RE: Dox and sarcoma7 Sep 2023 12:01
I am sure this will have been read and posted many times before.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487063/#:~:text=FAP%20is%20known%20to%20be,%2Dassociated%20fibroblasts%20(CAFs).
But I am googling to see whether FAP is expressed only in the tumour, or also in the individual cancer cells. If the former then there might be an argument that some straight dox could be helpful to pick off circulating cancer cells which might otherwise evade AVA6K? Of course, an individual circulating cancer cell won't kill you immediately so moot point whether to kill it early, or later – and only if it goes on to cause a problem elsewhere. Killing it early would risk chemo side-effects of course.
These are some extracts:
'FAP in Cancer
While FAP expression in normal tissues is usually low or undetectable, it is overexpressed in many cancers, including 90% of carcinomas. FAP is known to be overexpressed in breast, colorectal, pancreatic, lung, bladder, ovarian and other cancers. In these cancers, FAP is usually heavily expressed in the stroma,'..
'Breast Cancer
While most studies confirmed the existence of FAP in the stroma surrounding breast cancer cells, one study identified FAP expression in the breast cancer cell lines themselves'
'Colorectal Cancer
In human colon cancer specimens, FAP expression has been identified in both cancer cells and in adjacent stromal cells, including myofiboblasts, fibroblasts and endothelial cells'
'Pancreatic Cancer
Ninety percent of pancreatic ductal adenocarcinomas (PDAC) demonstrate FAP staining. FAP expression has been identified in both the tumor stromal compartment as well as PDAC tumor cells and pancreatic cancer cell lines'
'Gastric Cancer
Gastric cancer consists primarily of two types: intestinal-type and diffuse-type. Both types express FAP, however intestinal-type does so to a larger degree. Unlike other cancers, in gastric cancer the majority of FAP expression is localized to the gastric carcinoma cells and is only weakly expressed in stromal and endothelial cells'
'In summary, FAP expression’s impact on clinical factors such as tumor type and clinical outcomes is highly variable and depends on cancer type, histological type, tumor localization and specific cellular expression (stromal vs. malignant cells).'