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Understanding Colorectal Cancer: The Basics

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Theranostics Approaches to Gastric and Colon Cancer

Abstract

Among all cancers, colorectal cancer (CRC) is the third most common cancer. Colorectal cancer is associated with various risk factors which may alter the physiological pathways and induce genetic mutations. The risk factors, genetic variations, gene related toxicities with treatment regimens of CRC, clinically relevant biomarker of CRC were discussed in this review. The aim of the present review is to provide a current update on the risk factors and their pathways, biomarkers and their association with treatment efficacy and toxicity in CRC, which may provide a view for the Precision Medicine in CRC.

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Abbreviations

18q LOH:

Chromosome 18q loss of heterozygosity

5-FU:

5-fluorouracil

ABCB1:

ATP-dependent translocase/drug transporter gene family

AKT:

Protein kinase B

Anti-EGFR:

Anti epidermal growth factor receptor

Anti-VEGF:

Anti Vascular endothelial growth factor

APC:

Adenomatous polyposis coli

BAT-25:

Mononucleotide microsatellite

BAT-26:

Mononucleotide microsatellite

Bcl-xl:

B-cell lymphoma-extra large

BMI:

Body mass index

BRAF:

Gene encoding b-raf protein

CDA:

Cytidine deaminase

CIMP:

CpG island hypermethylation

CIN:

Chromosomal instability

cmyc:

Proto oncogene

CRC:

Colorectal cancer

CRP:

C-reactive protein

cyclin D1:

cyclin D1

DNA:

Deoxyribo nucleic acid

DPYD:

Dihydropyrimidine dehydrogenase

EMT:

Epithelial to mesenchymal transition

ENOSF1:

Antisense RNA to thymidylate synthase

EPCAM:

Epithelial cell adhesion molecule

ERK1/2:

Extracellular signal-regulated kinase 2

ExoI:

Exonuclease1

FAK:

Focal adhesion kinase

FAP:

Familial adenomatous polyposis

FRA1:

Fos-related antigen 1

gp130:

Glycoprotein130

GSK3B:

Glycogen synthase kinase 3 beta

Gy:

Gray

HAT:

Histone acetyl transferase

HDAC:

Histone deacetylase

HMGB1:

High mobility group box 1 protein

hTERT:

Telomerase reverse transcriptase

IL10:

Interleukin10

IL-17F:

Interleukin-17F

IL6:

Interleukin6

IL6R:

Interleukin6R

JAK:

Janus kinase

K116:

Lysine116

KRAS:

K-Ras protein

MAPK:

Mitogen activated protein kinase

mcl1:

Antiapoptotic protein of Bcl2 family

miRNA:

micro RNA

MLH1:

MutL homolog 1

MONO-27:

Mononucleotide microsatellite

MSH2:

MutS protein homolog 2

MSH6:

MutS Homolog 6

MSI:

Microsatellite instability

MTHFR:

Methylenetetrahydrofolate reductase

mVim:

methylated VIMENTIN

NETRIN-1:

Laminin-related secreted protein

NF-KB:

Nuclear Factor kappa-light-chain-enhancer of activated B cells

Nlrp6:

NOD-like receptor family pyrin6

NOS:

Nitric oxide synthase

NR-21:

Mononucleotide microsatellite

NR-24:

Mononucleotide microsatellite

p53:

Tumor protein 53

p65:

Sub unit of NF-κB

PCNA:

Proliferating cell nuclear antigen

PCR:

Polymerase chain reaction

PMS2:

PMS1 Homolog 2

Pol δ:

DNA polymerase δ

PTEN:

Phosphatase and tensin homolog

Ras:

Ras proteim

RFC:

Reduced folate carrier

ROS:

Reactive oxygen species

SES:

Socio-economic status

SMAD4:

Mothers against decapentaplegic homolog 4

STAT3:

Signal transducer and activator of transcription3

STK11:

Serine/threonine kinase 11

Th17:

T helper cell17

TNF α:

Tumor necrosing factor α

TNF:

Tumor necrosing factor

TNFβ:

Tumor necrosing factorβ

TP53:

Tumor protein 53

Treg:

Regulatory T cells

TROP-2:

Tumor-associated calcium signal transduction protein

TYMS:

Thymidylate synthase

UC:

Ulcerative colitis

UGT1A1:

UDP-glucuronosyltransferase 1

USA:

United States of America

VEGF:

Vascular endothelial growth factor

VEGR2:

Vascular endothelial growth factor receptor type 2

WHO:

World Health Organisation

Wnt:

Wingless (wg) and Int-1, traits

References

  • Ab Mutalib NS, Md Yusof NF, Abdul SN, Jamal R (2017) Pharmacogenomics DNA biomarkers in colorectal Cancer: current update. Front Pharmacol 8:736

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Acalovschi M, Lammert F (2012) The growing global burden of gallstone disease. World Gastroenterol News 17:6–9

    Google Scholar 

  • Alhopuro P, Alazzouzi H, Sammalkorpi H, Davalos V, Salovaara R, Hemminki A, Jarvinen H, Mecklin JP, Schwartz S Jr, Aaltonen LA, Arango D (2005) SMAD4 levels and response to 5-fluorouracil in colorectal cancer. Clin Cancer Res 11:6311–6316

    Article  CAS  PubMed  Google Scholar 

  • Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F (2017) Global patterns and trends in colorectal cancer incidence and mortality. Gut 66:683–691

    Article  PubMed  Google Scholar 

  • Bacher JW, Flanagan LA, Smalley RL, Nassif NA, Burgart LJ, Halberg RB, Megid WM, Thibodeau SN (2004) Development of a fluorescent multiplex assay for detection of MSI-high tumors. Dis Markers 20:237–250

    Article  PubMed  PubMed Central  Google Scholar 

  • Bardelli A, Siena S (2010) Molecular mechanisms of resistance to cetuximab and panitumumab in colorectal cancer. J Clin Oncol Off J Am Soc Clin Oncol 28:1254–1261

    Article  CAS  Google Scholar 

  • Bargen JA (1994) Chronic ulcerative colitis associated with malignant disease. 1928. Dis Colon Rectum 37:727–730

    Article  CAS  PubMed  Google Scholar 

  • Baskin Y, Amirfallah A, Unal OU, Calibasi G, Oztop I (2015) Dihydropyrimidine dehydrogenase 85T>C mutation is associated with ocular toxicity of 5-fluorouracil: a case report. Am J Ther 22:e36–e39

    Article  PubMed  Google Scholar 

  • Baudhuin LM, Burgart LJ, Leontovich O, Thibodeau SN (2005) Use of microsatellite instability and immunohistochemistry testing for the identification of individuals at risk for Lynch syndrome. Familial Cancer 4:255–265

    Article  PubMed  Google Scholar 

  • Bettstetter M, Dechant S, Ruemmele P, Grabowski M, Keller G, Holinski-Feder E, Hartmann A, Hofstaedter F, Dietmaier W (2007) Distinction of hereditary nonpolyposis colorectal cancer and sporadic microsatellite-unstable colorectal cancer through quantification of MLH1 methylation by real-time PCR. Clin Cancer Res 13:3221–3228

    Article  CAS  PubMed  Google Scholar 

  • Birgisson H, Pahlman L, Gunnarsson U, Glimelius B (2005) Occurrence of second cancers in patients treated with radiotherapy for rectal cancer. J Clin Oncol Off J Am Soc Clin Oncol 23:6126–6131

    Article  Google Scholar 

  • Bojuwoye MO, Olokoba AB, Ogunlaja OA, Agodirin SO, Ibrahim OK, Okonkwo KC, Aliyu AM (2018) Familial adenomatous polyposis syndrome with colorectal cancer in two Nigerians: a report of two cases and review of literature. Pan Afr Med J 30:6

    Article  PubMed  PubMed Central  Google Scholar 

  • Boyle T, Keegel T, Bull F, Heyworth J, Fritschi L (2012) Physical activity and risks of proximal and distal colon cancers: a systematic review and meta-analysis. J Natl Cancer Inst 104:1548–1561

    Article  PubMed  Google Scholar 

  • Braun MS, Seymour MT (2011) Balancing the efficacy and toxicity of chemotherapy in colorectal cancer. Ther Adv Med Oncol 3:43–52

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Braun MS, Richman SD, Quirke P, Daly C, Adlard JW, Elliott F, Barrett JH, Selby P, Meade AM, Stephens RJ, Parmar MK, Seymour MT (2008) Predictive biomarkers of chemotherapy efficacy in colorectal cancer: results from the UK MRC FOCUS trial. J Clin Oncol Off J Am Soc Clin Oncol 26:2690–2698

    Article  CAS  Google Scholar 

  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68:394–424

    Article  PubMed  Google Scholar 

  • Buhrmann C, Yazdi M, Popper B, Kunnumakkara AB, Aggarwal BB, Shakibaei M (2019) Induction of the epithelial-to-Mesenchymal transition of human colorectal Cancer by human TNF-β (Lymphotoxin) and its reversal by resveratrol. Nutrients 11:704

    Article  CAS  PubMed Central  Google Scholar 

  • Castro EB, Rosen PP, Quan SH (1973) Carcinoma of large intestine in patients irradiated for carcinoma of cervix and uterus. Cancer 31:45–52

    Article  CAS  PubMed  Google Scholar 

  • Chang H-C, Horng J-T, Lin W-C, Lai H-W, Chang C-W, Chen T-A (2012) Evaluation of the appropriate age range of colorectal cancer screening based on the changing epidemiology in the past 20 years in Taiwan. ISRN Gastroenterol 2012:960867–960867

    Article  PubMed  PubMed Central  Google Scholar 

  • Chao A, Connell CJ, Jacobs EJ, McCullough ML, Patel AV, Calle EE, Cokkinides VE, Thun MJ (2004) Amount, type, and timing of recreational physical activity in relation to colon and rectal cancer in older adults: the Cancer prevention study II nutrition cohort. Cancer Epidemiol Biomarkers Prev 13:2187–2195

    PubMed  Google Scholar 

  • Cheeseman SL, Joel SP, Chester JD, Wilson G, Dent JT, Richards FJ, Seymour MT (2002) A ‘modified de Gramont’ regimen of fluorouracil, alone and with oxaliplatin, for advanced colorectal cancer. Br J Cancer 87:393–399

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen GY, Liu M, Wang F, Bertin J, Nunez G (2011) A functional role for Nlrp6 in intestinal inflammation and tumorigenesis. J Immunol 186:7187–7194

    Article  CAS  PubMed  Google Scholar 

  • Chen H, Wu L, Li Y, Meng J, Lin N, Yang D, Zhu Y, Li X, Li M, Xu Y, Wu Y, Tong X, Su Q (2014) Advanced glycation end products increase carbohydrate responsive element binding protein expression and promote cancer cell proliferation. Mol Cell Endocrinol 395:69–78

    Article  CAS  PubMed  Google Scholar 

  • Cheng X, Xu X, Chen D, Zhao F, Wang W (2019) Therapeutic potential of targeting the Wnt/beta-catenin signaling pathway in colorectal cancer. Biomed Pharmacother 110:473–481

    Article  CAS  PubMed  Google Scholar 

  • Chibaudel B, Maindrault-Goebel F, Lledo G, Mineur L, Andre T, Bennamoun M, Mabro M, Artru P, Carola E, Flesch M, Dupuis O, Colin P, Larsen AK, Afchain P, Tournigand C, Louvet C, de Gramont A (2009) Can chemotherapy be discontinued in unresectable metastatic colorectal cancer? The GERCOR OPTIMOX2 study. J Clin Oncol Off J Am Soc Clin Oncol 27:5727–5733

    Article  CAS  Google Scholar 

  • Cho YA, Lee J, Oh JH, Chang HJ, Sohn DK, Shin A, Kim J (2018) Inflammatory dietary pattern, IL-17F genetic variant, and the risk of colorectal Cancer. Nutrients 10:724

    Article  CAS  PubMed Central  Google Scholar 

  • Chung SS, Wu Y, Okobi Q, Adekoya D, Atefi M, Clarke O, Dutta P, Vadgama JV (2017) Proinflammatory cytokines IL-6 and TNF-α increased telomerase activity through NF-κB/STAT1/STAT3 activation, and Withaferin a inhibited the signaling in colorectal Cancer cells. Mediat Inflamm 2017:5958429–5958429

    Article  CAS  Google Scholar 

  • Crohn BB, Rosenberg H (1925) The SIGMOIDOSCOPIC picture of chronic ulcerative colitis (non-specific). Am J Med Sci 170:220–227

    Article  Google Scholar 

  • Cunningham D, Pyrhonen S, James RD, Punt CJ, Hickish TF, Heikkila R, Johannesen TB, Starkhammar H, Topham CA, Awad L, Jacques C, Herait P (1998) Randomised trial of irinotecan plus supportive care versus supportive care alone after fluorouracil failure for patients with metastatic colorectal cancer. Lancet 352:1413–1418

    Article  CAS  PubMed  Google Scholar 

  • Cutsem EV, Hoff PM, Harper P, Bukowski RM, Cunningham D, Dufour P, Graeven U, Lokich J, Madajewicz S, Maroun JA, Marshall JL, Mitchell EP, Perez-Manga G, Rougier P, Schmiegel W, Schoelmerich J, Sobrero A, Schilsky RL (2004) Oral capecitabine vs intravenous 5-fluorouracil and leucovorin: integrated efficacy data and novel analyses from two large, randomised, phase III trials. Br J Cancer 90:1190–1197

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • de Gramont A, Bosset JF, Milan C, Rougier P, Bouche O, Etienne PL, Morvan F, Louvet C, Guillot T, Francois E, Bedenne L (1997) Randomized trial comparing monthly low-dose leucovorin and fluorouracil bolus with bimonthly high-dose leucovorin and fluorouracil bolus plus continuous infusion for advanced colorectal cancer: a French intergroup study. J Clin Oncol Off J Am Soc Clin Oncol 15:808–815

    Article  Google Scholar 

  • de Gramont A, Figer A, Seymour M, Homerin M, Hmissi A, Cassidy J, Boni C, Cortes-Funes H, Cervantes A, Freyer G, Papamichael D, Le Bail N, Louvet C, Hendler D, de Braud F, Wilson C, Morvan F, Bonetti A (2000) Leucovorin and fluorouracil with or without oxaliplatin as first-line treatment in advanced colorectal cancer. J Clin Oncol Off J Am Soc Clin Oncol 18:2938–2947

    Article  Google Scholar 

  • De Simone V, Franze E, Ronchetti G, Colantoni A, Fantini MC, Di Fusco D, Sica GS, Sileri P, MacDonald TT, Pallone F, Monteleone G, Stolfi C (2015) Th17-type cytokines, IL-6 and TNF-alpha synergistically activate STAT3 and NF-kB to promote colorectal cancer cell growth. Oncogene 34:3493–3503

    Article  CAS  PubMed  Google Scholar 

  • Doubeni CA, Laiyemo AO, Major JM, Schootman M, Lian M, Park Y, Graubard BI, Hollenbeck AR, Sinha R (2012) Socioeconomic status and the risk of colorectal cancer: an analysis of more than a half million adults in the National Institutes of Health-AARP diet and health study. Cancer 118:3636–3644

    Article  PubMed  Google Scholar 

  • Elinav E, Strowig T, Kau AL, Henao-Mejia J, Thaiss CA, Booth CJ, Peaper DR, Bertin J, Eisenbarth SC, Gordon JI, Flavell RA (2011) NLRP6 inflammasome regulates colonic microbial ecology and risk for colitis. Cell 145:745–757

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fearon ER, Vogelstein B (1990) A genetic model for colorectal tumorigenesis. Cell 61:759–767

    Article  CAS  PubMed  Google Scholar 

  • Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H, Dicker DJ, Chimed-Orchir O, Dandona R, Dandona L, Fleming T, Forouzanfar MH, Hancock J, Hay RJ, Hunter-Merrill R, Huynh C, Hosgood HD, Johnson CO, Jonas JB, Khubchandani J, Kumar GA, Kutz M, Lan Q, Larson HJ, Liang X, Lim SS, Lopez AD, MF MI, Marczak L, Marquez N, Mokdad AH, Pinho C, Pourmalek F, Salomon JA, Sanabria JR, Sandar L, Sartorius B, Schwartz SM, Shackelford KA, Shibuya K, Stanaway J, Steiner C, Sun J, Takahashi K, Vollset SE, Vos T, Wagner JA, Wang H, Westerman R, Zeeb H, Zoeckler L, Abd-Allah F, Ahmed MB, Alabed S, Alam NK, Aldhahri SF, Alem G, Alemayohu MA, Ali R, Al-Raddadi R, Amare A, Amoako Y, Artaman A, Asayesh H, Atnafu N, Awasthi A, Saleem HB, Barac A, Bedi N, Bensenor I, Berhane A, Bernabe E, Betsu B, Binagwaho A, Boneya D, Campos-Nonato I, Castaneda-Orjuela C, Catala-Lopez F, Chiang P, Chibueze C, Chitheer A, Choi JY, Cowie B, Damtew S, das Neves J, Dey S, Dharmaratne S, Dhillon P, Ding E, Driscoll T, Ekwueme D, Endries AY, Farvid M, Farzadfar F, Fernandes J, Fischer F, GH TT, Gebru A, Gopalani S, Hailu A, Horino M, Horita N, Husseini A, Huybrechts I, Inoue M, Islami F, Jakovljevic M, James S, Javanbakht M, Jee SH, Kasaeian A, Kedir MS, Khader YS, Khang YH, Kim D, Leigh J, Linn S, Lunevicius R, HMA ER, Malekzadeh R, Malta DC, Marcenes W, Markos D, Melaku YA, Meles KG, Mendoza W, Mengiste DT, Meretoja TJ, Miller TR, Mohammad KA, Mohammadi A, Mohammed S, Moradi-Lakeh M, Nagel G, Nand D, Le Nguyen Q, Nolte S, Ogbo FA, Oladimeji KE, Oren E, Pa M, Park EK, Pereira DM, Plass D, Qorbani M, Radfar A, Rafay A, Rahman M, Rana SM, Soreide K, Satpathy M, Sawhney M, Sepanlou SG, Shaikh MA, She J, Shiue I, Shore HR, Shrime MG, So S, Soneji S, Stathopoulou V, Stroumpoulis K, Sufiyan MB, Sykes BL, Tabares-Seisdedos R, Tadese F, Tedla BA, Tessema GA, Thakur JS, Tran BX, Ukwaja KN, BSC U, Vlassov VV, Weiderpass E, Wubshet Terefe M, Yebyo HG, Yimam HH, Yonemoto N, Younis MZ, Yu C, Zaidi Z, MES Z, Zenebe ZM, CJL M, Naghavi M (2017) Global, regional, and National Cancer Incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 Cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol 3:524–548

    Article  PubMed  Google Scholar 

  • Fleming M, Ravula S, Tatishchev SF, Wang HL (2012) Colorectal carcinoma: pathologic aspects. J Gastrointest Oncol 3:153–173

    PubMed  PubMed Central  Google Scholar 

  • Friedenreich C, Norat T, Steindorf K, Boutron-Ruault M-C, Pischon T, Mazuir M, Clavel-Chapelon F, Linseisen J, Boeing H, Bergman M, Johnsen NF, Tjønneland A, Overvad K, Mendez M, Quirós JR, Martinez C, Dorronsoro M, Navarro C, Gurrea AB, Bingham S, Khaw K-T, Allen N, Key T, Trichopoulou A, Trichopoulos D, Orfanou N, Krogh V, Palli D, Tumino R, Panico S, Vineis P, Bueno-de-Mesquita HB, PHM P, Monninkhof E, Berglund G, Manjer J, Ferrari P, Slimani N, Kaaks R, Riboli E (2006) Physical activity and risk of Colon and Rectal cancers: the European prospective investigation into Cancer and nutrition. Cancer Epidemiol Biomarkers Prev 15:2398

    Article  PubMed  Google Scholar 

  • Gonzalez N, Prieto I, Del Puerto-Nevado L, Portal-Nunez S, Ardura JA, Corton M, Fernandez-Fernandez B, Aguilera O, Gomez-Guerrero C, Mas S, Moreno JA, Ruiz-Ortega M, Sanz AB, Sanchez-Nino MD, Rojo F, Vivanco F, Esbrit P, Ayuso C, Alvarez-Llamas G, Egido J, Garcia-Foncillas J, Ortiz A (2017) 2017 update on the relationship between diabetes and colorectal cancer: epidemiology, potential molecular mechanisms and therapeutic implications. Oncotarget 8:18456–18485

    Article  PubMed  PubMed Central  Google Scholar 

  • Gorey KM, Holowaty EJ, Laukkanen E, Fehringer G, Richter NL (1998) Association between socioeconomic status and cancer incidence in Toronto, Ontario: possible confounding of cancer mortality by incidence and survival. Cancer Prev Control 2:236–241

    CAS  PubMed  Google Scholar 

  • Granados-Romero JJ, Valderrama-Treviño AI, Contreras-Flores EH, Barrera-Mera B, Herrera Enríquez M, Uriarte-Ruíz K, Ceballos-Villalba J, Estrada-Mata AG, Alvarado Rodríguez C, Arauz-Peña G (2017) Colorectal cancer: a review. Int J Res Med Sci 5:4667

    Article  Google Scholar 

  • Grothey A (2005) Clinical management of oxaliplatin-associated neurotoxicity. Clin Colorectal Cancer 5(Suppl 1):S38–S46

    Article  CAS  PubMed  Google Scholar 

  • Gyde S, Prior P, Dew MJ, Saunders V, Waterhouse JA, Allan RN (1982) Mortality in ulcerative colitis. Gastroenterology 83:36–43

    Article  CAS  PubMed  Google Scholar 

  • Hale JP, Cohen DR, Maughan TS, Stephens RJ (2002) Costs and consequences of different chemotherapy regimens in metastatic colorectal cancer. Br J Cancer 86:1684–1690

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hampel H, Frankel WL, Martin E, Arnold M, Khanduja K, Kuebler P, Nakagawa H, Sotamaa K, Prior TW, Westman J, Panescu J, Fix D, Lockman J, Comeras I, de la Chapelle A (2005) Screening for the Lynch syndrome (hereditary nonpolyposis colorectal cancer). N Engl J Med 352:1851–1860

    Article  CAS  PubMed  Google Scholar 

  • Henrikson NB, Webber EM, Goddard KA, Scrol A, Piper M, Williams MS, Zallen DT, Calonge N, Ganiats TG, Janssens AC, Zauber A, Lansdorp-Vogelaar I, van Ballegooijen M, Whitlock EP (2015) Family history and the natural history of colorectal cancer: systematic review. Genet Med: J Am Coll Med Genet 17:702–712

    Article  Google Scholar 

  • Hirsch BR, Zafar SY (2011) Capecitabine in the management of colorectal cancer. Cancer Manag Res 3:79–89

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hofseth LJ, Saito S, Hussain SP, Espey MG, Miranda KM, Araki Y, Jhappan C, Higashimoto Y, He P, Linke SP, Quezado MM, Zurer I, Rotter V, Wink DA, Appella E, Harris CC (2003) Nitric oxide-induced cellular stress and p53 activation in chronic inflammation. Proc Natl Acad Sci U S A 100:143–148

    Article  CAS  PubMed  Google Scholar 

  • Hu B, Elinav E, Huber S, Strowig T, Hao L, Hafemann A, Jin C, Wunderlich C, Wunderlich T, Eisenbarth SC, Flavell RA (2013) Microbiota-induced activation of epithelial IL-6 signaling links inflammasome-driven inflammation with transmissible cancer. Proc Natl Acad Sci U S A 110:9862–9867

    Article  PubMed  PubMed Central  Google Scholar 

  • Itzkowitz S, Brand R, Jandorf L, Durkee K, Millholland J, Rabeneck L, Schroy PC 3rd, Sontag S, Johnson D, Markowitz S, Paszat L, Berger BM (2008) A simplified, noninvasive stool DNA test for colorectal cancer detection. Am J Gastroenterol 103:2862–2870

    Article  PubMed  Google Scholar 

  • Kee F, Wilson R, Currie S, Sloan J, Houston R, Rowlands B, Moorehead J (1996) Socioeconomic circumstances and the risk of bowel cancer in Northern Ireland. J Epidemiol Community Health 50:640–644

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kefeli U, Ucuncu Kefeli A, Cabuk D, Isik U, Sonkaya A, Acikgoz O, Ozden E, Uygun K (2017) Netrin-1 in cancer: potential biomarker and therapeutic target? Tumour Biol 39:1010428317698388

    Article  CAS  PubMed  Google Scholar 

  • Knudson AG Jr (1974) Heredity and human cancer. Am J Pathol 77:77–84

    PubMed  PubMed Central  Google Scholar 

  • Knudson AG Jr, Strong LC (1972) Mutation and cancer: a model for Wilms’ tumor of the kidney. J Natl Cancer Inst 48:313–324

    PubMed  Google Scholar 

  • Ledermann JA, Leonard P, Seymour M (2001) Recommendation for caution with irinotecan, fluorouracil, and leucovorin for colorectal cancer. N Engl J Med 345:145–146

    CAS  PubMed  Google Scholar 

  • Lee J, Shin A, Oh JH, Kim J (2017) Colors of vegetables and fruits and the risks of colorectal cancer. World J Gastroenterol 23:2527–2538

    Article  PubMed  PubMed Central  Google Scholar 

  • Li GM (2008) Mechanisms and functions of DNA mismatch repair. Cell Res 18:85–98

    Article  CAS  PubMed  Google Scholar 

  • Li JY, Yu T, Xia ZS, Chen GC, Yuan YH, Zhong W, Zhao LN, Chen QK (2014) Enhanced proliferation in colorectal epithelium of patients with type 2 diabetes correlates with beta-catenin accumulation. J Diabetes Complicat 28:689–697

    Article  Google Scholar 

  • Liang J, Nagahashi M, Kim EY, Harikumar KB, Yamada A, Huang WC, Hait NC, Allegood JC, Price MM, Avni D, Takabe K, Kordula T, Milstien S, Spiegel S (2013) Sphingosine-1-phosphate links persistent STAT3 activation, chronic intestinal inflammation, and development of colitis-associated cancer. Cancer Cell 23:107–120

    Article  CAS  PubMed  Google Scholar 

  • Limsui D, Vierkant RA, Tillmans LS, Wang AH, Weisenberger DJ, Laird PW, Lynch CF, Anderson KE, French AJ, Haile RW, Harnack LJ, Potter JD, Slager SL, Smyrk TC, Thibodeau SN, Cerhan JR, Limburg PJ (2010) Cigarette smoking and colorectal cancer risk by molecularly defined subtypes. J Natl Cancer Inst 102:1012–1022

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lynch HT, Krush AJ (1971) Cancer family “G” revisited: 1895–1970. Cancer 27:1505–1511

    Article  CAS  PubMed  Google Scholar 

  • Mager LF, Wasmer MH, Rau TT, Krebs P (2016) Cytokine-induced modulation of colorectal Cancer. Front Oncol 6:96

    Article  PubMed  PubMed Central  Google Scholar 

  • Makino K, Kume H, Morikawa T, Niimi A, Fujimura T, Nakagawa T, Fukuhara H, Homma Y (2015) Adenocarcinoma at anastomotic site of Ureterosigmoidostomy potentially of Urothelial origin spreading to the upper urinary tract. Case Rep Urol 2015:564082–564082

    PubMed  PubMed Central  Google Scholar 

  • Mantovani A, Allavena P, Sica A, Balkwill F (2008) Cancer-related inflammation. Nature 454:436–444

    Article  CAS  PubMed  Google Scholar 

  • Miller KD, Siegel RL, Lin CC, Mariotto AB, Kramer JL, Rowland JH, Stein KD, Alteri R, Jemal A (2016) Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin 66:271–289

    Article  PubMed  Google Scholar 

  • Minami K, Matsuzaki S, Hayashi N, Mokarim A, Ito M, Sekine I (1998) Immunohistochemical study of p53 overexpression in radiation-induced colon cancers. J Radiat Res 39:1–10

    Article  CAS  PubMed  Google Scholar 

  • Moghaddam AA, Woodward M, Huxley R (2007) Obesity and risk of colorectal cancer: a meta-analysis of 31 studies with 70,000 events. Cancer Epidemiol Biomarkers Prev 16:2533–2547

    Article  PubMed  Google Scholar 

  • Moller P, Seppala T, Bernstein I, Holinski-Feder E, Sala P, Evans DG, Lindblom A, Macrae F, Blanco I, Sijmons R, Jeffries J, Vasen H, Burn J, Nakken S, Hovig E, Rodland EA, Tharmaratnam K, de Vos Tot Nederveen Cappel WH, Hill J, Wijnen J, Green K, Lalloo F, Sunde L, Mints M, Bertario L, Pineda M, Navarro M, Morak M, Renkonen-Sinisalo L, Frayling IM, Plazzer JP, Pylvanainen K, Sampson JR, Capella G, Mecklin JP, Moslein G (2017) Cancer incidence and survival in Lynch syndrome patients receiving colonoscopic and gynaecological surveillance: first report from the prospective Lynch syndrome database. Gut 66:464–472

    Article  PubMed  Google Scholar 

  • Moore K, Sussman D, Koru-Sengul T (2018) Age-specific risk factors for advanced stage colorectal Cancer, 1981–2013. Prev Chronic Dis 15:170274

    Article  Google Scholar 

  • NCT03144804: a phase 2 study of lamivudine in patients with p53 mutant metastatic colorectal cancer. https://clinicaltrials.gov/ct2/show/NCT03144804

    Google Scholar 

  • NCT03730948: pilot study of mature dendritic cell vaccination for resected hypermutated colorectal cancer. https://clinicaltrials.gov/ct2/show/NCT03730948

    Google Scholar 

  • Paradisi A, Maisse C, Coissieux M-M, Gadot N, Lépinasse F, Delloye-Bourgeois C, Delcros J-G, Svrcek M, Neufert C, Fléjou J-F, Scoazec J-Y, Mehlen P (2009) Netrin-1 up-regulation in inflammatory bowel diseases is required for colorectal cancer progression. Proc Natl Acad Sci U S A 106:17146–17151

    Article  PubMed  PubMed Central  Google Scholar 

  • Perez CA, Breaux S, Bedwinek JM, Madoc-Jones H, Camel HM, Purdy JA, Walz BJ (1984) Radiation therapy alone in the treatment of carcinoma of the uterine cervix. II. Analysis of complications. Cancer 54:235–246

    Article  CAS  PubMed  Google Scholar 

  • Piedbois P, Buyse M, Rustum Y, Machover D, Erlichman C, Carlson RW, Valone F, Labianca R, Doroshow JH, Petrelli N (1992) Modulation of fluorouracil by leucovorin in patients with advanced colorectal cancer: evidence in terms of response rate. Advanced colorectal cancer meta-analysis project. J Clin Oncol Off J Am Soc Clin Oncol 10:896–903

    Article  Google Scholar 

  • Robertson I, Bound R, Segal L (1998) Colorectal cancer, diet and lifestyle factors: opportunities for prevention. Health Promot Int 13:141–150

    Article  Google Scholar 

  • Rodriguez J, Castañón E, Perez-Gracia JL, Rodriguez I, Viudez A, Alfaro C, Oñate C, Perez G, Rotellar F, Inogés S, López-Diaz de Cerio A, Resano L, Ponz-Sarvise M, Rodriguez-Ruiz ME, Chopitea A, Vera R, Melero I (2018) A randomized phase II clinical trial of dendritic cell vaccination following complete resection of colon cancer liver metastasis. J Immunother Cancer 6:96

    Article  PubMed  PubMed Central  Google Scholar 

  • Rojas A, Figueroa H, Morales E (2010) Fueling inflammation at tumor microenvironment: the role of multiligand/RAGE axis. Carcinogenesis 31:334–341

    Article  CAS  PubMed  Google Scholar 

  • Rossi M, Jahanzaib Anwar M, Usman A, Keshavarzian A, Bishehsari F (2018) Colorectal Cancer and alcohol consumption-populations to molecules. Cancers 10:38

    Article  CAS  PubMed Central  Google Scholar 

  • Saltz LB, Cox JV, Blanke C, Rosen LS, Fehrenbacher L, Moore MJ, Maroun JA, Ackland SP, Locker PK, Pirotta N, Elfring GL, Miller LL (2000) Irinotecan plus fluorouracil and leucovorin for metastatic colorectal cancer. Irinotecan study group. N Engl J Med 343:905–914

    Article  CAS  PubMed  Google Scholar 

  • Sargent DJ, Niedzwiecki D, O’Connell MJ, Schilsky RL (2001) Recommendation for caution with irinotecan, fluorouracil, and leucovorin for colorectal cancer. N Engl J Med 345:144–145

    Article  CAS  PubMed  Google Scholar 

  • Sasaki K, Ishihara S, Hata K, Kiyomatsu T, Nozawa H, Kawai K, Tanaka T, Nishikawa T, Otani K, Yasuda K, Kaneko M, Murono K, Abe H, Morikawa T, Watanabe T (2017) Radiation-associated colon cancer: a case report. Mol Clin Oncol 6:817–820

    Article  PubMed  PubMed Central  Google Scholar 

  • Schernhammer ES, Leitzmann MF, Michaud DS, Speizer FE, Giovannucci E, Colditz GA, Fuchs CS (2003) Cholecystectomy and the risk for developing colorectal cancer and distal colorectal adenomas. Br J Cancer 88:79–83

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schlussel AT, Gagliano RA Jr, Seto-Donlon S, Eggerding F, Donlon T, Berenberg J, Lynch HT (2014) The evolution of colorectal cancer genetics-part 1: from discovery to practice. J Gastrointest Oncol 5:326–335

    PubMed  PubMed Central  Google Scholar 

  • Schoen RE, Pinsky PF, Weissfeld JL, Yokochi LA, Church T, Laiyemo AO, Bresalier R, Andriole GL, Buys SS, Crawford ED, Fouad MN, Isaacs C, Johnson CC, Reding DJ, O’Brien B, Carrick DM, Wright P, Riley TL, Purdue MP, Izmirlian G, Kramer BS, Miller AB, Gohagan JK, Prorok PC, Berg CD (2012) Colorectal-cancer incidence and mortality with screening flexible sigmoidoscopy. N Engl J Med 366:2345–2357

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sharma D, Singh G (2017) Clinico-pathological profile of colorectal cancer in first two decades of life: a retrospective analysis from tertiary health center. Indian J Cancer 54:397–400

    Article  CAS  PubMed  Google Scholar 

  • Shin A, Lee J, Lee J, Park MS, Park JW, Park SC, Oh JH, Kim J (2015) Isoflavone and Soyfood intake and colorectal Cancer risk: a case-control study in Korea. PLoS One 10:e0143228–e0143228

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Siegel RL, Miller KD, Jemal A (2018) Cancer statistics, 2018. CA Cancer J Clin 68:7–30

    Article  PubMed  Google Scholar 

  • Sumida T, Lincoln MR, Ukeje CM, Rodriguez DM, Akazawa H, Noda T, Naito AT, Komuro I, Dominguez-Villar M, Hafler DA (2018) Activated β-catenin in Foxp3+ regulatory T cells links inflammatory environments to autoimmunity. Nat Immunol 19:1391–1402

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Svartz N, Ernberg T (1949) Cancer coli in cases of colitis ulcerosa. Acta Med Scand 135:444–447

    Article  Google Scholar 

  • Tamai O, Nozato E, Miyazato H, Isa T, Hiroyasu S, Shiraishi M, Kusano T, Muto Y, Higashi M (1999) Radiation-associated rectal cancer: report of four cases. Dig Surg 16:238–243

    Article  CAS  PubMed  Google Scholar 

  • Tandon K, Imam M, Ismail BES, Castro F (2015) Body mass index and colon cancer screening: the road ahead. World J Gastroenterol 21:1371–1376

    Article  PubMed  PubMed Central  Google Scholar 

  • Tomori H, Yasuda T, Shiraishi M, Isa T, Muto Y, Egawa H (1999) Radiation-associated ischemic coloproctitis: report of two cases. Surg Today 29:1088–1092

    Article  CAS  PubMed  Google Scholar 

  • Tournigand C, Andre T, Achille E, Lledo G, Flesh M, Mery-Mignard D, Quinaux E, Couteau C, Buyse M, Ganem G, Landi B, Colin P, Louvet C, de Gramont A (2004) FOLFIRI followed by FOLFOX6 or the reverse sequence in advanced colorectal cancer: a randomized GERCOR study. J Clin Oncol Off J Am Soc Clin Oncol 22:229–237

    Article  CAS  Google Scholar 

  • Tournigand C, Cervantes A, Figer A, Lledo G, Flesch M, Buyse M, Mineur L, Carola E, Etienne PL, Rivera F, Chirivella I, Perez-Staub N, Louvet C, Andre T, Tabah-Fisch I, de Gramont A (2006) OPTIMOX1: a randomized study of FOLFOX4 or FOLFOX7 with oxaliplatin in a stop-and-go fashion in advanced colorectal cancer--a GERCOR study. J Clin Oncol Off J Am Soc Clin Oncol 24:394–400

    Article  CAS  Google Scholar 

  • Tsuji T, Sawai T, Nakagoe T, Hidaka S, Shibasaki S, Tanaka K, Nanashima A, Yamaguchi H, Yasutake T, Tagawa Y (2003) Genetic analysis of radiation-associated rectal cancer. J Gastroenterol 38:1185–1188

    Article  CAS  PubMed  Google Scholar 

  • Vuik FER, Nieuwenburg SAV, Bardou M, Lansdorp-Vogelaar I, Dinis-Ribeiro M, Bento MJ, Zadnik V, Pellisé M, Esteban L, Kaminski MF, Suchanek S, Ngo O, Májek O, Leja M, Kuipers EJ, Spaander MCW (2019) Increasing incidence of colorectal cancer in young adults in Europe over the last 25 years. Gut gutjnl-2018:317592

    Google Scholar 

  • Walther A, Houlston R, Tomlinson I (2008) Association between chromosomal instability and prognosis in colorectal cancer: a meta-analysis. Gut 57:941–950

    Article  CAS  PubMed  Google Scholar 

  • Wang SW, Sun YM (2014) The IL-6/JAK/STAT3 pathway: potential therapeutic strategies in treating colorectal cancer (review). Int J Oncol 44:1032–1040

    Article  CAS  PubMed  Google Scholar 

  • Wang M, Gu D, Du M, Xu Z, Zhang S, Zhu L, Lu J, Zhang R, Xing J, Miao X, Chu H, Hu Z, Yang L, Tang C, Pan L, Du H, Zhao J, Du J, Tong N, Sun J, Shen H, Xu J, Zhang Z, Chen J (2016) Common genetic variation in ETV6 is associated with colorectal cancer susceptibility. Nat Commun 7:11478

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang T, Song P, Zhong T, Wang X, Xiang X, Liu Q, Chen H, Xia T, Liu H, Niu Y, Hu Y, Xu L, Shao Y, Zhu L, Qi H, Shen J, Hou T, Fodde R, Shao J (2019) The inflammatory cytokine IL-6 induces FRA1 deacetylation promoting colorectal cancer stem-like properties. Oncogene 38:4932–4947

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Warthin AS (1985) Classicsin oncology: heredity with reference to carcinoma as shown by the study of the cases examined in the pathological laboratory of the university of Michigan, 1895-1913. CA Cancer J Clin 35:348–359

    Article  Google Scholar 

  • Wiseman M (2008) The second world cancer research fund/American Institute for Cancer Research expert report. food, nutrition, physical activity, and the prevention of cancer: a global perspective. Proc Nutr Soc 67:253–256

    Article  PubMed  Google Scholar 

  • Wolin KY, Glynn RJ, Colditz GA, Lee IM, Kawachi I (2007) Long-term physical activity patterns and health-related quality of life in U.S. women. Am J Prev Med 32:490–499

    Article  PubMed  PubMed Central  Google Scholar 

  • Wolin KY, Yan Y, Colditz GA, Lee IM (2009) Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer 100:611–616

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wong MC, Ding H, Wang J, Chan PS, Huang J (2019) Prevalence and risk factors of colorectal cancer in Asia. Intest Res 17:317

    Article  PubMed  PubMed Central  Google Scholar 

  • Wu Y, Zhou BP (2009) Inflammation: a driving force speeds cancer metastasis. Cell Cycle 8:3267–3273

    Article  CAS  PubMed  Google Scholar 

  • Xavier RJ, Podolsky DK (2007) Unravelling the pathogenesis of inflammatory bowel disease. Nature 448:427–434

    Article  CAS  PubMed  Google Scholar 

  • Yan H, Papadopoulos N, Marra G, Perrera C, Jiricny J, Boland CR, Lynch HT, Chadwick RB, de la Chapelle A, Berg K, Eshleman JR, Yuan W, Markowitz S, Laken SJ, Lengauer C, Kinzler KW, Vogelstein B (2000) Conversion of diploidy to haploidy. Nature 403:723–724

    Article  CAS  PubMed  Google Scholar 

  • Yang B, Kang H, Fung A, Zhao H, Wang T, Ma D (2014a) The role of interleukin 17 in tumour proliferation, angiogenesis, and metastasis. Mediat Inflamm 2014:12

    Google Scholar 

  • Yang H, Qi H, Ren J, Cui J, Li Z, Waldum HL, Cui G (2014b) Involvement of NF-κB/IL-6 pathway in the processing of colorectal carcinogenesis in colitis mice. Int J Inflamm 2014:7

    Article  CAS  Google Scholar 

  • Zhang L (2008) Immunohistochemistry versus microsatellite instability testing for screening colorectal cancer patients at risk for hereditary nonpolyposis colorectal cancer syndrome. Part II. The utility of microsatellite instability testing. J Mol Diagn: JMD 10:301–307

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang Y, Liu H, Li L, Ai M, Gong Z, He Y, Dong Y, Xu S, Wang J, Jin B, Liu J, Teng Z (2017) Cholecystectomy can increase the risk of colorectal cancer: a meta-analysis of 10 cohort studies. PLoS One 12:e0181852

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhao P, Zhang Z (2018) TNF-α promotes colon cancer cell migration and invasion by upregulating TROP-2. Oncol Lett 15:3820–3827

    PubMed  PubMed Central  Google Scholar 

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Ghanta, M.K., Gursale, S.C., Bhaskar, L.V.K.S. (2020). Understanding Colorectal Cancer: The Basics. In: Raju, G., Bhaskar, L. (eds) Theranostics Approaches to Gastric and Colon Cancer. Diagnostics and Therapeutic Advances in GI Malignancies. Springer, Singapore. https://doi.org/10.1007/978-981-15-2017-4_7

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