PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs

Neuroblastoma (NB) is the most common and aggressive pediatric cancer, characterized by a remarkable phenotypic diversity and high malignancy. The heterogeneous clinical behavior, ranging from spontaneous remission to fatal metastatic disease, is attributable to NB biology and genetics. Despite majo...

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Main Authors: Serena Vella, Pier Giulio Conaldi, Tullio Florio, Aldo Pagano
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:PPAR Research
Online Access:http://dx.doi.org/10.1155/2016/3038164
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author Serena Vella
Pier Giulio Conaldi
Tullio Florio
Aldo Pagano
author_facet Serena Vella
Pier Giulio Conaldi
Tullio Florio
Aldo Pagano
author_sort Serena Vella
collection DOAJ
description Neuroblastoma (NB) is the most common and aggressive pediatric cancer, characterized by a remarkable phenotypic diversity and high malignancy. The heterogeneous clinical behavior, ranging from spontaneous remission to fatal metastatic disease, is attributable to NB biology and genetics. Despite major advances in therapies, NB is still associated with a high morbidity and mortality. Thus, novel diagnostic, prognostic, and therapeutic approaches are required, mainly to improve treatment outcomes of high-risk NB patients. Among neuroepithelial cancers, NB is the most studied tumor as far as PPAR ligands are concerned. PPAR ligands are endowed with antitumoral effects, mainly acting on cancer stem cells, and constitute a possible add-on therapy to antiblastic drugs, in particular for NB with unfavourable prognosis. While discussing clinical background, this review will provide a synopsis of the major studies about PPAR expression in NB, focusing on the potential beneficial effects of hypoglycemic drugs, thiazolidinediones and metformin, to reduce the occurrence of relapses as well as tumor regrowth in NB patients.
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spelling doaj-art-7085628a57b1425494c73a48ec0f65d32025-02-03T06:07:48ZengWileyPPAR Research1687-47571687-47652016-01-01201610.1155/2016/30381643038164PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic DrugsSerena Vella0Pier Giulio Conaldi1Tullio Florio2Aldo Pagano3Department of Laboratory Medicine and Advanced Biotechnologies, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Palermo, ItalyDepartment of Laboratory Medicine and Advanced Biotechnologies, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Palermo, ItalySection of Pharmacology, Department of Internal Medicine (DiMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Genova, ItalyDepartment of Experimental Medicine (DIMES), University of Genova, Genova, ItalyNeuroblastoma (NB) is the most common and aggressive pediatric cancer, characterized by a remarkable phenotypic diversity and high malignancy. The heterogeneous clinical behavior, ranging from spontaneous remission to fatal metastatic disease, is attributable to NB biology and genetics. Despite major advances in therapies, NB is still associated with a high morbidity and mortality. Thus, novel diagnostic, prognostic, and therapeutic approaches are required, mainly to improve treatment outcomes of high-risk NB patients. Among neuroepithelial cancers, NB is the most studied tumor as far as PPAR ligands are concerned. PPAR ligands are endowed with antitumoral effects, mainly acting on cancer stem cells, and constitute a possible add-on therapy to antiblastic drugs, in particular for NB with unfavourable prognosis. While discussing clinical background, this review will provide a synopsis of the major studies about PPAR expression in NB, focusing on the potential beneficial effects of hypoglycemic drugs, thiazolidinediones and metformin, to reduce the occurrence of relapses as well as tumor regrowth in NB patients.http://dx.doi.org/10.1155/2016/3038164
spellingShingle Serena Vella
Pier Giulio Conaldi
Tullio Florio
Aldo Pagano
PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs
PPAR Research
title PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs
title_full PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs
title_fullStr PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs
title_full_unstemmed PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs
title_short PPAR Gamma in Neuroblastoma: The Translational Perspectives of Hypoglycemic Drugs
title_sort ppar gamma in neuroblastoma the translational perspectives of hypoglycemic drugs
url http://dx.doi.org/10.1155/2016/3038164
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