Publications by authors named "Funel N"

Differentiating between pancreatic ductal adenocarcinoma (PDAC) and cholangiocarcinoma (CCA) is crucial for the appropriate course of treatment, especially with advancements in the role of neoadjuvant chemotherapies for PDAC, compared to CCA. Furthermore, benign pancreaticobiliary diseases can mimic malignant disease, and indeterminate lesions may require repeated investigations to achieve a diagnosis. As bile flows in close proximity to these lesions, we aimed to establish a bile-based microRNA (miRNA) signature to discriminate between malignant and benign pancreaticobiliary diseases.

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There are different cancers in the peri-ampullary region, including pancreatic ductal adenocarcinoma (PDAC), duodenum cancers (DCs), and ampullary adenocarcinoma (AAC). Here, significant morphological-molecular characterizations should be necessary for the distinction of primary tumours and classifications of their subtypes of cancers. The sub classification of AACs might include up to five different variants, according to different points of view, concerning the prevalence of the two more-cellular components found in the ampulla.

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Despite progress in genomic characterization, no single prognostic marker that can be evaluated using an easy-to-perform and relatively inexpensive method is available for pancreatic ductal adenocarcinoma (PDAC). MicroRNAs, which are stable, tumor- and tissue-specific molecules, are potentially ideal biomarkers, and we established an inter-laboratory validated method to investigate miR-21 as a prognostic biomarker in PDAC. The study samples of PDAC patients were recruited from a test cohort of Glasgow (n = 189) and three validation cohorts of Pisa (n = 69), Sydney (n = 249), and International Cancer Genome Consortium (ICGC) (n = 249).

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eNOS-deficient mice were previously shown to develop hypertension and metabolic alterations associated with insulin resistance either in standard dietary conditions (eNOS-/- homozygotes) or upon high-fat diet (HFD) (eNOS+/- heterozygotes). In the latter heterozygote model, the present study investigated the pancreatic morphological changes underlying the abnormal glycometabolic phenotype. C57BL6 wild type (WT) and eNOS+/- mice were fed with either chow or HFD for 16 weeks.

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  • Researchers found that a protein called PrPc might help explain why pancreatic tumors are aggressive.
  • They studied this protein in 45 patients with suspected pancreatic cancer to see if its levels were linked to how well patients did after surgery.
  • They used special techniques to check how much PrPc was in the cancer cells and learned more about the disease's behavior and patient outcomes.
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  • The study examines the relationship between mitochondrial metabolism and pancreatic ductal adenocarcinoma (PDAC) risk, highlighting a lack of previous systematic investigations into the genetic variability associated with this link.
  • A two-phase analysis was conducted on a large group of almost 56,000 individuals, focusing on both mitochondrial and nuclear genetic variations related to mitochondrial function.
  • The results showed no significant association between genetic variations (n-mtSNPs or mtSNPs) and PDAC risk, suggesting that mitochondrial metabolism may not play a significant role in PDAC etiology despite prior hypotheses.
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Wound dressings are high performance and high value products which can improve the regeneration of damaged skin. In these products, bioresorption and biocompatibility play a key role. The aim of this study is to provide progress in this area via nanofabrication and antimicrobial natural materials.

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It is increasingly evident the necessity of new predictive tools for the treatment of pancreatic ductal adenocarcinoma in a personalized manner. We present a co-clinical trial testing the predictiveness of zPDX (zebrafish patient-derived xenograft) for assessing if patients could benefit from a therapeutic strategy (ClinicalTrials.gov: XenoZ, NCT03668418).

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  • The study investigates the outcomes of conservative surgery (CS) versus total pancreatectomy (TP) for treating intraductal papillary mucinous neoplasms (IPMNs), a type of pancreatic tumor, through a retrospective analysis of patient data from 2007 to 2019.
  • A total of 126 patients were analyzed: 53 underwent TP and 73 underwent CS, with both groups showing similar postoperative complications and no significant differences in overall survival (OS) or disease-free survival (DFS).
  • The findings suggest that conservative surgery may be a viable option for most patients with IPMNs, potentially reducing the risk of severe complications associated with more extensive surgical procedures.
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Background: Pancreatic ductal adenocarcinoma (PDAC) is a very lethal disease, with minimal therapeutic options. Aberrant tyrosine kinase activity influences tumor growth and is regulated by phosphorylation. We investigated phosphorylated kinases as target in PDAC.

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  • Serous cysto-adenoma (SCA) is a rare benign pancreatic tumor that can look like other serious pancreatic conditions, such as neuroendocrine tumors.
  • In a case study, a 63-year-old man had a 7 cm pancreatic lesion; initial tests were inconclusive, but a 68Ga-DOTA-peptide PET scan indicated a potential neuroendocrine tumor.
  • After surgery, the final diagnosis revealed it was actually a micro-cystic SCA, highlighting the need for careful assessment to avoid misdiagnosis and unnecessary treatment of such tumors.
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Background: Ampullary adenocarcinomas (AACs) are heterogeneous tumors currently classified into three important sub-classes (SC): Intestinal (INT), Pancreato-Biliary (PB) and Mixed-Type (MT). The different subgroups have similar clinical presentation and are treated by pancreatoduodenectomy with curative intent. However, they respond differently to chemotherapy and have different prognostic outcomes.

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Purpose: Despite extensive biological and clinical studies, including comprehensive genomic and transcriptomic profiling efforts, pancreatic ductal adenocarcinoma (PDAC) remains a devastating disease, with a poor survival and limited therapeutic options. The goal of this study was to assess co-expressed PDAC proteins and their associations with biological pathways and clinical parameters.

Methods: Correlation network analysis is emerging as a powerful approach to infer tumor biology from omics data and to prioritize candidate genes as biomarkers or drug targets.

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  • Prion proteins (PrPc) may play a role in the development of pancreatic ductal adenocarcinoma (PDAC) and could serve as a new biomarker for the disease.
  • A study analyzed tissue samples from 23 PDAC patients, revealing significantly higher levels of PrPc in tumor tissues compared to control tissues, supporting its potential link to cancer progression.
  • The presence of PrPc was associated with perineural invasion and cancer stage, indicating its possible involvement in tumor aggressiveness and cancer stemness.
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  • Pancreatic ductal adenocarcinoma (PDAC) is marked by a low number of cancer cells surrounded by a significant amount of stroma, which includes nontumor cells and other components and impacts patient outcomes.
  • A detailed proteomic analysis using laser-capture microdissection (LCM) revealed the largest set of proteins associated with PDAC, highlighting the importance of analyzing these distinct compartments separately.
  • The study identified specific proteins, such as CALB2 in tumor cells and COL11A1 in stroma, as potential prognostic markers, and examined the role of the tumor receptor EPHA2 in the behavior of cancer cells, demonstrating the necessity of compartment-specific analysis for understanding PDAC.
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  • The study focuses on improving chemotherapy prediction for pancreatic ductal adenocarcinoma (PDAC) patients through personalized medicine by developing a zebrafish embryo model as a patient avatar.
  • Tumor tissue from surgical patients is transplanted into zebrafish embryos, allowing researchers to test chemotherapy responses in a live environment.
  • The effectiveness of various chemotherapy treatments is monitored by measuring changes in the fluorescent area of the transplanted tumor tissue over time, providing insight into potential treatment outcomes for individual patients.
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  • The study investigates the relationship between hypoxia, the proton-coupled folate transporter (PCFT), and the survival rates of mesothelioma patients treated with pemetrexed, highlighting the role of glycolytic gene expression under low oxygen conditions.
  • It reveals that low PCFT levels and high expression of the hypoxia marker CAIX result in decreased effectiveness of pemetrexed, while upregulation of lactate dehydrogenase-A (LDH-A) correlates with shorter patient survival.
  • The research also shows that novel LDH-A inhibitors can enhance the effectiveness of chemotherapy and exhibit significant anti-tumor activity in preclinical models, suggesting their potential as therapeutic agents.
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Matrix metalloproteinases (MMPs) are a large family of ubiquitously expressed zinc-dependent enzymes with proteolitic activities. They are expressed in physiological situations and pathological conditions involving inflammatory processes including epithelial to mesenchymal transition (EMT), neuronal injury, and cancer. There is also evidence that MMPs regulate inflammation in tumor microenvironment, which plays an important role in healing tissue processes.

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Animal "avatars" and co-clinical trials are being developed for possible use in personalized medicine in oncology. In a co-clinical trial, the cancer cells of the patient's tumor are xenotransplanted into the animal avatar for drug efficacy studies, and the data collected in the animal trial are used to plan the best drug treatment in the patient trial. Zebrafish have recently been proposed for implementing avatar models, however the lack of a general criterion for the chemotherapy dose conversion from humans to fish is a limitation in terms of conducting co-clinical trials.

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A new series of eighteen imidazo [2,1-b] [1,3,4]thiadiazole derivatives was efficiently synthesized and screened for antiproliferative activity against the National Cancer Institute (NCI-60) cell lines panel. Two out of eighteen derivatives, compounds 12a and 12h, showed remarkably cytotoxic activity with the half maximal inhibitory concentration values (IC) ranging from 0.23 to 11.

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A new series of imidazo[2,1-][1,3,4]thiadiazole derivatives was efficiently synthesized and screened for their antiproliferative activity on a panel of pancreatic ductal adenocarcinoma (PDAC) cells, including SUIT-2, Capan-1 and Panc-1. Compounds and , showed relevant antiproliferative activity on all three pre-clinical models with half maximal inhibitory concentration (IC) ranging from 5.11 to 10.

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  • Many people with pancreatic cancer find out they are sick when the cancer is already very advanced, and the treatments available now don’t help them very much and can cause bad side effects.
  • Scientists are looking at tiny molecules called microRNAs (miRNAs) in blood to see if they can help predict how well treatments will work and whether they can target cancer metabolism problems.
  • There are new promising treatments that focus on fixing these metabolism problems, and researchers hope that by using miRNAs to guide treatment choices, doctors can do a better job treating pancreatic cancer patients.
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  • Cancer metastasis starts when tumor cells spread from the original tumor, relying on metabolic changes for growth and survival, particularly via a process called aerobic glycolysis, or the Warburg effect.
  • This process involves faster glucose oxidation, which leads to more lactate production and influences the immune response, while surrounding cells enhance the metastasis-promoting features.
  • Targeting glycolysis with therapies like LDH-A inhibitors shows promise against various cancers, potentially leading to less toxic treatments and improved outcomes when combined with agents like vitamin C to further impede cancer cell survival and invasion.
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Accurate diagnosis of pancreatic head lesions remains challenging as no minimally invasive biomarkers are available to discriminate distal cholangiocarcinoma (CCA) from pancreatic ductal adenocarcinoma (PDAC). The aim of this study is to identify specific circulating microRNAs (miRNAs) to diagnose distal CCA. In the discovery phase, PCR profiling of 752 miRNAs was performed on fourteen patients with distal CCA and age- and sex-matched healthy controls.

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