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ALKBH5 gene polymorphisms and risk of neuroblastoma in Chinese children from Jiangsu Province ALKBH5 基因多态性与江苏省中国儿童罹患神经母细胞瘤的风险
Cancer Innovation Pub Date : 2023-12-22 DOI: 10.1002/cai2.103
Qian Guan, Xinxin Zhang, Jiabin Liu, Chunlei Zhou, Jinhong Zhu, Haiyan Wu, Zhenjian Zhuo, Jing He
{"title":"ALKBH5 gene polymorphisms and risk of neuroblastoma in Chinese children from Jiangsu Province","authors":"Qian Guan,&nbsp;Xinxin Zhang,&nbsp;Jiabin Liu,&nbsp;Chunlei Zhou,&nbsp;Jinhong Zhu,&nbsp;Haiyan Wu,&nbsp;Zhenjian Zhuo,&nbsp;Jing He","doi":"10.1002/cai2.103","DOIUrl":"10.1002/cai2.103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Neuroblastoma is one of the most common extracranial malignant solid tumors in children. AlkB homolog 5 (ALKBH5) is an RNA N6-methyladenosine (m6A) demethylase that plays a critical role in tumorigenesis and development. We assessed the association between single nucleotide polymorphisms (SNPs) in <i>ALKBH5</i> and the risk of neuroblastoma in a case-control study including 402 patients and 473 non-cancer controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Genotyping was determined by the TaqMan method. The association between <i>ALKBH5</i> polymorphisms (rs1378602 and rs8400) and the risk of neuroblastoma was evaluated using the odds ratio (OR) and 95% confidence interval (CI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found no strong association of <i>ALKBH5</i> rs1378602 and rs8400 with neuroblastoma risk. Further stratification analysis by age, sex, primary site, and clinical stage showed that the rs1378602 AG/AA genotype was associated with a lower risk of neuroblastoma in males (adjusted OR = 0.58, 95% CI = 0.35–0.97, <i>p</i> = 0.036) and children with retroperitoneal neuroblastoma (adjusted OR = 0.58, 95% CI = 0.34–0.98, <i>p</i> = 0.040).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p><i>ALKBH5</i> SNPs do not seem to be associated with neuroblastoma risk. More studies are required to confirm this negative result and reveal the relationship between gene polymorphisms of the m6A modifier <i>ALKBH5</i> and neuroblastoma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138994206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Organoid co-culture models of the tumor microenvironment promote precision medicine 肿瘤微环境类器官共培养模型促进精准医疗的发展
Cancer Innovation Pub Date : 2023-12-17 DOI: 10.1002/cai2.101
Zhaoru Gu, Quanyou Wu, Bingqing Shang, Kaitai Zhang, Wen Zhang
{"title":"Organoid co-culture models of the tumor microenvironment promote precision medicine","authors":"Zhaoru Gu,&nbsp;Quanyou Wu,&nbsp;Bingqing Shang,&nbsp;Kaitai Zhang,&nbsp;Wen Zhang","doi":"10.1002/cai2.101","DOIUrl":"10.1002/cai2.101","url":null,"abstract":"<p>In recent years, the three-dimensional (3D) culture system has emerged as a promising preclinical model for tumor research owing to its ability to replicate the tissue structure and molecular characteristics of solid tumors in vivo. This system offers several advantages, including high throughput, efficiency, and retention of tumor heterogeneity. Traditional Matrigel-submerged organoid cultures primarily support the long-term proliferation of epithelial cells. One solution for the exploration of the tumor microenvironment is a reconstitution approach involving the introduction of exogenous cell types, either in dual, triple or even multiple combinations. Another solution is a holistic approach including patient-derived tumor fragments, air-liquid interface, suspension 3D culture, and microfluidic tumor-on-chip models. Organoid co-culture models have also gained popularity for studying the tumor microenvironment, evaluating tumor immunotherapy, identifying predictive biomarkers, screening for effective drugs, and modeling infections. By leveraging these 3D culture systems, it is hoped to advance the clinical application of therapeutic approaches and improve patient outcomes.</p>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138965858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeting colorectal cancer using dietary flavonols 利用膳食黄酮醇靶向治疗结直肠癌
Cancer Innovation Pub Date : 2023-11-28 DOI: 10.1002/cai2.99
Nitin Dubey, Nidhi Dubey, Upendra Bhadoria, Kamal Shah, Nagendra Singh Chauhan
{"title":"Targeting colorectal cancer using dietary flavonols","authors":"Nitin Dubey,&nbsp;Nidhi Dubey,&nbsp;Upendra Bhadoria,&nbsp;Kamal Shah,&nbsp;Nagendra Singh Chauhan","doi":"10.1002/cai2.99","DOIUrl":"10.1002/cai2.99","url":null,"abstract":"<p>Colorectal cancer is among the well-known forms of cancer and a prominent cause of cancer demises worldwide. In vitro experiments reinforced by animal studies, as well as epidemiological studies of human colorectal cancer propose that the growth of this disease can be moderated by eating aspects. Dietary intake including green vegetables and fruits may result in the reduction of colon cancer chances. The finding suggests that the combinations of dietary nutrients may deliver additive or synergistic effects and might be a powerful method to avoid or eradicate colon cancer beginning and/or development. Flavonols are one of the most widespread dietary nutrients of the polyphenols-flavonoids and major constituent of <i>Allium</i> and Brassicaceae vegetables. Flavonols present in vegetables of <i>Allium</i> and Brassicaceae family are kaempferol, myricetin, quercetin, and isorhamnetin. These flavonols are claimed to have antiproliferative activity in vivo and in vitro against colorectal cancer. The objective of this review is to summarize the role of flavonols obtained from dietary sources in the prevention and treatment of colorectal cancer.</p>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.99","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139222938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in research on molecular markers in immune checkpoint inhibitor-associated myocarditis 免疫检查点抑制剂相关心肌炎分子标记物研究进展
Cancer Innovation Pub Date : 2023-11-28 DOI: 10.1002/cai2.100
Jun Shao, Chuanbin Liu, Jing Wang
{"title":"Advances in research on molecular markers in immune checkpoint inhibitor-associated myocarditis","authors":"Jun Shao,&nbsp;Chuanbin Liu,&nbsp;Jing Wang","doi":"10.1002/cai2.100","DOIUrl":"10.1002/cai2.100","url":null,"abstract":"<p>Immune checkpoint inhibitors (ICIs) play a crucial role in the immunotherapy of malignant tumors, preventing immune evasion by tumor cells and activating autoimmune cells to eliminate the tumor. Despite their proven effectiveness in antitumor therapy, potential immune-related adverse effects must be recognized, particularly ICI-associated myocarditis (ICIAM). ICIAM is the most lethal form of organ immunotoxicity, with a significant impact on short-term mortality. However, ICIAM is predominantly asymptomatic or mildly nonspecific. It is difficult to diagnose, especially due to the lack of unique molecular markers. This article aims to provide a comprehensive overview of the progress made in identifying molecular markers for ICIAM.</p>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"2 6","pages":"439-447"},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138822593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in the role of circulating tumor cell heterogeneity in metastatic small cell lung cancer 循环肿瘤细胞异质性在转移性小细胞肺癌中的作用研究进展
Cancer Innovation Pub Date : 2023-11-22 DOI: 10.1002/cai2.98
Qunxia Wang, Li-Ming Tan
{"title":"Advances in the role of circulating tumor cell heterogeneity in metastatic small cell lung cancer","authors":"Qunxia Wang,&nbsp;Li-Ming Tan","doi":"10.1002/cai2.98","DOIUrl":"10.1002/cai2.98","url":null,"abstract":"<p>Small cell lung cancer (SCLC), a highly aggressive malignancy, is rapidly at an extensive stage once diagnosed and is one of the leading causes of death from malignancy. In the past decade, the treatment of SCLC has largely remained unchanged, and chemotherapy remains the cornerstone of SCLC treatment. The therapeutic value of adding immune checkpoint inhibitors to chemotherapy for SCLC is low, and only a few SCLC patients have shown a response to immune checkpoint inhibitors. Circulating tumor cells (CTCs) are tumor cells shed from solid tumor masses into the peripheral circulation and are key to tumor metastasis. Single-cell sequencing has revealed that the genetic profiles of individual CTCs are highly heterogeneous and contribute to the poor outcome and prognosis of SCLC patients. Theoretically, phenotypic analysis of CTCs may be able to predict the diagnostic significance of new potential targets for metastatic tumors. In this paper, we will discuss in depth the heterogeneity of CTCs in SCLC and the value of CTCs for the diagnosis and prognosis of SCLC and as relevant tumor markers in metastatic SCLC.</p>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.98","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the safety and efficiency of cytotoxic T cell therapy sensitized by tumor antigens original from T-ALL-iPSC in vivo 评估由 T-ALL-iPSC 原始肿瘤抗原致敏的细胞毒性 T 细胞疗法在体内的安全性和效率
Cancer Innovation Pub Date : 2023-10-19 DOI: 10.1002/cai2.95
Weiran Li, Meiling Zhou, Lu Wang, Liying Huang, Xuemei Chen, Xizhuo Sun, Tao Liu
{"title":"Evaluation of the safety and efficiency of cytotoxic T cell therapy sensitized by tumor antigens original from T-ALL-iPSC in vivo","authors":"Weiran Li,&nbsp;Meiling Zhou,&nbsp;Lu Wang,&nbsp;Liying Huang,&nbsp;Xuemei Chen,&nbsp;Xizhuo Sun,&nbsp;Tao Liu","doi":"10.1002/cai2.95","DOIUrl":"10.1002/cai2.95","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Since RNA sequencing has shown that induced pluripotent stem cells (iPSCs) share a common antigen profile with tumor cells, cancer vaccines that focus on iPSCs have made promising progress in recent years. Previously, we showed that iPSCs derived from leukemic cells of patients with primary T cell acute lymphoblastic leukemia (T-ALL) have a gene expression profile similar to that of T-ALL cell lines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Mice with T-ALL were treated with dendritic and T (DC-T) cells loaded with intact and complete antigens from T-ALL-derived iPSCs (T-ALL-iPSCs). We evaluated the safety and antitumor efficiency of autologous tumor-derived iPSC antigens by flow cytometry, cytokine release assay, acute toxicity experiments, long-term toxicity experiments, and other methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our results indicate that complete tumor antigens from T-ALL-iPSCs could inhibit the growth of inoculated tumors in immunocompromised mice without causing acute and long-term toxicity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>T-ALL-iPSC-based treatment is safe and can be used as a potential strategy for leukemia immunotherapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.95","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135778649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment-related adverse events of antibody-drug conjugates in clinical trials: A systematic review and meta-analysis 临床试验中抗体-药物偶联物的治疗相关不良事件:系统综述和荟萃分析
Cancer Innovation Pub Date : 2023-10-15 DOI: 10.1002/cai2.97
Jinming Li, Guoshuang Shen, Zhen Liu, Yaobang Liu, Miaozhou Wang, Fuxing Zhao, Dengfeng Ren, Qiqi Xie, Zitao Li, Zhilin Liu, Yi Zhao, Fei Ma, Xinlan Liu, Zhengbo Xu, Jiuda Zhao
{"title":"Treatment-related adverse events of antibody-drug conjugates in clinical trials: A systematic review and meta-analysis","authors":"Jinming Li,&nbsp;Guoshuang Shen,&nbsp;Zhen Liu,&nbsp;Yaobang Liu,&nbsp;Miaozhou Wang,&nbsp;Fuxing Zhao,&nbsp;Dengfeng Ren,&nbsp;Qiqi Xie,&nbsp;Zitao Li,&nbsp;Zhilin Liu,&nbsp;Yi Zhao,&nbsp;Fei Ma,&nbsp;Xinlan Liu,&nbsp;Zhengbo Xu,&nbsp;Jiuda Zhao","doi":"10.1002/cai2.97","DOIUrl":"https://doi.org/10.1002/cai2.97","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The wide use of antibody-drug conjugates (ADCs) is transforming the cancer-treatment landscape. Understanding the treatment-related adverse events (AEs) of ADCs is crucial for their clinical application. We conducted a meta-analysis to analyze the profile and incidence of AEs related to ADC use in the treatment of solid tumors and hematological malignancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched the PubMed, Embase, and Cochrane Library databases for articles published from January 2001 to October 2022. The overall profile and incidence of all-grade and grade ≥ 3 treatment-related AEs were the primary outcomes of the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 138 trials involving 15,473 patients were included in this study. The overall incidence of any-grade treatment-related AEs was 100.0% (95% confidence interval [CI]: 99.9%–100.0%; <i>I</i><sup>2</sup> = 89%) and the incidence of grade ≥ 3 treatment-related AEs was 6.2% (95% CI: 3.0%–12.4%; <i>I</i>² = 99%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides a comprehensive overview of AEs related to ADCs used for cancer treatment. ADC use resulted in a high incidence of any-grade AEs but a low incidence of grade ≥ 3 AEs. The AE profiles and incidence differed according to cancer type, ADC type, and ADC components.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"2 5","pages":"346-375"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71979901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bioinformatics analysis of human kallikrein 5 (KLK5) expression in metaplastic triple-negative breast cancer 人激肽释放酶5(KLK5)在化生三阴性乳腺癌症中表达的生物信息学分析
Cancer Innovation Pub Date : 2023-10-15 DOI: 10.1002/cai2.96
Yue Song, Guiying Bai, Xiaoqing Li, Liyan Zhou, Yiran Si, Xiaohui Liu, Yilin Deng, Yehui Shi
{"title":"Bioinformatics analysis of human kallikrein 5 (KLK5) expression in metaplastic triple-negative breast cancer","authors":"Yue Song,&nbsp;Guiying Bai,&nbsp;Xiaoqing Li,&nbsp;Liyan Zhou,&nbsp;Yiran Si,&nbsp;Xiaohui Liu,&nbsp;Yilin Deng,&nbsp;Yehui Shi","doi":"10.1002/cai2.96","DOIUrl":"https://doi.org/10.1002/cai2.96","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Metaplastic breast carcinoma (MBC) is a rare breast cancer subtype; most cases are triple-negative breast cancers (TNBCs) and are poorly responsive to conventional systemic therapy. Few potential diagnostic and prognostic markers for distinguishing between metaplastic TNBC and nonmetaplastic TNBC have been discovered. We performed bioinformatic analysis to explore the underlying mechanism by which metaplastic TNBC differs from nonmetaplastic TNBC and provides potential pathogenic genes of metaplastic TNBC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Differentially expressed genes (DEGs) in metaplastic tumors and nonmetaplastic tumors from TNBC patients were screened using GSE165407. The GSE76275 data set and The Cancer Genome Atlas (TCGA) database were used to screen DEGs in TNBC and non-TNBC. Metascape and DAVID were used for the Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis and Gene Ontology (GO) analysis of DEGs. Online databases, including UALCAN, GEPIA, HPA, Breast Cancer Gene-Expression Miner, and quantitative PCR and western blot, were used to examine <i>KLK5</i> messenger RNA and protein expression in breast cancer. Analysis of <i>KLK5</i>‑associated genes was performed with TCGA data, and the LinkedOmics database was used to detect the genes co-expressed with <i>KLK5</i>. STRING (Search Tool for the Retrieval of Interacting Genes) and Cytoscape were used to screen for hub genes. Kaplan‑Meier plotter was used for survival analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p><i>KLK5</i> was identified among the DEGs in nonmetaplastic TNBC and metaplastic TNBC. The <i>KLK5</i> gene was overexpressed in nonmetaplastic TNBC but downregulated in metaplastic TNBC. KEGG and GO analyses revealed that epithelial-to-mesenchymal transition was a pathogenic mechanism in metaplastic TNBC and an important pathway by which <i>KLK5</i> and its associated genes <i>DSG1</i> and <i>DSG3</i> influence metaplastic TNBC progression. Prognosis analysis showed that only low expression of <i>KLK5</i> in metaplastic TNBC had clinical significance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our research indicated that <i>KLK5</i> may be a pivotal molecule with a key role in the mechanism of tumorigenesis in metaplastic TNBC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"2 5","pages":"376-390"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71979902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive treatment of von Hippel-Lindau disease: A case report 冯-希佩尔-林道病的综合治疗:病例报告
Cancer Innovation Pub Date : 2023-09-20 DOI: 10.1002/cai2.94
Xuesong Li, Zheng Mo, Zhuo Yu
{"title":"Comprehensive treatment of von Hippel-Lindau disease: A case report","authors":"Xuesong Li,&nbsp;Zheng Mo,&nbsp;Zhuo Yu","doi":"10.1002/cai2.94","DOIUrl":"10.1002/cai2.94","url":null,"abstract":"<p>von Hippel-Lindau (VHL) disease is a rare autosomal dominant multiorgan disease characterized by several benign and malignant tumors rich in vascular, as well as cysts in other organs. A great clinical treatment strategy is significantly warranted for good prognosis of patients with VHL disease. Herein, we reported a case of a 45-year-old woman diagnosed with VHL disease with spinal hemangioblastoma (HB) and clear cell renal cell carcinoma (ccRCC). Four years after the resection of the right kidney, a recurrent RCC in the right kidney and a malignant lesion in the left kidney were observed. This patient was started on sorafenib (800 mg, daily) and tislelizumab (200 mg per 3 weeks). After 6 months of treatment, the size of renal cell carcinoma was dramatically reduced and renal function improved. More importantly, she achieved partial response during the whole treatment. Microscopically, intramedullary masses resection was done and the HB in T4-5 thoracic spinal was removed. Neurologic symptoms such as numbness and pain were remarkably alleviated. Additionally, tislelizumab-induced elevation in liver transaminase levels and hypothyroidism were revered by hepatoprotector and levothyroxine, respectively. In short, comprehensive treatment strategies may benefit patients with VHL disease, especially with HB and ccRCC.</p>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.94","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Machine-learning radiomics to predict bone marrow metastasis of neuroblastoma using magnetic resonance imaging 利用磁共振成像预测神经母细胞瘤骨髓转移的机器学习放射组学
Cancer Innovation Pub Date : 2023-09-20 DOI: 10.1002/cai2.92
Lin Lv, Zhengtao Zhang, Dongbo Zhang, Qinchang Chen, Yuanfang Liu, Ya Qiu, Wen Fu, Xuntao Yin, Xiong Chen
{"title":"Machine-learning radiomics to predict bone marrow metastasis of neuroblastoma using magnetic resonance imaging","authors":"Lin Lv,&nbsp;Zhengtao Zhang,&nbsp;Dongbo Zhang,&nbsp;Qinchang Chen,&nbsp;Yuanfang Liu,&nbsp;Ya Qiu,&nbsp;Wen Fu,&nbsp;Xuntao Yin,&nbsp;Xiong Chen","doi":"10.1002/cai2.92","DOIUrl":"https://doi.org/10.1002/cai2.92","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Neuroblastoma is one common pediatric malignancy notorious for high temporal and spatial heterogeneities. More than half of its patients develop distant metastases involving vascularized organs, especially the bone marrow. It is thus necessary to have an economical, noninvasive method without much radiation for follow-ups. Radiomics has been used in many cancers to assist accurate diagnosis but not yet in bone marrow metastasis in neuroblastoma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 182 patients with neuroblastoma were retrospectively collected and randomly divided into the training and validation sets. Five-hundred and seventy-two radiomics features were extracted from magnetic resonance imaging, among which 41 significant ones were selected via <i>T</i>-test for model development. We attempted 13 machine-learning algorithms and eventually chose three best-performed models. The integrative performance evaluations are based on the area under the curves (AUCs), calibration curves, risk deciles plots, and other indexes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Extreme gradient boosting, random forest (RF), and adaptive boosting were the top three to predict bone marrow metastases in neuroblastoma while RF was the most accurate one. Its AUC was 0.90 (0.86–0.93), F1 score was 0.82, sensitivity was 0.76, and negative predictive value was 0.79 in the training set. The values were 0.82 (0.71–0.93), 0.80, 0.75, and 0.92 in the validation set, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Radiomics models are likely to contribute more to metastatic diagnoses and the formulation of personalized healthcare strategies in clinics. It has great potential of being a revolutionary method to replace traditional interventions in the future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"2 5","pages":"405-415"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71977728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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