4.3 Review

Guanylyl cyclase C as a biomarker for immunotherapies for the treatment of gastrointestinal malignancies

Journal

BIOMARKERS IN MEDICINE
Volume 15, Issue 3, Pages 201-217

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/bmm-2020-0359

Keywords

biomarker; colorectal cancer; gastrointestinal cancer; GUCY2C; immunotherapy

Funding

  1. NIH [R01 CA204881, R01 CA206026, P30 CA56036]
  2. Defense Congressionally Directed Medical Research Program [W81XWH-17-PRCRP-TTSA]
  3. Targeted Diagnostic & Therapeutics, Inc.
  4. Defense Congressionally Directed Medical Research Programs [W81XWH-17-1-0299, W81XWH-19-10263, W81XWH-19-1-0067]
  5. Courtney Ann Diacont Memorial Foundation
  6. PhRMA Foundation Predoctoral Fellowship In Pharmacology/Toxicology
  7. NIH Ruth Kirschstein Individual Predoctoral MD/PhD Fellowship [F30 CA232469]
  8. Ruth Kirschstein Individual Research Fellowship Award [F31 CA225123]

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GUCY2C has emerged as a promising target for gastrointestinal cancers, with current focus on colorectal cancer, the most prevalent gastrointestinal malignancy. Targeted therapies aimed at GUCY2C show potential for prevention, detection, and treatment of these tumors.
Gastrointestinal cancers encompass a diverse class of tumors arising in the GI tract, including esophagus, stomach, pancreas and colorectum. Collectively, gastrointestinal cancers compose a high fraction of all cancer deaths, highlighting an unmet need for novel and effective therapies. In this context, the transmembrane receptor guanylyl cyclase C (GUCY2C) has emerged as an attractive target for the prevention, detection and treatment of many gastrointestinal tumors. GUCY2C is an intestinally-restricted protein implicated in tumorigenesis that is universally expressed by primary and metastatic colorectal tumors as well as ectopically expressed by esophageal, gastric and pancreatic cancers. This review summarizes the current state of GUCY2C-targeted modalities in the management of gastrointestinal malignancies, with special focus on colorectal cancer, the most incident gastrointestinal malignancy.

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