Radioresistance in rectal cancer: can nanoparticles turn the tide?

Abstract Rectal cancer accounts for over 35% of the worldwide colorectal cancer burden representing a distinctive subset of cancers from those arising in the colon. Colorectal cancers exhibit a continuum of traits that differ with their location in the large intestine. Due to anatomical and molecula...

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Main Authors: Diogo Coelho, Diogo Estêvão, Maria José Oliveira, Bruno Sarmento
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Molecular Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12943-025-02232-x
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author Diogo Coelho
Diogo Estêvão
Maria José Oliveira
Bruno Sarmento
author_facet Diogo Coelho
Diogo Estêvão
Maria José Oliveira
Bruno Sarmento
author_sort Diogo Coelho
collection DOAJ
description Abstract Rectal cancer accounts for over 35% of the worldwide colorectal cancer burden representing a distinctive subset of cancers from those arising in the colon. Colorectal cancers exhibit a continuum of traits that differ with their location in the large intestine. Due to anatomical and molecular differences, rectal cancer is treated differently from colon cancer, with neoadjuvant chemoradiotherapy playing a pivotal role in the control of the locally advanced disease. However, radioresistance remains a major obstacle often correlated with poor prognosis. Multifunctional nanomedicines offer a promising approach to improve radiotherapy response rates, as well as to increase the intratumoral concentration of chemotherapeutic agents, such as 5-Fluorouracil. Here, we revise the main molecular differences between rectal and colon tumors, exploring the complex orchestration beyond rectal cancer radioresistance and the most promising nanomedicines reported in the literature to improve neoadjuvant therapy response rates. Graphical Abstract
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institution Kabale University
issn 1476-4598
language English
publishDate 2025-01-01
publisher BMC
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series Molecular Cancer
spelling doaj-art-dfc44807bb2046ac821b5c589069c00c2025-02-02T12:11:38ZengBMCMolecular Cancer1476-45982025-01-0124112310.1186/s12943-025-02232-xRadioresistance in rectal cancer: can nanoparticles turn the tide?Diogo Coelho0Diogo Estêvão1Maria José Oliveira2Bruno Sarmento3i3S - Instituto de Investigação e Inovação em Saúde, Universidade Do Portoi3S - Instituto de Investigação e Inovação em Saúde, Universidade Do Portoi3S - Instituto de Investigação e Inovação em Saúde, Universidade Do Portoi3S - Instituto de Investigação e Inovação em Saúde, Universidade Do PortoAbstract Rectal cancer accounts for over 35% of the worldwide colorectal cancer burden representing a distinctive subset of cancers from those arising in the colon. Colorectal cancers exhibit a continuum of traits that differ with their location in the large intestine. Due to anatomical and molecular differences, rectal cancer is treated differently from colon cancer, with neoadjuvant chemoradiotherapy playing a pivotal role in the control of the locally advanced disease. However, radioresistance remains a major obstacle often correlated with poor prognosis. Multifunctional nanomedicines offer a promising approach to improve radiotherapy response rates, as well as to increase the intratumoral concentration of chemotherapeutic agents, such as 5-Fluorouracil. Here, we revise the main molecular differences between rectal and colon tumors, exploring the complex orchestration beyond rectal cancer radioresistance and the most promising nanomedicines reported in the literature to improve neoadjuvant therapy response rates. Graphical Abstracthttps://doi.org/10.1186/s12943-025-02232-xRectal cancerTreatmentChemoradiotherapyRadioresistanceNanomedicines
spellingShingle Diogo Coelho
Diogo Estêvão
Maria José Oliveira
Bruno Sarmento
Radioresistance in rectal cancer: can nanoparticles turn the tide?
Molecular Cancer
Rectal cancer
Treatment
Chemoradiotherapy
Radioresistance
Nanomedicines
title Radioresistance in rectal cancer: can nanoparticles turn the tide?
title_full Radioresistance in rectal cancer: can nanoparticles turn the tide?
title_fullStr Radioresistance in rectal cancer: can nanoparticles turn the tide?
title_full_unstemmed Radioresistance in rectal cancer: can nanoparticles turn the tide?
title_short Radioresistance in rectal cancer: can nanoparticles turn the tide?
title_sort radioresistance in rectal cancer can nanoparticles turn the tide
topic Rectal cancer
Treatment
Chemoradiotherapy
Radioresistance
Nanomedicines
url https://doi.org/10.1186/s12943-025-02232-x
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AT diogoestevao radioresistanceinrectalcancercannanoparticlesturnthetide
AT mariajoseoliveira radioresistanceinrectalcancercannanoparticlesturnthetide
AT brunosarmento radioresistanceinrectalcancercannanoparticlesturnthetide