Peritoneal Carcinomatosis
Conditions
Brief summary
The goal of this project is to investigate the extent and role of mesothelial - mesenchymal transition (MMT) and cancer associated fibroblasts (CAFs) in the pathogenesis of colorectal peritoneal carcinomatosis (PC).
Interventions
Resection specimen will be obtained during CRS from normal peritoneum at a distance, normal peritoneum close to a peritoneal metastasis, miliary peritoneal carcinomatosis, and established peritoneal carcinomatosis.
Sponsors
Study design
Eligibility
Inclusion criteria
• Patients presenting with colorectal peritoneal carcinomatosis
Exclusion criteria
* Pregnancy or breast feeding * Psychiatric pathology capable of affecting comprehension and judgment faculty * HIPEC (hyperthermic intraperitoneal chemotherapy) or PIPAC (pressurized intraperitoneal aerosol chemotherapy) in the past * Abdominal radiation treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immunohistochemistry (IHC) analysis | Within 6 months after collection of the samples | Extensive IHC analysis will be performed including CD44, integrins, ICAM-1, hyaluronate, and VCAM-1 (adhesion molecules); calretinin, mesothelin, WT1, cytokeratins and E-cadherin (mesothelial markers); α-SMA, FAP and podoplanin (CAF specific markers); PDGF, VEGF and EDGF (angiogenesis related markers) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intra-tumoral versus peritoneal vascularity | Within 6 months after collection of the samples | Vacularity will be assed using chalkley counts |
| Laser capture microdisssection (LCM) followed by gene expression analysis | Within 12 months after collection of the samples | Different cell types (mesothelial cells, submesothelial resident fibroblasts, CAFs) will be isolated using LCM, followed by gene expression analysis |
Countries
Belgium