elements

SPECT:

Single-photon emission computed tomography

TAAs:

Tumor-associated antigens

TGF-β:

Transforming growth factor beta

UCH-L3:

Ubiquitin C-terminal hydrolase l3

UPLC:

Ultra performance liquid chromatography

UTR:

Un-translated region

VEGF:

Vascular endothelial growth factor

VOCs:

Volatile organic compounds

WNT:

Wingless transduction

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Acknowledgement

The authors would like to thank the Research Consultation Center (RCC) of Shiraz University of Medical Sciences for their invaluable assistance in editing this article. Especial thanks to Mr. Argasi, Mr. Rezaie and Ms. Masoumi for his contribution and insight in editing this article.

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Kavousipour, S., Khademi, F., Zamani, M. et al. Novel biotechnology approaches in colorectal cancer diagnosis and therapy. Biotechnol Lett 39, 785–803 (2017). https://doi.org/10.1007/s10529-017-2303-8

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