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Colorectal cancer mRNA biomarker

Molecular classification
Other (mRNA biomarker; not a receptor, enzyme, etc.)
01

Overview

Colorectal cancer mRNA biomarkers consist of gene transcripts whose presence and abundance offer a minimally invasive means to aid in the detection, prognosis, and treatment stratification of CRC patients. They include both single mRNAs and multigene signatures, such as the Consensus Molecular Subtypes (CMS) and panels (such as CEACAM5, KLK6, SLC35D3, POSTN, BIRC5, BMI1, and MLH1). mRNA profiling can be performed on tumor tissue, blood, or other specimen types, and is increasingly used to guide therapy (for example, selecting patients responsive to chemotherapy or targeted agents). Importantly, "colorectal cancer mRNA biomarkers" is not a single molecular target but a diagnostic/prognostic concept encompassing numerous specific genes and gene signatures. For structured data or therapeutic targeting, refer to individual mRNAs (e.g., KRAS, BRAF, BIRC5, MLH1) or gene panels, not the general category. If you are seeking a specific target molecule, such as an individual mRNA or gene product, specify the molecule of interest (e.g., "KRAS," "BIRC5"), as "colorectal cancer mRNA biomarkers" is too broad and does not align with standard definitions for therapeutic targets or receptors.

Other names
Colorectal cancer transcriptomic biomarkersCRC mRNA biomarkersgene expression biomarkers in colorectal cancer
02

Mechanism of action

Not applicable; mRNA biomarkers are not drug targets. However, drugs may be selected based on mRNA biomarker profiles indicating pathway activation or resistance

03

Biological functions

Cell proliferation (as measured by mRNA from genes associated with proliferation)Apoptosis (e.g., mRNAs for BIRC5, which modulates survival)Signal transduction (e.g., mRNAs reflecting KRAS or BRAF pathway activity)Immune response (as inferred from subtype classifications)Cell cycle regulation
04

Disease associations

Cancer (specifically colorectal cancer)Prognostic and predictive biomarker for CRC outcomes (recurrence, survival, metastasis)
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Safety considerations

Safety concerns are not directly linked to the measurement of mRNA biomarkers, but rather to therapeutic decisions informed by these biomarkers. For example, reliance on a single marker may lead to under-stratification, and false positives/negatives can impact treatment efficacy and safety
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Interacting drugs

Anti-EGFR monoclonal antibodies (when KRAS/BRAF are wild-type)

2 more in the full profile.

07

Biomarkers

BIRC5 (baculoviral IAP repeat-containing 5) mRNA: elevated levels predict poor prognosisBMI1 mRNA: associated with metastasis riskMLH1 mRNA: diagnosis of hereditary CRC (HNPCC)KRAS and BRAF mRNA/mutation status: predict response to EGFR inhibitorsConsensus Molecular Subtypes (CMS) signatures: stratify tumors into four groups by gene expression patterns (CMS1-4)Panels such as CEACAM5, KLK6, MUC2, SLC35D3, and POSTN for risk categorization

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