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@ARTICLE{Rdel:301328,
author = {F. Rödel$^*$ and M. Fleischmann$^*$ and M. Diefenhardt$^*$
and H. Dapper and A. Hoffmann and C. Rödel$^*$ and D.
Martin$^*$ and E. Fokas},
title = {{E}merging advances and future opportunities in the
molecular and therapeutic landscape of anal cancer.},
journal = {Nature reviews / Clinical oncology},
volume = {22},
issn = {1759-4774},
address = {New York, NY},
publisher = {Nature Publ. Group},
reportid = {DKFZ-2025-01000},
pages = {483–498},
year = {2025},
note = {22, pages 483–498 (2025)},
abstract = {Anal squamous cell carcinoma (ASCC) is a rare malignancy
with an increasing incidence. Primary chemoradiotherapy
(CRT) is the standard-of-care treatment for patients with
localized ASCC. In the metastatic setting, trials testing
immune-checkpoint inhibitor monotherapy have demonstrated
outcomes similar to those of patients receiving
chemotherapy. Conversely, adding the anti-PD-1 antibody
retifanlimab to chemotherapy in patients with recurrent or
metastatic ASCC has been shown to significantly improve
outcomes. Despite considerable efforts to develop
personalized therapy, treatment guidance and prognosis
remain reliant on baseline clinical characteristics. An
improved understanding of the molecular characteristics of
ASCC has provided insights into the mechanisms that mediate
tumour progression and response to CRT. For example, human
papillomavirus (HPV) infection is known to have an
aetiological role in most ASCCs and can modulate cellular
responses to CRT via several distinct mechanisms. In this
Review, we summarize emerging advances in the molecular and
therapeutic landscape of ASCC, including the implementation
of biomarkers for treatment guidance and translation into
new therapeutic approaches, with HPV infection constituting
a global determinant of both tumour biology and clinical
outcome. We also discuss the rationale for combining
immune-checkpoint inhibitors with CRT in patients with HPV+
tumours.},
subtyp = {Review Article},
cin = {FM01},
ddc = {610},
cid = {I:(DE-He78)FM01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40360682},
doi = {10.1038/s41571-025-01025-x},
url = {https://inrepo02.dkfz.de/record/301328},
}