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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">143</journal-id>
      <journal-id journal-id-type="index">urn:lsid:arphahub.com:pub:892805cc-c5d0-571f-8841-3ba335035073</journal-id>
      <journal-title-group>
        <journal-title xml:lang="en">Review of Clinical Pharmacology and Pharmacokinetics</journal-title>
        <abbrev-journal-title xml:lang="en">RCPP</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">1011-6583</issn>
      <issn pub-type="epub">2945-1922</issn>
      <publisher>
        <publisher-name>PHARMAKON-Press</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.61873/rcpp.40.e190445</article-id>
      <article-id pub-id-type="publisher-id">190445</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
        <subj-group subj-group-type="scientific_subject">
          <subject>Cancer Pharmacology</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Exploratory longitudinal study of serum adipokines and lipid profile in breast cancer patients receiving adjuvant chemotherapy</article-title>
      </title-group>
      <contrib-group content-type="authors">
        <contrib contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Dogkas</surname>
            <given-names>Nikolaos</given-names>
          </name>
          <email xlink:type="simple">ndogkas@uniwa.gr</email>
          <uri content-type="orcid">https://orcid.org/0009-0004-7082-4424</uri>
          <xref ref-type="aff" rid="A1">1</xref>
          <xref ref-type="aff" rid="A2">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Trapali</surname>
            <given-names>Maria</given-names>
          </name>
          <uri content-type="orcid">https://orcid.org/0000-0001-8785-7522</uri>
          <xref ref-type="aff" rid="A2">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Fountzoula</surname>
            <given-names>Christine</given-names>
          </name>
          <uri content-type="orcid">https://orcid.org/0000-0002-3765-2112</uri>
          <xref ref-type="aff" rid="A2">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Albert Karikas</surname>
            <given-names>George</given-names>
          </name>
          <uri content-type="orcid">https://orcid.org/0000-0001-8583-5258</uri>
          <xref ref-type="aff" rid="A2">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Karkalousos</surname>
            <given-names>Petros</given-names>
          </name>
          <uri content-type="orcid">https://orcid.org/0000-0002-1244-8035</uri>
          <xref ref-type="aff" rid="A2">2</xref>
        </contrib>
      </contrib-group>
      <aff id="A1">
        <label>1</label>
        <addr-line content-type="verbatim">Biochemistry Laboratory, General Anticancer Hospital of Piraeus METAXA, Piraeus, Greece</addr-line>
        <institution>Biochemistry Laboratory, General Anticancer Hospital of Piraeus METAXA</institution>
        <addr-line content-type="city">Piraeus</addr-line>
        <country>Greece</country>
      </aff>
      <aff id="A2">
        <label>2</label>
        <addr-line content-type="verbatim">Department of Biomedical Sciences, School of Health and Care Sciences, University of West Attica, Athens, Greece</addr-line>
        <institution>Department of Biomedical Sciences, School of Health and Care Sciences, University of West Attica</institution>
        <addr-line content-type="city">Athens</addr-line>
        <country>Greece</country>
        <uri content-type="ror">https://ror.org/00r2r5k05</uri>
      </aff>
      <author-notes>
        <fn fn-type="corresp">
          <p>Corresponding author: Nikolaos Dogkas (<email xlink:type="simple">ndogkas@uniwa.gr</email>).</p>
        </fn>
        <fn fn-type="edited-by">
          <p>Academic editor: Eleni Plessa</p>
        </fn>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2026</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>15</day>
        <month>06</month>
        <year>2026</year>
      </pub-date>
      <volume>40</volume>
      <fpage>15</fpage>
      <lpage>25</lpage>
      <uri content-type="arpha" xlink:href="http://openbiodiv.net/4973D87C-A080-5E8C-8DFD-DB762AE7BE53">4973D87C-A080-5E8C-8DFD-DB762AE7BE53</uri>
      <history>
        <date date-type="received">
          <day>03</day>
          <month>03</month>
          <year>2026</year>
        </date>
        <date date-type="accepted">
          <day>29</day>
          <month>05</month>
          <year>2026</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Nikolaos Dogkas, Maria Trapali, Christine Fountzoula, George Albert Karikas, Petros Karkalousos</copyright-statement>
        <license license-type="creative-commons-attribution" xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <abstract>
        <label>Abstract</label>
        <p><italic>Background:</italic> Adipose tissue is an active endocrine organ responsible for the production of adipokines. <italic>Aim:</italic> This study aimed to investigate whether serum levels of four adipokines (leptin, adiponectin, resistin, visfatin) and lipid parameters (cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol) are affected by adjuvant chemotherapy. <italic>Methodology:</italic> Twenty-five Greek patients who had been operated and received adjuvant chemotherapy with a good response were included. Blood samples were collected at three distinct time points during treatment, in order to mesure the above parameters. <italic>Results:</italic> Cholesterol, LDL and HDL levels did not show statistically significant differences at the three time points. In contrast, triglycerides were statistically significant higher (<italic>p</italic>=0.0030) at the final time point. Serum leptin and resistin levels prior to treatment were significantly higher (<italic>p</italic>&amp;lt;0.0001) than those observed during mid- and end-treatment. Comparison between the mid- and end- treatment time points showed a statistically significant difference (<italic>p</italic>&amp;lt;0.0001), with higher levels observed at the mid-treatment time point. Serum adiponectin lev-els yielded a significant difference (lower value) between the baseline and the end time points (<italic>p</italic>&amp;lt;0.0001), as well as across the other time points. Visfatin levels were significantly higher at the baseline of the treatment compared to both mid- and end-treatment levels (both <italic>p</italic>&amp;lt;0.0001). <italic>Conclusion:</italic> Increased levels of adiponectin, together with decreased values of the other three adipokines, are consistent with the results from previous studies, suggesting their potential use as auxiliary parameters. Regarding lipids, only levels of triglycerides provide relevant information. However, due to the absence of a control group and the small sample size (n=25), these findings should be interpreted as exploratory and hypothesis-generating rather than confirmatory.</p>
      </abstract>
    </article-meta>
  </front>
</article>
