Microvascular Endothelium in Patients with Pancreatic Head Cancer and Relationship with Surgical Outcomes
Russian Journal of Oncology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 4, 2025
BACKGROUND:
The
proportion
of
pancreatic
cancer
remains
high
in
the
overall
incidence.
Pancreatic
ductal
adenocarcinoma
is
a
highly
aggressive
and
lethal
tumor.
AIM:
To
evaluate
microvascular
endothelial
function
patients
undergoing
head
surgery
to
establish
correlation
with
surgical
outcomes.
MATERIALS
AND
METHODS:
A
prospective
observational
randomized
study
was
conducted
from
2009
2022.
included
two
cohorts:
healthy
subjects
(control
group,
n=40)
diagnosed
(patient
n=95)
who
underwent
Whipple
procedure.
assessment
functional
parameters
endothelium
measurements
circulating
cell
count,
von
Willebrand
factor
(vWF),
endothelium-dependent
vasodilation.
patient
group
divided
into
subgroups:
main
subgroup
laparoscopic
procedure
(n=44)
comparison
consisted
those
laparotomy
(n=51).
In
subgroup,
were
administered
combination
arginine
glutamate
(1.0
g
daily)
enalapril
(2.5–5.0mg
for
treatment
dysfunction.
RESULTS:
sums
vWF
significantly
lower
(7.0±1.4
93.6±23.3,
respectively),
whereas
vasodilation
higher
(9.8±3.2)
as
compared
control
(p0.0001).
population
received
dysfunction
treatment,
4.2-
4.6-fold
reduction
levels,
respectively,
observed
(p0.0001
both).
Additionally,
4.0-fold
increase
documented
count
more
than
7.0×104cells/L,
120%,
less
10%
during
period
risk
early
postoperative
complications
by
2.7,
1.9,
1.7times,
respectively
incidence
non-surgical
28.4
24.2%,
respectively.
in-hospital
mortality
rate
5.3%.
septic
was2.5
3.1times
lower,
(p0.05).
CONCLUSIONS:
technique
has
been
shown
have
protective
effect
on
cancer,
reducing
complications.
baseline
vascular
demonstrated
correlate
long-term
adverse
events,
including
relapses
and/or
metastases.
Language: Английский
Human Cytochrome P450 Cancer-Related Metabolic Activities and Gene Polymorphisms
Published: Oct. 29, 2024
Human
CYP1-CYP4
families
play
crucial
roles
in
the
biosynthesis,
bioactivation,
and
detoxification
of
a
diverse
range
chemicals
including
xenobiotics,
steroid
hormones,
vitamins,
bile
acids,
procarcinogens,
drugs.
The
same
CYP
isoform
can
be
involved
conversion
different
substrates
via
both
bioactivation
reactions
depending
on
substrate
type.
Furthermore,
convert
to
products
tissue
On
contrary,
isoforms
variety
products,
either
more
toxic
or
less
than
their
parent
compound.
metabolic
diversity
dual
character
biological
effects
dictate
limited
number
cancer
types,
which
CYPs
are
implicated.
In
our
review,
we
highlight
latest
advancements
current
understanding
molecular
mechanisms
development
hormone-sensitive
cancers
tumors
based
dysregulated
expression
mutagenic
adduct
formation.
We
discuss
variations
activities
gene
polymorphisms,
affect
interindividual
differences
drug
susceptibilities.
show
that
there
is
only
data
indicating
statistically
significant
association
between
polymorphisms
among
populations.
involvement
anticancer
metabolism
associated
with
drug-drug
interactions
resistance
also
discussed.
Language: Английский
Tumor microenvironment and cancer metastasis: molecular mechanisms and therapeutic implications
Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: Nov. 12, 2024
The
tumor
microenvironment
(TME)
plays
a
crucial
role
in
cancer
development
and
metastasis.
This
review
summarizes
the
current
research
on
how
TME
promotes
metastasis
through
molecular
pathways,
focusing
key
components,
such
as
cancer-associated
fibroblasts,
immune
cells,
endothelial
cytokines,
extracellular
matrix.
Significant
findings
have
highlighted
that
alterations
cellular
communication
within
enable
cells
to
evade
surveillance,
survive,
invade
other
tissues.
highlights
roles
of
TGF-β
VEGF
signaling
promoting
angiogenesis
matrix
remodeling,
which
facilitate
Additionally,
we
explored
metabolic
reprogramming
stromal
influenced
by
nutrient
availability
TME,
drives
progression.
study
also
evaluated
therapeutic
strategies
targeting
these
interactions
disrupt
By
providing
multidisciplinary
perspective,
this
suggests
understanding
basis
can
lead
more
effective
therapies
identify
potential
avenues
for
future
research.
Future
should
prioritize
unraveling
complex
environment,
could
novel
personalized
treatments.
Moreover,
advancements
technologies
single-cell
analysis,
spatial
transcriptomics,
epigenetic
profiling
offer
promising
identifying
new
targets
improving
efficacy
immunotherapies,
particularly
context
Language: Английский
Human Cytochrome P450 Cancer-Related Metabolic Activities and Gene Polymorphisms: A Review
Cells,
Journal Year:
2024,
Volume and Issue:
13(23), P. 1958 - 1958
Published: Nov. 26, 2024
Background:
Cytochromes
P450
(CYPs)
are
heme-containing
oxidoreductase
enzymes
with
mono-oxygenase
activity.
Human
CYPs
catalyze
the
oxidation
of
a
great
variety
chemicals,
including
xenobiotics,
steroid
hormones,
vitamins,
bile
acids,
procarcinogens,
and
drugs.
Findings:
In
our
review
article,
we
discuss
recent
data
evidencing
that
same
CYP
isoform
can
be
involved
in
both
bioactivation
detoxification
reactions
convert
substrate
to
different
products.
Conversely,
isoforms
substrate,
xenobiotic
or
procarcinogen,
into
either
more
less
toxic
product.
These
phenomena
depend
on
type
catalyzed
reaction,
tissue
type,
biological
species.
Since
(CYP3A4,
CYP1A1,
CYP2D6,
CYP2C8)
primarily
expressed
liver,
their
metabolites
induce
hepatotoxicity
hepatocarcinogenesis.
Additionally,
role
drugs
as
substrates,
inducers,
inhibitors
well
implication
nuclear
receptors,
efflux
transporters,
drug–drug
interactions
anticancer
drug
resistance.
We
highlight
molecular
mechanisms
underlying
development
hormone-sensitive
cancers,
breast,
ovarian,
endometrial,
prostate
cancers.
Key
players
these
2,3-
3,4-catechols
estrogens,
which
formed
by
CYP1A2,
CYP1B1.
The
catechols
also
produce
quinones,
leading
formation
protein
DNA
adducts
contribute
cancer
progression.
However,
2-hydroxy-
4-hydroxy-estrogens
O-methylated
derivatives
along
conjugated
play
cancer-protective
roles.
CYP17A1
CYP11A1,
biosynthesis
testosterone
precursors,
cancer,
whereas
conversion
5α-dihydrotestosterone
sustained
activation
mutation
androgen
receptor
implicated
metastatic
castration-resistant
(CRPC).
enzymatic
activities
influenced
gene
polymorphisms,
although
significant
portion
them
have
no
effects.
polymorphisms
determine
poor,
intermediate,
rapid,
ultrarapid
metabolizer
genotypes,
affect
susceptibility.
Despite
limited
statistically
data,
associations
between
risk,
tumor
size,
status
among
various
populations
been
demonstrated.
Conclusions:
metabolic
diversity
dual
character
effects
underlie
implications
in,
preliminarily,
Variations
interindividual
variability
provides
options
for
personalized
therapy.
Language: Английский