Role of Stress-Survival Pathways and Transcriptomic Alterations in Progression of Colorectal Cancer: A Health Disparities Perspective

Int J Environ Res Public Health. 2021 May 21;18(11):5525. doi: 10.3390/ijerph18115525.

Abstract

Every year, more than a million individuals are diagnosed with colorectal cancer (CRC) across the world. Certain lifestyle and genetic factors are known to drive the high incidence and mortality rates in some groups of individuals. The presence of enormous amounts of reactive oxygen species is implicated for the on-set and carcinogenesis, and oxidant scavengers are thought to be important in CRC therapy. In this review, we focus on the ethnicity-based CRC disparities in the U.S., the negative effects of oxidative stress and apoptosis, and gene regulation in CRC carcinogenesis. We also highlight the use of antioxidants for CRC treatment, along with screening for certain regulatory genetic elements and oxidative stress indicators as potential biomarkers to determine the CRC risk and progression.

Keywords: antioxidants; apoptosis; biomarkers; gene regulation; microRNAs; oxidative stress.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Carcinogenesis / genetics
  • Colorectal Neoplasms* / genetics
  • Humans
  • Oxidative Stress
  • Reactive Oxygen Species
  • Transcriptome*

Substances

  • Reactive Oxygen Species