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Books > Medicine > Clinical & internal medicine > Diseases & disorders > Oncology > Chemotherapy
The liver is a vital organ involved in numerous metabolic processes
such as cholesterol and bile acid metabolism, biliary lipid
secretion, and bile formation. Cholesterol balance across the liver
has a crucial effect on influencing plasma total and LDL
cholesterol levels and biliary cholesterol concentrations.
Cholesterol and bile acid biosyntheses are primarily modulated by
negative feedback regulatory mechanisms through the sterol
regulatory element-binding protein isoform 2 (SREBP-2) and the
farnesoid X receptor (FXR) pathways, respectively. The conversion
of cholesterol to bile acids in the liver can balance the fecal
excretion of bile acids, which is an important route for the
removal of cholesterol from the body. Bile formation begins in the
bile canaliculi, and maintenance of the enterohepatic circulation
of bile acids results in a continuous secretion of bile. Hepatic
secretion of biliary lipids is determined mainly by a group of
ATP-binding cassette (ABC) transporters that are located on the
canalicular membrane of hepatocytes, which are regulated by various
nuclear receptors. Bile acids promote bile flow by their osmotic
effects. Also, they are essential for the intestinal absorption of
cholesterol, fatty acids, and fat-soluble vitamins and play an
important role in aiding the digestion of dietary fat. Bile acids
function as signaling molecules and anti-inflammatory agents to
regulate lipid, glucose, and energy metabolism by rapidly
activating nuclear receptors and cell signaling pathways. This
eBook summarizes the progress in the molecular and cellular
mechanisms of cholesterol and bile acid metabolism and the
physical-chemistry of biliary lipids, with emphasis on biliary
lipid metabolism that is regulated by nuclear receptors in the
hepatobiliary system.
"I was first drawn to working in oncology while I was a student
nurse at St Thomas' Hospital in London. There I met a woman who had
been diagnosed with breast cancer and showed such strength and
fortitude in the face of her diagnosis that it left a strong
impression on me."She said that, despite all the information that
had been provided by the professionals and the internet, she would
love to be able to dip in and out of a book that had useful advice
for newly diagnosed patients, based on the experiences of other
patients. The idea for this book was born."I decided to pursue this
and canvassed the opinions of other patients, asking if they felt
having such information available in this format would have been
beneficial. The response was very positive and so I set about
compiling and distributing a questionnaire to both NHS and private
patients."Written by patients to help others learn from their
experiences, compiled by Alison Bailey, a Breast Care Specialist
Nurse
'Light' from low level laser therapy, through a process called
photobiomodulation (PBM), has been in existence in supportive care
in cancer, in particular in the management of oral mucositis (OM)
in patients undergoing chemotherapy, radiation therapy and
haematopoietic stem cell transplantation. In this book the authors
attempt to portray the current status of the supportive care
interventions that are possible with PBM using low level laser
therapy (LLLT) in patients undergoing cancer treatment for solid
tumours, harmatological malignancies, and head and neck cancers.
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