Scar tissue to lung cancer; pathways and treatment
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Published on: April 28, 2022
Konstantinos Sapalidis1, Chrysanthi Sardeli2, Efstathios Pavlidis1
1Third Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.
Abstract:
Lung cancer still remains diagnosed at a late stage although we have novel diagnostic techniques at our disposal. However; for metastatic disease we have novel therapies based on pharmacogenomics. Tumor heterogenity provides us different treatments. There are several reasons for carcinogenesis; fibrosis and scar tissue provides an environment that induces malignancy. In the current review we will try and elucidate the pathways involved from scar tissue to carcinogenesis.
Insights
Late-stage lung cancer diagnosis persists despite advanced techniques. This review explores how scar tissue and fibrosis may drive carcinogenesis, offering insights into novel therapeutic targets.
Area of Science:
- Oncology
- Pathology
- Molecular Biology
Background:
- Lung cancer is frequently diagnosed at late stages, limiting treatment efficacy.
- Novel pharmacogenomic therapies are available for metastatic disease, but tumor heterogeneity poses challenges.
- Fibrosis and scar tissue create microenvironments that can promote malignancy.
Purpose of the Study:
- To elucidate the molecular pathways linking scar tissue to lung carcinogenesis.
- To understand the role of the tumor microenvironment in cancer development.
Main Methods:
- Literature review of existing research on fibrosis, inflammation, and lung cancer.
- Analysis of molecular mechanisms involved in scar-induced carcinogenesis.
- Exploration of pharmacogenomic approaches in the context of tumor heterogeneity.
Main Results:
- Scar tissue and associated inflammation create a pro-carcinogenic microenvironment.
- Specific signaling pathways are activated in fibrotic tissue, promoting cell proliferation and oncogenesis.
- Tumor heterogeneity necessitates personalized treatment strategies.
Conclusions:
- Fibrotic changes in lung tissue are a significant risk factor for carcinogenesis.
- Targeting scar tissue-related pathways may offer new avenues for early intervention and treatment.
- Understanding these pathways is crucial for developing effective lung cancer therapies.
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