CLINICAL ASPECTS IN TRANSLATIONAL RESEARCH ON GASTRIC TUMORIGENESIS AND DEVELOPMENT OF NEW TREATMENTS

G. Andersen, Chin-Mei Zhao, Jon Erik Grønbech, Yijiang Chen, Oksana Zayachkivska, O. Røe, Duan Chen
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Abstract

This brief communication presented a dissertation of PhD thesis on translational research using state-of-the-art methods of multi-disciplinary integrations between basic and clinical research and between dry- (computational) and wet- (experimental and clinical) investigations. The findings showed possible causal association between neural innervation and tumorigenesis of gastric cancer via Wnt signaling and metabolic reprogramming within the tumor microenvironment. Accordingly, selective vagotomy, Botulinum neurotoxin type A (injection into the tumor areas), RAD001 (also known as Everolimus), CPI-613 (devimistat) and ivermectin were found to be potential for treatment of gastric cancer. The assessment showed that this translational research approach guaranteed the efficient development of novel knowledge in fundamental medical sciences, and that the identification of the role of vagal innervation and the possibilities of its modulation during gastric tumorigenesis represented valuable contributions to the fields of gastroenterology and cancer research. Possible roles of angiogenesis vs neurogenesis and brain-gut axis would be worth exploring in further research.
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胃肿瘤发生转化研究和新疗法开发中的临床问题
这篇简短的通讯介绍了一篇关于转化研究的博士论文,论文采用了最先进的方法,将基础研究与临床研究、干法研究(计算)与湿法研究(实验与临床)进行了多学科整合。研究结果表明,通过Wnt信号转导和肿瘤微环境中的代谢重编程,神经支配与胃癌的肿瘤发生之间可能存在因果关系。因此,选择性迷走神经切断术、A型肉毒杆菌神经毒素(注射到肿瘤部位)、RAD001(又称埃维莫司)、CPI-613(devimistat)和伊维菌素被认为是治疗胃癌的潜在药物。评估结果表明,这种转化研究方法保证了基础医学新知识的有效开发,而迷走神经支配在胃肿瘤发生过程中的作用及其调节可能性的确定,则是对胃肠病学和癌症研究领域的宝贵贡献。血管生成与神经发生以及脑-肠轴的可能作用值得进一步研究探讨。
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