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Molecular Decision Making in the Treatment of Colorectal Liver Metastases

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 7101

Special Issue Editor


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Guest Editor
Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
Interests: liver resection; liver venoocclusive disease; metastasis; pancreaticoduodenectomy; neoadjuvant therapy; mesenteric veins

Special Issue Information

Dear Colleagues,

The treatment of liver metastases from colorectal cancer has dramatically evolved during the last two decades: Parallel to the evolution of various multidrug systemic chemotherapy protocols, surgery has become a standard treatment with curative potential, and resectability has become a central treatment aim. Consequently, staged surgical concepts have been established and multimodality regimens with the aim of increasing resectability on the one hand and decreasing postoperative recurrence rates on the other are widely used in current practice.

Moreover, local ablative treatments and minimal-invasive surgery extend current treatment options with the aim of reducing morbidity in a multimodality treatment.

In addition to research on more efficient and better treatment regimen, the optimal treatment choice for an individual patient is currently a major challenge. Particularly in this setting, molecular tumor characteristics are gaining increasing importance in addition to established clinical scoring systems and histological parameters.

This open-access Special Issue is dedicated to reflect the most recent results on molecular selection criteria for chemotherapy as well as surgery and local ablative treatments in the treatment of liver metastases from colorectal cancer.

Therefore, topics of this Special Issue include but are not limited to:

  • Molecular tumor pathology, angiogenesis, and signaling pathways;
  • Tumor microenvironment;
  • Cancer biomarkers: treatment response, prognosis;
  • Cancer therapy: target discovery, drug design, resistance, targeted therapy, personalized medicine;
  • Translational cancer research;
  • High-throughput technologies: genomics, epigenomics, proteomics, metabolomics, microarray, next generation sequencing, and other omics technologies;
  • Genomic and proteomic databases and applications.

Dr. Stefan Heinrich
Guest Editor

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Molecular Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

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Keywords

  • Liver metastases
  • Colorectal cancer
  • Individualized treatment concepts
  • Targeted therapy
  • Liver surgery
  • Chemotherapy
  • Patient selection

Published Papers (3 papers)

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Review

15 pages, 542 KiB  
Review
The Impact of Molecular Biology in the Seeding, Treatment Choices and Follow-Up of Colorectal Cancer Liver Metastases—A Narrative Review
by Mihai-Calin Pavel, Elena Ramirez-Maldonado, Eva Pueyo-Périz, Robert Memba, Sandra Merino, Justin Geoghegan and Rosa Jorba
Int. J. Mol. Sci. 2023, 24(2), 1127; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms24021127 - 06 Jan 2023
Cited by 2 | Viewed by 1602
Abstract
There is a clear association between the molecular profile of colorectal cancer liver metastases (CRCLM) and the degree to which aggressive progression of the disease impacts patient survival. However, much of our knowledge of the molecular behaviour of colorectal cancer cells comes from [...] Read more.
There is a clear association between the molecular profile of colorectal cancer liver metastases (CRCLM) and the degree to which aggressive progression of the disease impacts patient survival. However, much of our knowledge of the molecular behaviour of colorectal cancer cells comes from experimental studies with, as yet, limited application in clinical practice. In this article, we review the current advances in the understanding of the molecular behaviour of CRCLM and present possible future therapeutic applications. This review focuses on three important steps in CRCLM development, progression and treatment: (1) the dissemination of malignant cells from primary tumours and the seeding to metastatic sites; (2) the response to modern regimens of chemotherapy; and (3) the possibility of predicting early progression and recurrence patterns by molecular analysis in liquid biopsy. Full article
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14 pages, 299 KiB  
Review
Tailored Systemic Therapy for Colorectal Cancer Liver Metastases
by Carolin Czauderna, Kim Luley, Nikolas von Bubnoff and Jens U. Marquardt
Int. J. Mol. Sci. 2021, 22(21), 11780; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms222111780 - 29 Oct 2021
Cited by 5 | Viewed by 2745
Abstract
Liver metastases are the most common site of metastatic spread in colorectal cancer. Current treatment approaches involve effective systemic therapies in combination with surgical and/or interventional strategies. Multimodal strategies greatly improved clinical outcomes of patients with metastatic colorectal cancer over the last decades. [...] Read more.
Liver metastases are the most common site of metastatic spread in colorectal cancer. Current treatment approaches involve effective systemic therapies in combination with surgical and/or interventional strategies. Multimodal strategies greatly improved clinical outcomes of patients with metastatic colorectal cancer over the last decades. Identification of predictive and prognostic biomarkers helped to comprehensively refine individual targeted treatment approaches and resulted in median overall survival rates of 30 months or longer. Current guidelines, thus, recommend treatment selection according to patients’ performance status, tumor localization and stage as well as the tumor’s molecular and genetic status. Here, we outline the latest developments in molecular decision-making for patients with upfront resectable, potentially or initially unresectable and non/never-resectable colorectal cancer liver metastases. Full article
10 pages, 265 KiB  
Review
Liver Transplantation for Colorectal Liver Metastases: Current Management and Future Perspectives
by Serban Puia-Negulescu, Fanny Lebossé, Jean-Yves Mabrut, Xavier Muller, Guillaume Rossignol, Teresa Antonini, Domitille Erard, Sylvie Radenne, Marielle Guillet, Jean-Christophe Souquet, Kayvan Mohkam and Mickael Lesurtel
Int. J. Mol. Sci. 2021, 22(6), 3093; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22063093 - 18 Mar 2021
Cited by 9 | Viewed by 2224
Abstract
Patients with nonresectable liver metastases from colorectal cancer have few therapeutic options and a dismal prognosis. Although liver transplantation for this indication has historically a poor reputation, recent advances in the field of chemotherapy and immunosuppression have paved the way to revisit the [...] Read more.
Patients with nonresectable liver metastases from colorectal cancer have few therapeutic options and a dismal prognosis. Although liver transplantation for this indication has historically a poor reputation, recent advances in the field of chemotherapy and immunosuppression have paved the way to revisit the concept. New data have shown promising results that need to be validated in several ongoing clinical trials. Since liver grafts represent a scarce resource, several new tools are being explored to expand the donor pool for this indication. The purpose of this review is to present all current available data and perspectives about liver transplantation for nonresectable liver metastases from colorectal cancer. Full article
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