A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series

To molecularly characterize the impact of exercise on mitigating neoadjuvant treatment (NAT)-induced physical decline in pancreatic ductal adenocarcinoma (PDAC) patients, a multi-omics approach was employed for the analysis of plasma samples before and after a personalized exercise intervention. Con...

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Main Authors: Travis Nemkov, Francesca Cendali, Monika Dzieciatkowska, Daniel Stephenson, Kirk C. Hansen, Catherine M. Jankowski, Angelo D’Alessandro, Ryan J. Marker
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Pathophysiology
Subjects:
Online Access:https://www.mdpi.com/1873-149X/31/1/13
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author Travis Nemkov
Francesca Cendali
Monika Dzieciatkowska
Daniel Stephenson
Kirk C. Hansen
Catherine M. Jankowski
Angelo D’Alessandro
Ryan J. Marker
author_facet Travis Nemkov
Francesca Cendali
Monika Dzieciatkowska
Daniel Stephenson
Kirk C. Hansen
Catherine M. Jankowski
Angelo D’Alessandro
Ryan J. Marker
author_sort Travis Nemkov
collection DOAJ
description To molecularly characterize the impact of exercise on mitigating neoadjuvant treatment (NAT)-induced physical decline in pancreatic ductal adenocarcinoma (PDAC) patients, a multi-omics approach was employed for the analysis of plasma samples before and after a personalized exercise intervention. Consisting of personalized aerobic and resistance exercises, this intervention was associated with significant molecular changes that correlated with improvements in lean mass, appendicular skeletal muscle index (ASMI), and performance in the 400-m walk test (MWT) and sit-to-stand test. These alterations indicated exercise-induced modulation of inflammation and mitochondrial function markers. This case study provides proof-of-principal application for multiomics-based assessments of supervised exercise, thereby supporting this intervention as a feasible and beneficial intervention for PDAC patients to potentially enhance treatment response and patient quality of life. The molecular changes observed here underscore the importance of physical activity in cancer treatment protocols, advocating for the development of accessible multiomics-guided exercise programs for cancer patients.
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spelling doaj.art-0b0186f221ec4f63b83ecbe9bbe076582024-03-27T13:59:03ZengMDPI AGPathophysiology1873-149X2024-03-0131116618210.3390/pathophysiology31010013A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case SeriesTravis Nemkov0Francesca Cendali1Monika Dzieciatkowska2Daniel Stephenson3Kirk C. Hansen4Catherine M. Jankowski5Angelo D’Alessandro6Ryan J. Marker7Department of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USADepartment of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USADepartment of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USADepartment of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USADepartment of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USACollege of Nursing, University of Colorado, Aurora, CO 80045, USADepartment of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USADepartment of Medicine, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USATo molecularly characterize the impact of exercise on mitigating neoadjuvant treatment (NAT)-induced physical decline in pancreatic ductal adenocarcinoma (PDAC) patients, a multi-omics approach was employed for the analysis of plasma samples before and after a personalized exercise intervention. Consisting of personalized aerobic and resistance exercises, this intervention was associated with significant molecular changes that correlated with improvements in lean mass, appendicular skeletal muscle index (ASMI), and performance in the 400-m walk test (MWT) and sit-to-stand test. These alterations indicated exercise-induced modulation of inflammation and mitochondrial function markers. This case study provides proof-of-principal application for multiomics-based assessments of supervised exercise, thereby supporting this intervention as a feasible and beneficial intervention for PDAC patients to potentially enhance treatment response and patient quality of life. The molecular changes observed here underscore the importance of physical activity in cancer treatment protocols, advocating for the development of accessible multiomics-guided exercise programs for cancer patients.https://www.mdpi.com/1873-149X/31/1/13pancreatic cancerexercise oncologypancreatic adenocarcinomametabolomicslipidomicsproteomics
spellingShingle Travis Nemkov
Francesca Cendali
Monika Dzieciatkowska
Daniel Stephenson
Kirk C. Hansen
Catherine M. Jankowski
Angelo D’Alessandro
Ryan J. Marker
A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series
Pathophysiology
pancreatic cancer
exercise oncology
pancreatic adenocarcinoma
metabolomics
lipidomics
proteomics
title A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series
title_full A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series
title_fullStr A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series
title_full_unstemmed A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series
title_short A Multiomics Assessment of Preoperative Exercise in Pancreatic Cancer Survivors Receiving Neoadjuvant Therapy: A Case Series
title_sort multiomics assessment of preoperative exercise in pancreatic cancer survivors receiving neoadjuvant therapy a case series
topic pancreatic cancer
exercise oncology
pancreatic adenocarcinoma
metabolomics
lipidomics
proteomics
url https://www.mdpi.com/1873-149X/31/1/13
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