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宫颈癌治疗期间治疗性触摸的代谢效应:一项探索性分析。

Metabolic Effects of Healing Touch During Cervical Cancer Treatment: An Exploratory Analysis.

作者信息

van Wietmarschen Herman A, Area-Gomez Estela, Picard Martin, Goodheart Michael J, Sood Anil K, Lutgendorf Susan K

机构信息

Louis Bolk Institute, The Netherlands.

University of Madrid, Madrid, Spain.

出版信息

Integr Cancer Ther. 2025 Jan-Dec;24:15347354251367793. doi: 10.1177/15347354251367793. Epub 2025 Sep 4.

Abstract

INTRODUCTION

Cancer treatment with chemotherapy frequently leads to side effects such as fatigue, pain, nausea, and anxiety. Healing Touch is a non-invasive complementary therapy often used by cancer patients to address side effects of treatment. To better inform the use of complementary therapies, there is a need to understand the biological mechanisms underlying the effects of such treatments.

METHODS

This study included 44 patients with cervical cancer undergoing chemoradiation randomized into a Healing Touch (HT), a relaxation training (RT) and a usual care (UC) group. An exploratory metabolomics analysis was conducted on plasma samples taken at baseline, 4, and 6 weeks of ongoing treatment (4 sessions per week).

RESULTS

A multivariate data analysis revealed no significant separation in metabolites between the 3 groups. Univariate data analysis revealed changes in metabolites between baseline and week 6 within each group. The main findings were lower levels of acylcarnitines, bile acids and proline in the HT group, higher levels of fatty acids in the HT and RT groups, and lower levels of kynurenine and quinolate in the UC group. The network of correlations between metabolites shows clear differences in correlations between steroids, fatty acids, sphyngomyelins, amino acids, and γ glutamyl peptides between the 3 groups, suggesting a more flexible and resilient metabolism in the HT and RT groups compared with UC.

CONCLUSION

This first exploratory study investigating metabolic effects of Healing Touch in cancer patients indicated suggestive differences in metabolic signatures which need further investigation in a larger study.

摘要

引言

化疗治疗癌症常常会导致疲劳、疼痛、恶心和焦虑等副作用。抚触疗法是一种非侵入性的辅助疗法,癌症患者常使用它来应对治疗的副作用。为了更好地指导辅助疗法的使用,有必要了解此类治疗效果背后的生物学机制。

方法

本研究纳入了44例接受放化疗的宫颈癌患者,将其随机分为抚触疗法(HT)组、放松训练(RT)组和常规护理(UC)组。对在基线、治疗进行到第4周和第6周(每周4次治疗)时采集的血浆样本进行了探索性代谢组学分析。

结果

多变量数据分析显示,3组之间的代谢物没有明显分离。单变量数据分析显示,每组内基线和第6周之间代谢物有变化。主要发现为,HT组中酰基肉碱、胆汁酸和脯氨酸水平较低,HT组和RT组中脂肪酸水平较高,UC组中犬尿氨酸和喹啉酸水平较低。代谢物之间的相关性网络显示,3组之间类固醇、脂肪酸、鞘磷脂、氨基酸和γ-谷氨酰肽之间的相关性存在明显差异,这表明与UC组相比,HT组和RT组的代谢更灵活且更具弹性。

结论

这项首次探索性研究调查了抚触疗法对癌症患者的代谢影响,结果表明代谢特征存在提示性差异,需要在更大规模的研究中进一步调查。

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