2021
DOI: 10.3390/cancers13030574
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Challenges in Crohn’s Disease Management after Gastrointestinal Cancer Diagnosis

Abstract: Crohn’s disease (CD) is a chronic inflammatory bowel disease with a progressive course, potentially affecting the entire gastrointestinal tract from mouth to anus. Several studies have shown an increased risk of both intestinal and extra-intestinal cancer in patients with CD, due to long-standing transmural inflammation and damage accumulation. The similarity of symptoms among CD, its related complications and the de novo onset of gastrointestinal cancer raises difficulties in the differential diagnosis. In ad… Show more

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Cited by 9 publications
(5 citation statements)
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“…Interestingly, and despite the content of β-F1-ATPase is not increased in the whole cohort of LUAD studied [20], the analysis revealed that the subgroup of patients bearing carcinomas with the highest content of β-F1-ATPase had a worse prognosis when compared to the low content subgroup of patients [20], in agreement with a previous report [66]. Similar findings have been reported in large cohorts of breast [144] and melanoma [146] patients suggesting that, despite there being an overall limitation of OXPHOS in the carcinomas, mitochondrial bioenergetics is required for metastatic disease and cancer progression (see below) [131,154,155].…”
Section: Atp Synthase and The Bioenergetic Signature Of Cancersupporting
confidence: 89%
“…Interestingly, and despite the content of β-F1-ATPase is not increased in the whole cohort of LUAD studied [20], the analysis revealed that the subgroup of patients bearing carcinomas with the highest content of β-F1-ATPase had a worse prognosis when compared to the low content subgroup of patients [20], in agreement with a previous report [66]. Similar findings have been reported in large cohorts of breast [144] and melanoma [146] patients suggesting that, despite there being an overall limitation of OXPHOS in the carcinomas, mitochondrial bioenergetics is required for metastatic disease and cancer progression (see below) [131,154,155].…”
Section: Atp Synthase and The Bioenergetic Signature Of Cancersupporting
confidence: 89%
“…A personal history of colorectal malignancy the risk in persons with ulcerative colitis is raised up by 3.7%, [21] while people with Crohn's disease have a 2.5% greater chance of acquiring colorectal malignancy. [22] The persistent inflammation caused by IBD typically culminates in dysplasia, or abnormal cell development.…”
Section: Resultsmentioning
confidence: 99%
“…In general, CD can predispose individuals to various intestinal neoplasms, including colorectal, small intestinal, and anal cancers. Colorectal cancer is the most strongly associated with CD, affecting mainly individuals between 40 and 50 years old who have a history of early onset symptoms[ 132 ]. The chronic inflammatory process in the rectal and colonic mucosa, excessive production of free radicals contributing to deoxyribonucleic acid damage, inactivation of tumor suppressor genes, and individual factors are all related to dysplastic mutations and the development of colorectal carcinoma[ 133 ].…”
Section: Clinical Management Of the Crohn’s Disease Today: How It Does?mentioning
confidence: 99%