About: FOLFOX/FOLFIRI pharmacogenetics: The call for a personalized approach in colorectal cancer therapy     Goto   Sponge   NotDistinct   Permalink

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Description
  • While 5-fluorouracil used as single agent in patients with metastatic colorectal cancer has an objective response rate around 20%, the administration of combinations of irinotecan with 5-fluorouracil/folinic acid or oxaliplatin with 5-fluorouracil/folinic acid results in significantly increased response rates and improved survival. However, the side effects of systemic therapy such as myelotoxicity, neurotoxicity or gastrointestinal toxicity may lead to life-threatening complications and have a major impact on the quality of life of the patients. Therefore, biomarkers that would be instrumental in the choice of optimal type, combination and dose of drugs for an individual patient are urgently needed. The efficacy and toxicity of anticancer drugs in tumor cells is determined by the effective concentration in tumor cells, healthy tissues and by the presence and quantity of the drug targets. Enzymes active in drug metabolism and transport represent important determinants of the therapeutic outcome. The aim of this review was to summarize published data on associations of gene and protein expression, and genetic variability of putative biomarkers with response to therapy of colorectal cancer to 5-fluorouracil/leucovorin/oxaliplatin and 5-fluorouracil/leukovorin/irinotecan regimens. Gaps in the knowledge identified by this review may aid the design of future research and clinical trials.
  • While 5-fluorouracil used as single agent in patients with metastatic colorectal cancer has an objective response rate around 20%, the administration of combinations of irinotecan with 5-fluorouracil/folinic acid or oxaliplatin with 5-fluorouracil/folinic acid results in significantly increased response rates and improved survival. However, the side effects of systemic therapy such as myelotoxicity, neurotoxicity or gastrointestinal toxicity may lead to life-threatening complications and have a major impact on the quality of life of the patients. Therefore, biomarkers that would be instrumental in the choice of optimal type, combination and dose of drugs for an individual patient are urgently needed. The efficacy and toxicity of anticancer drugs in tumor cells is determined by the effective concentration in tumor cells, healthy tissues and by the presence and quantity of the drug targets. Enzymes active in drug metabolism and transport represent important determinants of the therapeutic outcome. The aim of this review was to summarize published data on associations of gene and protein expression, and genetic variability of putative biomarkers with response to therapy of colorectal cancer to 5-fluorouracil/leucovorin/oxaliplatin and 5-fluorouracil/leukovorin/irinotecan regimens. Gaps in the knowledge identified by this review may aid the design of future research and clinical trials. (en)
Title
  • FOLFOX/FOLFIRI pharmacogenetics: The call for a personalized approach in colorectal cancer therapy
  • FOLFOX/FOLFIRI pharmacogenetics: The call for a personalized approach in colorectal cancer therapy (en)
skos:prefLabel
  • FOLFOX/FOLFIRI pharmacogenetics: The call for a personalized approach in colorectal cancer therapy
  • FOLFOX/FOLFIRI pharmacogenetics: The call for a personalized approach in colorectal cancer therapy (en)
skos:notation
  • RIV/00216208:11140/14:10281234!RIV15-MSM-11140___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(ED0030/01/01), P(ED2.1.00/03.0076)
http://linked.open...iv/cisloPeriodika
  • 30
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 17143
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11140/14:10281234
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Irinotecan; Oxaliplatin; 5-Fluorouracil; Chemotherapy; Colorectal cancer (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CN - Čínská lidová republika
http://linked.open...ontrolniKodProRIV
  • [C99EB1EEF534]
http://linked.open...i/riv/nazevZdroje
  • World Journal of Gastroenterology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 20
http://linked.open...iv/tvurceVysledku
  • Melichar, Bohuslav
  • Souček, Pavel
  • Mohelnikova-Duchonova, Beatrice
http://linked.open...ain/vavai/riv/wos
  • 000342688400010
issn
  • 1007-9327
number of pages
http://bibframe.org/vocab/doi
  • 10.3748/wjg.v20.i30.10316
http://localhost/t...ganizacniJednotka
  • 11140
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