P0036 The presence of clustered circulating tumour cells (CTCS) and circulating cytokines define an aggressive phenotype in metastatic colorectal cancer

2014 ◽  
Vol 50 ◽  
pp. e18-e19 ◽  
Author(s):  
R. Divella ◽  
A. Mazzocca ◽  
A. Daniele ◽  
A. Bellizzi ◽  
E. Savino ◽  
...  

2021 ◽  
Vol 22 (4) ◽  
pp. 2067
Author(s):  
Rhynelle S. Dmello ◽  
Sarah Q. To ◽  
Ashwini L. Chand

Liver metastasis is the primary contributor to the death of patients with colorectal cancer. Despite the overall success of current treatments including targeted therapy, chemotherapy, and immunotherapy combinations in colorectal cancer patients, the prognosis of patients with liver metastasis remains poor. Recent studies have highlighted the importance of the tumour microenvironment and the crosstalk within that determines the fate of circulating tumour cells in distant organs. Understanding the interactions between liver resident cells and tumour cells colonising the liver opens new therapeutic windows for the successful treatment of metastatic colorectal cancer. Here we discuss critical cellular interactions within the tumour microenvironment in primary tumours and in liver metastases that highlight potential therapeutic targets. We also discuss recent therapeutic advances for the treatment of metastatic colorectal cancer.



2010 ◽  
Vol 14 (8) ◽  
pp. 2073-2077 ◽  
Author(s):  
Paola Gazzaniga ◽  
Angela Gradilone ◽  
Arianna Petracca ◽  
Chiara Nicolazzo ◽  
Cristina Raimondi ◽  
...  


2012 ◽  
Vol 16 (10) ◽  
pp. 2342-2349 ◽  
Author(s):  
Jorge Barbazán ◽  
María Vieito ◽  
Alicia Abalo ◽  
Lorena Alonso-Alconada ◽  
Laura Muinelo-Romay ◽  
...  


2014 ◽  
Vol 25 (11) ◽  
pp. 1531-1541 ◽  
Author(s):  
Rosa Divella ◽  
Antonella Daniele ◽  
Ines Abbate ◽  
Antonia Bellizzi ◽  
Eufemia Savino ◽  
...  


2015 ◽  
Vol 112 (8) ◽  
pp. 1306-1313 ◽  
Author(s):  
U Bork ◽  
N N Rahbari ◽  
S Schölch ◽  
C Reissfelder ◽  
C Kahlert ◽  
...  




2020 ◽  
Vol 21 (18) ◽  
pp. 6907
Author(s):  
Lucrezia Raimondi ◽  
Filippo Maria Raimondi ◽  
Laura Di Benedetto ◽  
Giuseppe Cimino ◽  
Gian Paolo Spinelli

Regorafenib, targeting a broad range of receptor tyrosine kinases (RTKs), is an oral multikinase inhibitor which improves the progression-free survival (PFS) and overall survival (OS) of patients diagnosed with chemorefractory metastatic colorectal cancer (mCRC), making an immunosuppressive tumour microenvironment. The correlation between PD-1/PD-L1 expression and RTKs inhibition has been studied in several tumour types but has not been analyzed extensively in mCRC in the era of regorafenib. In this study, using liquid biopsy, we evaluated the opportunity to reveal if PD-L1 expression on circulating tumour cells (CTCs) could serve as a predictive biomarker of response and clinical benefit in patients treated with regorafenib as the third line of treatment. We analyzed a cohort of forty chemorefractory metastatic colorectal cancer patients, of whom twenty-six KRAS mutated, treated with regorafenib, all as the third line of treatment. Blood samples were collected from patients prior to treatment and longitudinally four and eight weeks after initiation of therapy. CTCs were identified using multiparametric flow cytometry; therefore, PD-L1 expression was evaluated. Objective responses were defined following the RECIST criteria v.1.1. Moreover, focusing on peripheral blood biomarkers, we found that high platelet-to-lymphocyte ratio (PLR) was an independent prognostic indicator of poor OS. For the first time, our study showed the usefulness of sequential assessments of CTCs as a non-invasive real-time biopsy to evaluate PD-L1 expression in patients diagnosed with mCRC and treated with regorafenib. Our analysis suggests that by assessing PD-L1 expression on CTCs, we could predict who will benefit from regorafenib, offering highly individualized treatment plans.



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