Advances in the Treatment of Upper Gastrointestinal Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 30 January 2026 | Viewed by 808

Special Issue Editors


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Guest Editor
Department of Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea
Interests: gastrointestinal surgery; gastrointestinal cancer

E-Mail Website
Guest Editor
Department of Surgery, Dongnam Institute of Radiological and Medical Sciences, Cancer Center, Busan 46033, Republic of Korea
Interests: laparoscopy; cancer treatment; minimally invasive surgery; oncology
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Special Issue Information

Dear Colleagues,

This Special Issue focuses on "Advances in the treatment of Upper Gastrointestinal Cancer". The primary treatments of upper gastrointestinal cancer include surgery, chemotherapy, and radiation therapy. Surgical techniques are advancing towards less invasive procedures, incorporating laparoscopy, robotic surgery, and single-port operations, along with innovative tools like fluorescent cameras and artificial intelligence. Chemotherapy is evolving, with a growing focus on preoperative treatments complementing traditional postoperative regimens, and immunotherapy is gaining prominence too. Radiation therapy is also being adapted for various palliative purposes.

This Special Issue will explore the latest developments and ongoing validations in these treatments. Contributions that discuss these advancements are warmly invited to be submitted to this Special Issue.

Dr. Sang-ho Jeong
Dr. Jae-seok Min
Guest Editors

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Keywords

  • upper gastrointestinal cancer
  • surgery therapy
  • chemotherapy therapy
  • radiation therapy

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Published Papers (1 paper)

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Review

17 pages, 601 KiB  
Review
The Role of Visfatin in Gastric and Esophageal Cancer: From Biomarker to Therapeutic Target
by Adam Mylonakis, Alexandros Kozadinos, Maximos Frountzas, Emmanouil I. Kapetanakis, Irene Lidoriki, Markos Despotidis, Eva Karanikki, Tania Triantafyllou, Dimitrios Theodorou, Konstantinos G. Toutouzas and Dimitrios Schizas
Cancers 2025, 17(8), 1377; https://doi.org/10.3390/cancers17081377 - 21 Apr 2025
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Abstract
Background: Gastric and esophageal cancers are among the most lethal malignancies worldwide, necessitating improved biomarkers and therapeutic targets to improve patient outcomes. Visfatin, also known as nicotinamide phosphoribosyltransferase (NAMPT), is a metabolic enzyme and adipokine with emerging significance in cancer progression. It has [...] Read more.
Background: Gastric and esophageal cancers are among the most lethal malignancies worldwide, necessitating improved biomarkers and therapeutic targets to improve patient outcomes. Visfatin, also known as nicotinamide phosphoribosyltransferase (NAMPT), is a metabolic enzyme and adipokine with emerging significance in cancer progression. It has been implicated in tumor cell proliferation, angiogenesis, immune modulation, and chemotherapy resistance, yet its clinical relevance in upper gastrointestinal (GI) cancers remains unclear. This review aims to explore visfatin’s biochemical properties, its role in the pathogenesis of upper GI cancers, and its implications for potential therapeutic interventions. Methods: A comprehensive review of the literature was conducted to evaluate the role of visfatin in gastric and esophageal cancer. We analyzed studies investigating visfatin expression in tumor tissues, blood, and adipose tissue, its prognostic significance, and its potential as a therapeutic target. Preclinical and clinical studies evaluating visfatin inhibitors were also reviewed. Results: Visfatin promotes tumor progression through the activation of key oncogenic pathways leading to increased angiogenesis, epithelial–mesenchymal transition (EMT), and immune suppression. Elevated visfatin levels are associated with advanced tumor stage, reduced response to chemotherapy, and poor prognosis in both gastric and esophageal cancers. Therapeutic agents targeting visfatin, such as the inhibitor FK866, have shown promising results in reducing tumor proliferation by >50%, improving chemoresistance, and restoring antitumor immunity in preclinical studies. However, clinical translation remains limited due to toxicity concerns and the need for more targeted therapies. Conclusions: Visfatin is a promising biomarker and potential therapeutic target in gastric and esophageal cancer. However, its precise role and mechanisms require further investigation. The standardization of measurement techniques and large-scale clinical studies is needed to validate its prognostic and predictive value. Future research should focus on optimizing visfatin-targeted therapies, particularly in the context of obesity-associated malignancies and chemoresistant tumors. Full article
(This article belongs to the Special Issue Advances in the Treatment of Upper Gastrointestinal Cancer)
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