Evidence mapPaperPMID 41680888Full record

ArticleWorld journal of surgical oncology2026

Effects of major solid cancer surgery on oxidative stress assessed by plasma xanthine oxidase and adenosine deaminase activity : a pilot study.

Bruno Pastene, Marion Marlinge, Julien Fromonot, Julia Dodivers, Aissatou Pethwol Bah, Amin Ben Lassoued, Nathalie Lalevée, Pascal Alexandre Thomas, David Jérémie Birnbaum, Djamel Mokart and 3 more

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Article in World journal of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Bruno PasteneDepartment of Anesthesia and Intensive Care, Hôpital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France. bruno.pastene@ap-hm.fr.
Marion MarlingeC2VN, Aix Marseille Univ, INSERM, INRAE, Marseille, France.
Julien FromonotC2VN, Aix Marseille Univ, INSERM, INRAE, Marseille, France.
Julia DodiversC2VN, Aix Marseille Univ, INSERM, INRAE, Marseille, France.
Aissatou Pethwol BahC2VN, Aix Marseille Univ, INSERM, INRAE, Marseille, France.
Amin Ben LassouedLaboratory of Biochemistry, Hôpital de la Timone, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France.
Nathalie LalevéeC2VN, Aix Marseille Univ, INSERM, INRAE, Marseille, France.
Pascal Alexandre ThomasDepartment of Thoracic Surgery, Hôpital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France.
David Jérémie BirnbaumDepartment of Digestive Surgery, Hôpital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France.
Djamel MokartMedical Surgical Intensive Care Unit, Institut Paoli Calmettes, Marseille, France.
Marc LeoneDepartment of Anesthesia and Intensive Care, Hôpital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France.
Laurent ZieleskiewiczDepartment of Anesthesia and Intensive Care, Hôpital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France.
Régis GuieuC2VN, Aix Marseille Univ, INSERM, INRAE, Marseille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSolid cancers and their surgical treatment are both major sources of oxidative stress (OS), which contributes to adverse clinical outcomes. This study aimed to explore the impact of major solid cancer surgery on plasma OS concentrations by assessing key biomarkers.

methodsWe conducted an exploratory, prospective study including 36 patients undergoing elective major cancer surgery. Pre- and postoperative plasma concentrations of adenosine deaminase (ADA), xanthine oxidase (XO), ischemia-modified albumin (IMA), redox potential (RP), and high-sensitivity troponin T (hs-TnT) were measured. Thirty matched healthy controls were used for comparison.

resultsPreoperative plasma concentrations of ADA, XO, IMA, and RP were significantly elevated in patients, as compared to controls, indicating high baseline oxidative stress. Postoperatively, plasma concentrations of XO, IMA, and RP decreased significantly (p < 0.05) but remained higher than those of controls, while ADA concentrations showed no significant postoperative decrease. The plasma concentration of hs-TnT increased modestly but significantly after surgery (p = 0.003). A negative correlation between preoperative ADA and XO concentration was observed (r = -0.46; p = 0.006).

conclusionSolid cancers were associated with elevated plasma expression of OS, which significantly decreased after surgery. However, major surgery itself induces a residual oxidative burden, reflected by an elevation in myocardial biomarkers. The increased levels of OS levels before surgery could fit the cancer-driven "priming/second-hit" framework. The negative correlation between ADA and XO suggests a potential feedback mechanism. These findings bring new insights regarding OS modulation during major solid cancer surgery and warrant further investigation in larger studies.

Indexed as

Adenosine DeaminaseBiomarkers, TumorNeoplasmsOxidative StressXanthine OxidaseAgedBiomarkersCase-Control StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPilot ProjectsPrognosisProspective StudiesAdenosine DeaminaseBiomarkersBiomarkers, Tumorischemia-modified albuminSerum Albumin, HumanTroponin TXanthine OxidaseAdenosine deaminaseAnesthesiaCancer surgeryHigh-sensitivity troponin TIschemia-modified albuminOxidative stressReactive oxygen speciesRedox potentialSolid cancerXanthine oxidase

Identifiers

PMID41680888
PMCPMC12997669

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.