Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma

Pulmonary metastasis is a life-threatening complication for patients with hepatocellular carcinoma (HCC) undergoing liver transplantation (LT). In addition to the common mechanisms underlying tumor metastasis, another inevitable factor is that the application of immunosuppressive agents, including c...

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Main Authors: Jinyan Chen, Huigang Li, Jianyong Zhuo, Zuyuan Lin, Zhihang Hu, Chiyu He, Xiang Wu, Yiru Jin, Zhanyi Lin, Renyi Su, Yiyang Sun, Rongsen Wang, Jiancai Sun, Xuyong Wei, Shusen Zheng, Di Lu, Xiao Xu
Format: Article
Language:English
Published: China Anti-Cancer Association 2024-11-01
Series:Cancer Biology & Medicine
Subjects:
Online Access:https://www.cancerbiomed.org/content/21/11/1033
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author Jinyan Chen
Huigang Li
Jianyong Zhuo
Zuyuan Lin
Zhihang Hu
Chiyu He
Xiang Wu
Yiru Jin
Zhanyi Lin
Renyi Su
Yiyang Sun
Rongsen Wang
Jiancai Sun
Xuyong Wei
Shusen Zheng
Di Lu
Xiao Xu
author_facet Jinyan Chen
Huigang Li
Jianyong Zhuo
Zuyuan Lin
Zhihang Hu
Chiyu He
Xiang Wu
Yiru Jin
Zhanyi Lin
Renyi Su
Yiyang Sun
Rongsen Wang
Jiancai Sun
Xuyong Wei
Shusen Zheng
Di Lu
Xiao Xu
author_sort Jinyan Chen
collection DOAJ
description Pulmonary metastasis is a life-threatening complication for patients with hepatocellular carcinoma (HCC) undergoing liver transplantation (LT). In addition to the common mechanisms underlying tumor metastasis, another inevitable factor is that the application of immunosuppressive agents, including calcineurin inhibitors (CNIs) and rapamycin inhibitors (mTORis), after transplantation could influence tumor recurrence and metastasis. In recent years, several studies have reported that mTORis, unlike CNIs, have the capacity to modulate the tumorigenic landscape post-liver transplantation by targeting metastasis-initiating cells and reshaping the pulmonary microenvironment. Therefore, we focused on the effects of immunosuppressive agents on the lung metastatic microenvironment and how mTORis impact tumor growth in distant organs. This revelation has provided profound insights into transplant oncology, leading to a renewed understanding of the use of immunosuppressants after LT for HCC.
format Article
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institution OA Journals
issn 2095-3941
language English
publishDate 2024-11-01
publisher China Anti-Cancer Association
record_format Article
series Cancer Biology & Medicine
spelling doaj-art-3eaa08ebf5f9437188a06cd2705f911c2025-08-20T02:00:00ZengChina Anti-Cancer AssociationCancer Biology & Medicine2095-39412024-11-0121111033104910.20892/j.issn.2095-3941.2024.0267Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinomaJinyan Chen0Huigang Li1Jianyong Zhuo2Zuyuan Lin3Zhihang Hu4Chiyu He5Xiang Wu6Yiru Jin7Zhanyi Lin8Renyi Su9Yiyang Sun10Rongsen Wang11Jiancai Sun12Xuyong Wei13Shusen Zheng14Di Lu15Xiao Xu16Zhejiang University School of Medicine, Hangzhou 310058, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Hangzhou First People’s Hospital, Hangzhou 310006, ChinaSchool of Basic Medical Sciences and Forensic Medicine, Hangzhou Medical College, Hangzhou 310053, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaThe Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310063, ChinaSchool of Basic Medical Sciences and Forensic Medicine, Hangzhou Medical College, Hangzhou 310053, ChinaZhejiang University School of Medicine, Hangzhou 310058, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Hangzhou First People’s Hospital, Hangzhou 310006, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Hangzhou 310022, ChinaDepartment of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), School of Clinical Medicine, Hangzhou Medical College, Hangzhou 310014, ChinaDepartment of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), School of Clinical Medicine, Hangzhou Medical College, Hangzhou 310014, ChinaPulmonary metastasis is a life-threatening complication for patients with hepatocellular carcinoma (HCC) undergoing liver transplantation (LT). In addition to the common mechanisms underlying tumor metastasis, another inevitable factor is that the application of immunosuppressive agents, including calcineurin inhibitors (CNIs) and rapamycin inhibitors (mTORis), after transplantation could influence tumor recurrence and metastasis. In recent years, several studies have reported that mTORis, unlike CNIs, have the capacity to modulate the tumorigenic landscape post-liver transplantation by targeting metastasis-initiating cells and reshaping the pulmonary microenvironment. Therefore, we focused on the effects of immunosuppressive agents on the lung metastatic microenvironment and how mTORis impact tumor growth in distant organs. This revelation has provided profound insights into transplant oncology, leading to a renewed understanding of the use of immunosuppressants after LT for HCC.https://www.cancerbiomed.org/content/21/11/1033liver transplantationhepatocellular carcinomalung immune microenvironmentlung metastasisimmunosuppressants
spellingShingle Jinyan Chen
Huigang Li
Jianyong Zhuo
Zuyuan Lin
Zhihang Hu
Chiyu He
Xiang Wu
Yiru Jin
Zhanyi Lin
Renyi Su
Yiyang Sun
Rongsen Wang
Jiancai Sun
Xuyong Wei
Shusen Zheng
Di Lu
Xiao Xu
Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma
Cancer Biology & Medicine
liver transplantation
hepatocellular carcinoma
lung immune microenvironment
lung metastasis
immunosuppressants
title Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma
title_full Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma
title_fullStr Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma
title_full_unstemmed Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma
title_short Impact of immunosuppressants on tumor pulmonary metastasis: new insight into transplantation for hepatocellular carcinoma
title_sort impact of immunosuppressants on tumor pulmonary metastasis new insight into transplantation for hepatocellular carcinoma
topic liver transplantation
hepatocellular carcinoma
lung immune microenvironment
lung metastasis
immunosuppressants
url https://www.cancerbiomed.org/content/21/11/1033
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