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World J Gastrointest Oncol. Jul 15, 2025; 17(7): 107380
Published online Jul 15, 2025. doi: 10.4251/wjgo.v17.i7.107380
Targeting SHP2: Dual breakthroughs in colorectal cancer therapy–from signaling pathway modulation to immune microenvironment remodeling
Pan Liu, Jia Chen
Pan Liu, Department of Pathology, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China
Jia Chen, Department of Pulmonary and Critical Care Medicine, Zhuji Central Hospital, Zhuji 311800, Zhejiang Province, China
Author contributions: Liu P wrote the manuscript; Chen J conceptualized the manuscript and oversaw the writing of the manuscript.
Supported by Zhejiang Provincial Natural Science Foundation for Youths, No. QN25H160012; and Zhejiang Medical and Health Science and Technology Plan, No. 2023RC006.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest pertaining to the subject matter discussed in this paper.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jia Chen, Clinical Assistant Professor (Honorary), Department of Pulmonary and Critical Care Medicine, Zhuji Central Hospital, No. 98 Zhugong Road, Zhuji 311800, Zhejiang Province, China. 13357530129@163.com
Received: March 24, 2025
Revised: April 17, 2025
Accepted: May 30, 2025
Published online: July 15, 2025
Processing time: 114 Days and 10.8 Hours
Core Tip

Core Tip: This paper summarizes the regulatory mechanisms of SHP2 in colorectal cancer (CRC) and emerging therapeutic strategies targeting SHP2. The findings demonstrated that SHP2 serves as a master oncogenic regulator in CRC pathogenesis by coordinating receptor tyrosine phosphatase-mediated signaling. Notably, SHP2 remodels the tumor immune microenvironment by modulating macrophage and T cell functions. Allosteric SHP2 inhibitors, which are characterized by high oral bioavailability and potent target specificity, are currently under evaluation in multicenter phase I/II trials. Although acquired resistance remains challenging, combination strategies, particularly immunotherapy-based treatments, have shown transformative potential, accelerating the transition of SHP2-targeted therapies and offering novel paradigms for personalized CRC treatment.