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麻醉与长期癌症结局:表观遗传学是否可能成为胰腺癌的关键?

Anesthetics and Long Term Cancer Outcomes: May Epigenetics Be the Key for Pancreatic Cancer?

机构信息

ESAIC Mentorship Program, BE-1000 Brussels, Belgium.

The European Platform for Research Outcomes after PerIoperative Interventions in Surgery for Cancer Research Group (Euro-Periscope): The Onco-Anaesthesiology Research Group (RG), BE-1000 Brussels, Belgium.

出版信息

Medicina (Kaunas). 2022 Aug 14;58(8):1102. doi: 10.3390/medicina58081102.

DOI:10.3390/medicina58081102
PMID:36013569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9414834/
Abstract

Knowledge shows a divergence of results between preclinical and clinical studies regarding anesthesia and postoperative progression of cancer. While laboratory and animal data from then 2000s onwards raised much enthusiasm in this field of research leading to several clinical investigations worldwide, data from randomized trials seem to have killed off hope for many scientists. However several aspects of the actual knowledge should be reevaluated and there is space for new strategies of investigation. In this paper, we perform a critical review of actual knowledge and propose new research strategies with a special focus on anesthetic management and repurposed anesthetic adjuvants for pancreatic cancer.

摘要

知识表明,麻醉和癌症术后进展方面的临床前和临床研究结果存在差异。虽然 21 世纪初以来的实验室和动物数据在该研究领域引起了广泛关注,并导致全球范围内进行了多项临床研究,但随机试验的数据似乎使许多科学家失去了希望。然而,实际知识的几个方面应该重新评估,并且有空间采用新的研究策略。本文对现有知识进行了批判性回顾,并提出了新的研究策略,特别关注胰腺癌的麻醉管理和重新定位的麻醉佐剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2a/9414834/d905ff8426fd/medicina-58-01102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2a/9414834/d905ff8426fd/medicina-58-01102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2a/9414834/d905ff8426fd/medicina-58-01102-g001.jpg

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本文引用的文献

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2
Endoscopic ultrasonography-guided celiac plexus neurolysis in patients with unresectable pancreatic cancer: An update.内镜超声引导下腹腔神经丛阻滞术治疗不可切除胰腺癌患者的研究进展
World J Gastrointest Endosc. 2021 Oct 16;13(10):460-472. doi: 10.4253/wjge.v13.i10.460.
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An Exploratory Pilot Study of Changes in Global DNA Methylation in Patients Undergoing Major Breast Surgery Under Opioid-Based General Anesthesia.
一项关于接受基于阿片类药物的全身麻醉下进行乳房大手术患者的全球DNA甲基化变化的探索性初步研究。
Front Pharmacol. 2021 Sep 21;12:733577. doi: 10.3389/fphar.2021.733577. eCollection 2021.
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Regional anesthesia and cancer recurrence in patients with late-stage cancer: a systematic review and meta-analysis.晚期癌症患者区域麻醉与癌症复发:一项系统评价与荟萃分析
Chin Med J (Engl). 2021 Sep 29;134(20):2403-2411. doi: 10.1097/CM9.0000000000001676.
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J Clin Med. 2021 Sep 15;10(18):4163. doi: 10.3390/jcm10184163.
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