Review
Oncology
Blanca Cucarull, Anna Tutusaus, Patricia Rider, Tania Hernaez-Alsina, Carlos Cuno, Pablo Garcia de Frutos, Anna Colell, Montserrat Mari, Albert Morales
Summary: Hepatocellular carcinoma (HCC) is the most common form of liver cancer with poor prognosis and increasing incidence. Recent advances in systemic treatment options, including tyrosine kinase inhibitors, antiangiogenic antibodies, and immune checkpoint inhibitors, have provided hope for HCC patients. Understanding the specific molecular mechanisms that influence tumor growth and immune control in HCC is crucial for physician decision-making and developing effective treatments.
Review
Gastroenterology & Hepatology
Lorenza Rimassa, Richard S. Finn, Bruno Sangro
Summary: Single-agent immune checkpoint inhibitors (ICIs) have limited efficacy in advanced hepatocellular carcinoma (HCC) patients, and approximately 30% of patients show intrinsic resistance to ICIs. Therefore, researchers are exploring combination therapies, such as anti-angiogenic agents and other ICIs. Some trials have shown promising results and potential for clinical application. However, there are still many unanswered questions that require further research.
JOURNAL OF HEPATOLOGY
(2023)
Review
Immunology
Yue Chen, Haoyue Hu, Xianglei Yuan, Xue Fan, Chengda Zhang
Summary: Hepatocellular carcinoma (HCC) is a challenging cancer to treat, but the application of immune checkpoint inhibitors (ICIs) has brought new hope. Combination therapies involving antiangiogenic drugs and ICIs or two ICIs may have a synergistic action and have shown greater efficacy in advanced HCC.
FRONTIERS IN IMMUNOLOGY
(2022)
Article
Oncology
Dong Wang, Jia Luo, YiMing Tao
Summary: Based on in-depth research on the tumor microenvironment, the tumor stroma has been found to have a significant impact on malignant tumor behavior, and there is a relationship between PD-L1 and the tumor stroma. The tumor-stroma ratio (TSR) is considered as a novel prognostic factor in many cancers. This study aims to evaluate the clinical value of TSR and PD-L1 in hepatocellular carcinoma (HCC) patients.
Review
Biochemistry & Molecular Biology
Nicolo Brandi, Matteo Renzulli
Summary: Immunotherapy combined with locoregional therapies has revolutionized the treatment of advanced HCC by selectively targeting immune cells and enhancing immunity. This combination has the potential to improve patients' outcomes, reduce recurrence rates, and enhance the efficacy of immunotherapy by altering the tumor immune microenvironment. However, many unanswered questions remain regarding the optimal treatment strategies and patient identification for this combined approach.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Review
Oncology
Satoru Hagiwara, Naoshi Nishida, Masatoshi Kudo
Summary: Immunotherapy for hepatocellular carcinoma (HCC) is rapidly advancing, with a focus on analyzing the tumor immune environment and developing custom-made treatments. Understanding the immune environment of HCC is vital for selecting appropriate immune checkpoint inhibitors (ICIs) and managing their side effects. This summary aims to review the progress of immunotherapy in HCC and its implications for future treatment.
Article
Oncology
Jeffrey Sum-Lung Wong, Yawen Dong, Vikki Tang, Thomas Leung, Cynthia S. Y. Yeung, Anna Tai, Ada Law, Tracy Shum, Gerry Gin-Wai Kwok, Bryan Cho-Wing Li, Roland Leung, Joanne Chiu, Ka-Wing Ma, Wong-Hoi She, Josephine Tsang, Tan-To Cheung, Thomas Yau
Summary: Cabozantinib showed good anti-tumor activity, survival benefits, and acceptable tolerability in real-life advanced HCC patients. The study evaluated the real-world use, efficacy, and safety of cabozantinib in aHCC patients.
Review
Immunology
Rohini Sharma, Leila Motedayen Aval
Summary: The treatment landscape for hepatocellular cancer (HCC) has shifted with the introduction of immune checkpoint inhibitors (ICIs) showing potential for improved survival in first-line treatment. However, response rates to ICIs are limited and patients will still progress. The optimal second-line therapies following exposure to ICIs remain unclear.
FRONTIERS IN IMMUNOLOGY
(2021)
Review
Oncology
Mengke Niu, Ming Yi, Ning Li, Kongju Wu, Kongming Wu
Summary: Hepatocellular carcinoma (HCC) is a significant global health issue, and targeted therapy has made a breakthrough in treating advanced HCC. The combination of targeted therapy with immune checkpoint inhibitors shows more potent anticancer effects.
FRONTIERS IN ONCOLOGY
(2021)
Article
Oncology
Francesco Tovoli, Vincenzo Dadduzio, Stefania De Lorenzo, Lorenza Rimassa, Gianluca Masi, Massimo Iavarone, Fabio Marra, Ingrid Garajova, Maria Pia Brizzi, Bruno Daniele, Franco Trevisani, Carlo Messina, Francesco Di Clemente, Sara Pini, Giuseppe Cabibbo, Alessandro Granito, Mario Domenico Rizzato, Vittorina Zagonel, Giovanni Brandi, Tiziana Pressiani, Piera Federico, Caterina Vivaldi, Irene Bergna, Claudia Campani, Fabio Piscaglia
Summary: Real-life data of cabozantinib for hepatocellular carcinoma in Italy showed comparable efficacy and safety with its registration trial. Factors such as macrovascular invasion, performance status, and alpha-fetoprotein level were associated with worse overall survival, while discontinuation for intolerance and absence of new extrahepatic lesions at progression were linked to better outcomes for patients.
Review
Immunology
Hao Jiang, Jian Liao, Liezhi Wang, Chong Jin, Jinggang Mo, Sheng Xiang
Summary: Axitinib, as an oral tyrosine kinase inhibitor, shows promising anti-tumoral effects in advanced hepatocellular carcinoma (HCC). It does not prolong overall survival, but improves progression free survival and time to tumor progression. Axitinib's biochemical effects in HCC may be regulated by associated genes and affected signaling cascades. More studies are needed to explore its potential in combination therapy for advanced HCC.
FRONTIERS IN IMMUNOLOGY
(2023)
Review
Immunology
Rui Xing, Jinping Gao, Qi Cui, Qian Wang
Summary: Hepatocellular carcinoma (HCC) is a deadly malignancy diagnosed late with limited treatment options and poor prognosis. Combination therapies involving multiple ICIs, antiangiogenic drugs, and locoregional treatments have become a new strategy for HCC treatment, aiming to improve efficacy through synergistic effects.
FRONTIERS IN IMMUNOLOGY
(2021)
Review
Oncology
Xin Qing, Wenjing Xu, Jingjing Zong, Xuanlong Du, Hao Peng, Yewei Zhang
Summary: Hepatocellular carcinoma is a common malignant tumor with high rates of recurrence and mortality, especially in advanced stages. Recent years have seen successful systemic therapies emerging for HCC, with immunotherapy showing promise. Development of combination therapies and targeted drugs focusing on specific pathways are improving prognosis for patients.
BIOMARKER RESEARCH
(2021)
Article
Oncology
Ze Zhang, Tianyu Jiao, Junfeng Li, Bingyang Hu, Wenwen Zhang, Zhijun Wang, Tao Wan, Yafei Wang, Shichun Lu
Summary: This study aimed to explore the potential efficacy of treatment based on TKIs in combination with PD-1 inhibitors for unresectable recurrent HCC. The results showed that the combination therapy of TKIs and PD-1 inhibitors can significantly prolong the survival of patients.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Biochemistry & Molecular Biology
Summer Sofer, Kevin Lamkiewicz, Shir Armoza Eilat, Shirly Partouche, Manja Marz, Neta Moskovits, Salomon M. Stemmer, Amir Shlomai, Ella H. Sklan
Summary: This study identified Hexokinase 1 (HK1) as a top candidate gene associated with tyrosine-kinase inhibitor (TKI) resistance in hepatoma cells. HK1 expression was upregulated in regorafenib-resistant cells, and an HK inhibitor resensitized resistant cells to TKI treatment. These findings suggest that HK1 may serve as a biomarker for treatment success in hepatocellular carcinoma.
Review
Biochemistry & Molecular Biology
Vinicio Carloni, Elisa Morganti, Andrea Galli, Antonio Mazzocca
Summary: Variation in chromosome structure is a major indicator of chromosomal instability, causing DNA damage and activating the DNA damage response. Cancer cells can use these mechanisms as an evolutionary mechanism to develop new functional assets under therapeutic pressure. Understanding the vulnerabilities in DNA damage response, chromatin changes, and inflammation can help predict treatment response and prevent the emergence of therapy resistant tumors.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Nutrition & Dietetics
Rossella Donghia, Pasqua Letizia Pesole, Sergio Coletta, Caterina Bonfiglio, Giovanni De Pergola, Sara De Nucci, Roberta Rinaldi, Gianluigi Giannelli
Summary: This study aimed to explore the differences in blood parameters and dietary habits in non-obese patients with and without steatosis. The prevalence of non-obese participants with steatosis was found to be 42.86%. Although there were many significant differences in blood parameters and dietary habits, a network analysis showed that the two groups had similar dietary habits, suggesting that pathophysiological, genetic, and hormonal patterns may play a role in their liver status, irrespective of weight.
Article
Nutrition & Dietetics
Michele Linsalata, Francesco Russo, Giuseppe Riezzo, Benedetta D'Attoma, Laura Prospero, Antonella Orlando, Antonia Ignazzi, Martina Di Chito, Annamaria Sila, Sara De Nucci, Roberta Rinaldi, Gianluigi Giannelli, Giovanni De Pergola
Summary: This study examined the effects of an 8-week very-low-calorie ketogenic diet (VLCKD) on the intestinal barrier of obese patients. The results showed weight loss and improvements in BMI and waist circumference after the diet. However, there was an increase in small intestinal permeability and dysbiosis markers, indicating a potential negative impact on the intestinal barrier function.
Article
Nutrition & Dietetics
Francesco Maria Calabrese, Giuseppe Celano, Caterina Bonfiglio, Angelo Campanella, Isabella Franco, Alessandro Annunziato, Gianluigi Giannelli, Alberto Ruben Osella, Maria De Angelis
Summary: Calorie-restrictive dietary interventions and physical activity regimens can reduce the progression of NAFLD, and there is a close relationship between liver function and gut microbiota.
Article
Nutrition & Dietetics
Sara De Nucci, Roberta Rinaldi, Martina Di Chito, Rossella Donghia, Vito Giannuzzi, Endrit Shahini, Raffaele Cozzolongo, Pasqua Letizia Pesole, Sergio Coletta, Giovanni De Pergola, Gianluigi Giannelli
Summary: The gold standard treatment for NAFLD is weight loss and lifestyle interventions, which involve dietary changes such as reducing sugar and saturated fat intake and increasing fiber consumption. This study aims to evaluate the effects of a diet enriched with green leafy vegetables and moderate carbohydrate restriction on NAFLD patients over a three month period.
Review
Oncology
Annalisa Schirizzi, Giampiero De Leonardis, Vincenza Lorusso, Rossella Donghia, Alessandro Rizzo, Simona Vallarelli, Carmela Ostuni, Laura Troiani, Ivan Roberto Lolli, Gianluigi Giannelli, Angela Dalia Ricci, Rosalba D'Alessandro, Claudio Lotesoriere
Summary: The incidence of biliary tract cancers is increasing, and researchers believe that blocking angiogenesis can create better conditions for immunotherapy. In addition, clinical trials are evaluating the treatment strategy of combining immunotherapy with angiogenesis inhibitors to improve treatment efficacy.
Article
Biochemistry & Molecular Biology
Antonio Lacalamita, Grazia Serino, Ester Pantaleo, Alfonso Monaco, Nicola Amoroso, Loredana Bellantuono, Emanuele Piccinno, Viviana Scalavino, Francesco Dituri, Sabina Tangaro, Roberto Bellotti, Gianluigi Giannelli
Summary: This study proposes a supervised learning framework based on hierarchical community detection and artificial intelligence to classify patients and controls with hepatocellular carcinoma (HCC). Through the method, 20 gene communities were identified that can discriminate between healthy and cancerous samples with an accuracy exceeding 90%. The study also applied explainable artificial intelligence to analyze the contribution of each gene in two biologically relevant communities to the classification task.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Biochemistry & Molecular Biology
Caecilia Sukowati, Loraine Kay D. Cabral, Beatrice Anfuso, Francesco Dituri, Roberto Negro, Gianluigi Giannelli, Claudio Tiribelli
Summary: This study investigates the potential of a combination strategy using immunotherapy and epigenetic reprogramming against hepatocellular carcinoma (HCC). The results show that combination therapy of PD-L1 silencing and 5-AZA treatment can effectively inhibit the growth of HCC cells, indicating its potential use as a treatment for heterogeneous HCC.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Nutrition & Dietetics
Sara De Nucci, Caterina Bonfiglio, Rosanna Donvito, Martina Di Chito, Nicole Cerabino, Roberta Rinaldi, Annamaria Sila, Endrit Shahini, Vito Giannuzzi, Pasqua Letizia Pesole, Sergio Coletta, Elsa Lanzilotta, Giuseppina Piazzolla, Raffaele Cozzolongo, Gianluigi Giannelli, Giovanni De Pergola
Summary: VLCKD can reduce overweight and improve fatty liver disease, as well as decrease low-grade inflammation in the body and the liver.
Article
Nutrition & Dietetics
Caterina Bonfiglio, Francesco Cuccaro, Angelo Campanella, Natalia Rosso, Rossella Tatoli, Gianluigi Giannelli, Rossella Donghia
Summary: This study demonstrates the protective effect of olive oil consumption against all causes of mortality, especially in individuals with non-alcoholic fatty liver disease. The protective power is greater for consumption over 40g/day in both the overall cohort and the sub-cohorts with and without NAFLD.
Article
Nutrition & Dietetics
Giuseppe Celano, Francesco Maria Calabrese, Giuseppe Riezzo, Benedetta D'Attoma, Antonia Ignazzi, Martina Di Chito, Annamaria Sila, Sara De Nucci, Roberta Rinaldi, Michele Linsalata, Mirco Vacca, Carmen Aurora Apa, Maria De Angelis, Gianluigi Giannelli, Giovanni De Pergola, Francesco Russo
Summary: Recent studies have further deepened the strong connection between gut microbiota and obesity. The effectiveness of the very-low-calorie ketogenic diet (VLCKD) in positively impacting host homeostasis has been measured, but little is known about its modification on the intestinal metabolome. This pilot study analyzed fecal and urinary metabolome in 25 obese patients undergoing VLCKD for eight weeks, revealing specific urinary and fecal metabolites that could be considered as a signature of partial restore toward host eubiosis.
Article
Cell Biology
Viviana Scalavino, Emanuele Piccinno, Anna Maria Valentini, Nicolo Schena, Raffaele Armentano, Gianluigi Giannelli, Grazia Serino
Summary: The study aimed to investigate the effect of miR-369-3p on the expression and activation of NLRP3 inflammasomes via BRCC3 regulation. The findings showed that increased miR-369-3p significantly reduced the expression of BRCC3, NLRP3, and ASC adaptor protein, resulting in decreased Caspase-1 activity and reduced cleavage of pro-IL-1β and pro-IL-18.
Article
Biochemistry & Molecular Biology
Annalisa Schirizzi, Aram Arshadi, Doron Tolomeo, Laura Schirosi, Anna Maria Valentini, Giampiero De Leonardis, Maria Grazia Refolo, Rossella Donghia, Clelia Tiziana Storlazzi, Alfredo Zito, Angela Dalia Ricci, Simona Vallarelli, Carmela Ostuni, Maria Bencivenga, Giovanni De Manzoni, Caterina Messa, Raffaele Armentano, Gianluigi Giannelli, Claudio Lotesoriere, Rosalba D'Alessandro
Summary: This study aims to investigate the role of VEGFA status as a predictive biomarker for the outcome of second-line therapy in patients with metastatic gastric cancer. The study found that overexpression of VEGFA is associated with high micro-vessel density and may predict the response to anti-angiogenic therapy.
Article
Biochemistry & Molecular Biology
Silvia Cagnin, Rossella Donghia, Andrea Martini, Pasqua Letizia Pesole, Sergio Coletta, Endrit Shahini, Giulia Boninsegna, Alessandra Biasiolo, Patrizia Pontisso, Gianluigi Giannelli
Summary: The GALAD score shows promise as a prognostic tool for hepatocellular carcinoma (HCC), with implications for improving patient management and treatment strategies.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Review
Oncology
Costanza Ballaro, Valeria Quaranta, Gianluigi Giannelli
Summary: Colorectal cancer is a common malignancy with a high mortality rate, mainly caused by colorectal liver metastasis. Communication between cancer cells and the environment plays a crucial role in creating a favorable tumor microenvironment, and this communication is mediated by soluble molecules such as cytokines. This review highlights the involvement of various cytokines in the development of colorectal liver metastases and emphasizes the complex nature of the cytokine milieu and its therapeutic implications.