Rac1b: An emerging therapeutic target for chemoresistance in colorectal cancer

Erik T. Goka,M. Lippman

Published 2020 in Drug Resistance in Colorectal Cancer: Molecular Mechanisms and Therapeutic Strategies

ABSTRACT

Abstract 5-Flurouracil (5-FU) and oxaliplatin (OXA) are standard chemotherapy for advanced stage and metastatic colorectal cancer (CRC). Although initial responses to chemotherapy may be successful, the development of chemoresistance for most patients is inevitable. Therefore better understanding of the underlying mechanisms that drive chemotherapy resistance will guide better treatment strategies to hopefully improve patient outcomes. Rac1b, a constitutively active alternative splice variant of Rac1, has been implicated in the growth and survival, and is believed to be associated with CRC progression and metastasis. Rac1b has also been shown to play a significant role in resistance to cytotoxic chemotherapeutics largely in part by activation of pro-survival NF-κB signaling. High Rac1b levels present a novel biomarker of disease progression and chemoresistance as well as present a novel therapeutic target for CRC.

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REFERENCES

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