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Abstract
Plasma melatonin levels decreased in both groups throughout the day after surgery.
- Expression of clock genes in peripheral blood mononuclear cells (PBMCs) was assessed in patients with esophageal and early gastric cancer.
- The acrophase of hPer1 expression shifted significantly after surgery, indicating altered biological rhythms.
- In patients with esophageal cancer, hPer1 acrophase changed from 6:19±1:50 to 13:59±0:59 (p=0.0003).
- In patients with early gastric cancer, hPer1 acrophase changed from 7:47±1:27 to 12:33±1:30 (p=0.0043).
- The acrophase of hPer2 expression also shifted significantly, from 5:01±2:59 to 19:30±2:15 (p<0.0001) in esophageal cancer patients.
- Surgical stress may affect the biological clock and hormone levels in humans.
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