The updates on metastatic mechanism and treatment of colorectal cancer

Pathol Res Pract. 2023 Nov:251:154837. doi: 10.1016/j.prp.2023.154837. Epub 2023 Oct 2.

Abstract

Colorectal cancer (CRC) is a main cause of cancer death worldwide. Metastasis is a major cause of cancer-related death in CRC. The treatment of metastatic CRC has progressed minimally. However, the potential molecular mechanisms involved in CRC metastasis have remained to be comprehensively clarified. An improved understanding of the CRC mechanistic determinants is needed to better prevent and treat metastatic cancer. In this review, based on evidence from a growing body of research in metastatic cancers, we discuss the cellular and molecular mechanisms involved in CRC metastasis. This review reveals both the molecular mechanisms of metastases and identifies new opportunities for developing more effective strategies to target metastatic relapse and improve CRC patient outcomes.

Keywords: CTC; Colonization; Colorectal cancer; Dormancy; EMT; Metastatic mechanisms; Treatments.

Publication types

  • Review

MeSH terms

  • Colorectal Neoplasms* / pathology
  • Colorectal Neoplasms* / therapy
  • Humans
  • Neoplasm Recurrence, Local