Publications by authors named "Alexandru Tirpe"

Pancreatic cancer (PC) is an intricate malignancy with poor prognosis. In the present state of the art review paper and clinical trial trend analysis, we explore the current clinically employed state of pancreatic cancer body of knowledge and future research directions. When considering PDACs' molecular biology, we underline the role of PanIN in carcinogenesis and mutational gain, as well as the distinctive tumor microenvironment with the characteristic dense fibrotic stroma.

View Article and Find Full Text PDF

Glioblastoma remains one of the most aggressive cancers of the brain, warranting new methods for early diagnosis and more efficient treatment options. Circular RNAs (circRNAs) are rather new entities with increased stability compared to their linear counterparts that interact with proteins and act as microRNA sponges, among other functions. Herein, we provide a critical overview of the recently described glioblastoma-related circRNAs in the literature, focusing on their roles on glioblastoma cancer cell proliferation, survival, migration, invasion and metastasis, metabolic reprogramming, and therapeutic resistance.

View Article and Find Full Text PDF

Semaphorins are regulatory molecules that are linked to the modulation of several cancer processes, such as angiogenesis, cancer cell invasiveness and metastasis, tumor growth, as well as cancer cell survival. Semaphorin (SEMA) activity depends on the cancer histotypes and their particularities. In broad terms, the effects of SEMAs result from their interaction with specific receptors/co-receptors - Plexins, Neuropilins and Integrins - and the subsequent effects upon the downstream effectors (e.

View Article and Find Full Text PDF

Long non-coding RNAs (lncRNA) have recently been identified as key regulators of oxidative stress in several malignancies. The level of reactive oxygen species (ROS) must be constantly regulated to maintain cancer cell proliferation and chemoresistance and to prevent apoptosis. This review will discuss how lncRNAs alter the ROS level in cancer cells.

View Article and Find Full Text PDF

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare disease in which the right ventricular myocardium is replaced by islands of fibro-adipose tissue. Therefore, ventricular re-entry circuits can occur, predisposing the patient to ventricular tachyarrhythmias, as well as dilation of the right ventricle that eventually leads to heart failure. Although it is a rare disease with low prevalence in Europe and the United States, many patients are addressed disproportionately for cardiac magnetic resonance imaging (MRI).

View Article and Find Full Text PDF
Article Synopsis
  • * Vibration-controlled transient elastography (VCTE) is a new, noninvasive method that measures liver stiffness and ultrasonic attenuation, helping doctors assess liver damage and guide treatment.
  • * While VCTE is useful for evaluating liver health before HCV treatment, its effectiveness in tracking improvement post-treatment is limited, indicating a need for further research in this area.
View Article and Find Full Text PDF

Atherosclerosis is a key pathological process that causes a plethora of pathologies, including coronary artery disease, peripheral artery disease, and ischemic stroke. The silent progression of the atherosclerotic disease prompts for new surveillance tools that can visualize, characterize, and provide a risk evaluation of the atherosclerotic plaque. Conventional ultrasound methods-bright (B)-mode US plus Doppler mode-provide a rapid, cost-efficient way to visualize an established plaque and give a rapid risk stratification of the patient through the Gray-Weale standardization-echolucent plaques with ≥50% stenosis have a significantly greater risk of ipsilateral stroke.

View Article and Find Full Text PDF
Article Synopsis
  • Global statistics indicate a rising number of patients developing non-alcoholic fatty liver disease (NAFLD) and related liver cancer (HCC) without cirrhosis.
  • This review assesses the effectiveness of ultrasound (US) for diagnosing NAFLD and HCC, highlighting the potential of artificial intelligence (AI) to improve screening accuracy.
  • While conventional US is the primary tool for NAFLD assessment, its limitations can be overcome by using ultrasound contrast agents (UCAs) and leveraging AI technology, which may significantly enhance patient diagnosis and treatment.
View Article and Find Full Text PDF

GLOBOCAN 2018 identified lung cancer as the leading oncological pathology in terms of incidence and mortality rates. Angiogenesis is a key adaptive mechanism of numerous malignancies that promotes metastatic spread in view of the dependency of cancer cells on nutrients and oxygen, favoring invasion. Limitation of the angiogenic process could significantly hamper the disease advancement through starvation of the primary tumor and impairment of metastatic spread.

View Article and Find Full Text PDF
Article Synopsis
  • The rise of non-alcoholic fatty liver disease (NAFLD) highlights the need for doctors to quickly identify and manage the condition before it advances to severe liver issues like cirrhosis and cancer.
  • This review discusses how ultrasound elastography can enhance traditional ultrasound by measuring liver stiffness, aiding in the assessment and diagnosis of NAFLD and related liver cancers.
  • While techniques like vibration controlled transient elastography (VCTE) and 2D-Shear wave elastography (2D-SWE) are effective in assessing liver stiffness and steatosis, elastography is not a replacement for biopsy, but it helps detect patients at risk for cancer early, improving long-term outcomes.
View Article and Find Full Text PDF

Advancement in cancer research has shown that the tumor microenvironment plays a crucial role in the installation, progression, and dissemination of cancer cells. Among the heterogeneous panel of cells within the malignant microenvironment are tumor-associated macrophages that are sustaining the malignant cells through strict feedback mechanisms and spatial distribution. Considering that the presence of metastasis is one of the main feature associated with decreased survival rates among patients, in the present article we briefly present the involvement of tumor-associated macrophages in the hallmarks of metastasis and their microRNA-related regulation with a focus on lung cancer in order to coordinate the vast information under one pathology.

View Article and Find Full Text PDF

Hypoxia represents a frequent player in a number of malignancies, contributing to the development of the neoplastic disease. This review will discuss the means by which hypoxia powers the mechanisms behind cancer progression, with a majority of examples from lung cancer, the leading malignancy in terms of incidence and mortality rates (the frequent reference toward lung cancer is also for simplification purposes and follow up of the global mechanism in the context of a disease). The effects induced by low oxygen levels are orchestrated by hypoxia-inducible factors (HIFs) which regulate the expression of numerous genes involved in cancer progression.

View Article and Find Full Text PDF