Zebrafish Avatars of rectal cancer patients validate the radiosensitive effect of metformin.

metformin neoadjuvant chemoradiation radiotherapy rectal cancer zebrafish Avatars

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2022
Historique:
received: 26 01 2022
accepted: 23 08 2022
entrez: 17 10 2022
pubmed: 18 10 2022
medline: 18 10 2022
Statut: epublish

Résumé

Neoadjuvant chemoradiation (nCRT) followed by surgery represents the standard of care in patients with locally advanced rectal cancer. Increasing radiotherapy (RT) doses and chemotherapy cycles with 5FU have been associated with increased rates of complete response, however these strategies imply significant toxicity. In the last years, epidemiologic findings have demonstrated that metformin is associated with significantly higher rates of pathological complete response to nCRT. Also, pre-clinical studies using cell lines provide evidence for the radiosensitive effect of metformin. However, no studies have been performed using rectal cancer patient samples to test this radiosensitive effect of metformin and compared it to the standard 5FU. Here, we designed an experimental study to compare both radiosensitizers in the zebrafish xenograft model (zAvatar), using rectal cancer surgical specimens and diagnostic biopsies. Patient zAvatars confirmed that metformin has indeed a powerful

Identifiants

pubmed: 36249066
doi: 10.3389/fonc.2022.862889
pmc: PMC9554544
doi:

Types de publication

Journal Article

Langues

eng

Pagination

862889

Informations de copyright

Copyright © 2022 Costa, Fernandez, Parés, Rio-Tinto, Santiago, Castillo-Martin, Parvaiz and Fior.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Bruna Costa (B)

Champalimaud Research, Champalimaud Foundation, Lisbon, Portugal.

Laura M Fernandez (LM)

Colorectal Surgery Department, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.

Oriol Parés (O)

Radiation Oncology Department, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.

Ricardo Rio-Tinto (R)

Gastroenterology Department, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.

Inês Santiago (I)

Radiology Department, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.

Mireia Castillo-Martin (M)

Pathology Service, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.

Amjad Parvaiz (A)

Colorectal Surgery Department, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.

Rita Fior (R)

Champalimaud Research, Champalimaud Foundation, Lisbon, Portugal.

Classifications MeSH