Critical reviews in oncology/hematology最新文献

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Polycomb Repressor Complex 1 (PRC1) in ovarian cancer: A scoping literature review 卵巢癌中的多聚核酸抑制复合体 1 (PRC1):范围界定文献综述。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-19 DOI: 10.1016/j.critrevonc.2024.104456
Jessica Floyd , Kristen DeSanto , Benjamin G. Bitler , Lindsay W. Brubaker
{"title":"Polycomb Repressor Complex 1 (PRC1) in ovarian cancer: A scoping literature review","authors":"Jessica Floyd ,&nbsp;Kristen DeSanto ,&nbsp;Benjamin G. Bitler ,&nbsp;Lindsay W. Brubaker","doi":"10.1016/j.critrevonc.2024.104456","DOIUrl":"10.1016/j.critrevonc.2024.104456","url":null,"abstract":"<div><p>High grade serous carcinoma (HGSC) is the most common and the deadliest histologic subtype of epithelial ovarian cancer. HGSC is a therapeutic challenge, as it recurs in 80 % of patients diagnosed, often as chemoresistant disease. The mechanism of this chemoresistance is not fully elucidated, but it is partly attributed to the ability of HGSC to maintain a stem-like phenotype that enables development of resistance to current therapies. Polycomb Repressor Complexes 1 and 2 (PRC1/2) have been implicated in the maintenance of the stem cell compartment through silencing tumor suppressor genes and regulating stem cells. These complexes are comprised of multiple polycomb group (PcG) proteins that play a role in normal development, and when deregulated contribute to the development of cancer [2]. Proteins included in PRC1 include B lymphoma mouse Moloney leukemia virus insertion region (BMI1), RING1, and chromobox (CBX) proteins.</p><p>We aimed to review each of the protein components of PRC1 and their mechanistic relationships to promoting chemoresistant recurrences and propagation of ovarian cancer. Where possible, we reviewed therapeutic investigations of these proteins. We utilized a scoping literature review through Covidence to identify 42 articles meeting criteria for inclusion. The authors identified four relevant articles and the Yale MeSH Analysis Grid Generator was used to establish additional keywords and heading terms. A medical librarian used these terms and articles to draft an initial search strategy within each of the following databases: MEDLINE, Embase, Cochrane Library, and Web of Science Core Collection, yielding 439 articles based on title and abstract. Abstracts were independently reviewed by the authors, identifying 77 articles for full text review, of which 35 were ultimately excluded, leaving 42 articles for full review.</p><p>Our review identified the currently known mechanisms of the subunits of PRC1 that contribute to HGSC development, recurrence, and chemoresistance. By compiling a comprehensive review of available scientific knowledge, we support and direct further investigation into PRC1 that can affect meaningful advances in the treatment of HGSC.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"202 ","pages":"Article 104456"},"PeriodicalIF":5.5,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adjuvant anti-PD1 immunotherapy of resected skin melanoma: an example of non-personalized medicine with no overall survival benefit 切除皮肤黑色素瘤的辅助抗PD1免疫疗法:非个性化医疗的典范,无总体生存获益。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-16 DOI: 10.1016/j.critrevonc.2024.104443
Sebastian Ochenduszko , Miroslawa Puskulluoglu , Renata Pacholczak-Madej , Oreto Ruiz-Millo
{"title":"Adjuvant anti-PD1 immunotherapy of resected skin melanoma: an example of non-personalized medicine with no overall survival benefit","authors":"Sebastian Ochenduszko ,&nbsp;Miroslawa Puskulluoglu ,&nbsp;Renata Pacholczak-Madej ,&nbsp;Oreto Ruiz-Millo","doi":"10.1016/j.critrevonc.2024.104443","DOIUrl":"10.1016/j.critrevonc.2024.104443","url":null,"abstract":"<div><p>Randomized clinical trials demonstrated a recurrence-free survival benefit with adjuvant anti-programmed death-1 (anti-PD1) inhibitors of resected stage IIB-IV melanoma. However, no improvement in overall survival has been observed thus far. Furthermore, there are no predictive markers for immunotherapy response in melanoma, therefore adjuvant treatment is offered to <em>all comers</em> based exclusively on the pathological and clinical stages. Additionally, one year of treatment duration and the risk of chronic immune-related adverse effects may negatively impact patients´ quality of life. In this review, we will try to answer whether the currently available data on adjuvant anti-PD1 therapy of stage IIB-IV resected melanoma is sufficient to make this strategy available to all patients. We will also discuss the economic impact of this therapy on healthcare system budgets. Recent studies suggest that the high cost of cancer drugs may affect access to these agents globally by raising questions of sustainability for patients and society.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"202 ","pages":"Article 104443"},"PeriodicalIF":5.5,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors for a broad technology assessment of comprehensive genomic profiling in advanced cancer, a systematic review 晚期癌症综合基因组剖析广泛技术评估的因素,系统综述。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-14 DOI: 10.1016/j.critrevonc.2024.104441
L.F. van Schaik , E.G. Engelhardt , E.A. Wilthagen , N. Steeghs , A. Fernández Coves , M.A. Joore , W.H. van Harten , V.P. Retèl
{"title":"Factors for a broad technology assessment of comprehensive genomic profiling in advanced cancer, a systematic review","authors":"L.F. van Schaik ,&nbsp;E.G. Engelhardt ,&nbsp;E.A. Wilthagen ,&nbsp;N. Steeghs ,&nbsp;A. Fernández Coves ,&nbsp;M.A. Joore ,&nbsp;W.H. van Harten ,&nbsp;V.P. Retèl","doi":"10.1016/j.critrevonc.2024.104441","DOIUrl":"10.1016/j.critrevonc.2024.104441","url":null,"abstract":"<div><p>Comprehensive Genomic Profiling (CGP) allows for the identification of many targets. Reimbursement decision-making is, however, challenging because besides the health benefits of on-label treatments and costs, other factors related to diagnostic and treatment pathways may also play a role. The aim of this study was to identify which other factors are relevant for the technology assessment of CGP and to summarize the available evidence for these factors. After a scoping search and two expert sessions, five factors were identified: feasibility, test journey, wider implications of diagnostic results, organisation of laboratories, and “scientific spillover”. Subsequently, a systematic search identified 83 studies collecting mainly evidence for the factors “test journey” and “wider implications of diagnostic results”. Its nature was, however, of limited value for decision-making. We recommend the use of comparative strategies, uniformity in outcome definitions, and the inclusion of a comprehensive set of factors in future evidence generation.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"202 ","pages":"Article 104441"},"PeriodicalIF":5.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health-related quality of life with comprehensive geriatric assessment guided care versus usual care in older adults with cancer: A systematic review and meta-analysis of randomized trials 老年综合评估指导护理与常规护理对老年癌症患者健康相关生活质量的影响:随机试验的系统回顾和荟萃分析。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-14 DOI: 10.1016/j.critrevonc.2024.104442
Zhi Xuan Ng , Pooja Handa , Huili Zheng , Matthew Zhixuan Chen , Yu Yang Soon , Prunella Blinman , Martin Stockler , Francis Ho
{"title":"Health-related quality of life with comprehensive geriatric assessment guided care versus usual care in older adults with cancer: A systematic review and meta-analysis of randomized trials","authors":"Zhi Xuan Ng ,&nbsp;Pooja Handa ,&nbsp;Huili Zheng ,&nbsp;Matthew Zhixuan Chen ,&nbsp;Yu Yang Soon ,&nbsp;Prunella Blinman ,&nbsp;Martin Stockler ,&nbsp;Francis Ho","doi":"10.1016/j.critrevonc.2024.104442","DOIUrl":"10.1016/j.critrevonc.2024.104442","url":null,"abstract":"<div><h3>Background</h3><p>To evaluate if comprehensive geriatric assessment (CGA)-guided care improves health-related quality of life (HRQL) in older adults with cancer compared to usual care.</p></div><div><h3>Methods</h3><p>Relevant randomized controlled trials (RCTs) were identified through biomedical databases. Meta-analyses using DerSimonian-Laird model summarized the difference in the mean change of HRQL scores from baseline across various time points, with evidence certainty assessed by the GRADE tool. Logistic regression via generalized estimating equations analyzed predictors of HRQL improvement.</p></div><div><h3>Results</h3><p>Potential improvement in the global HRQL score by CGA-guided care at 3 months (Cohen’s d 0.27, 95 % CI −0.03–0.58, moderate certainty), could not be excluded. Larger RCTs or those mandating CGA before initiating anti-cancer treatment were predictors of improved HRQL.</p></div><div><h3>Conclusion</h3><p>The effects of CGA-guided care on HRQL were variable. Larger RCTs and those mandating pre-treatment CGA tended to report improved HRQL.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"201 ","pages":"Article 104442"},"PeriodicalIF":5.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrating nutrition, physical exercise, psychosocial support and antiemetic drugs into CINV management: The road to success 将营养、体育锻炼、心理支持和止吐药纳入 CINV 管理:成功之路。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-13 DOI: 10.1016/j.critrevonc.2024.104444
Lorenzo Belluomini , Alice Avancini , Marco Sposito , Letizia Pontolillo , Daniela Tregnago , Ilaria Trestini , Jessica Insolda , Luisa Carbognin , Michele Milella , Emilio Bria , Sara Pilotto
{"title":"Integrating nutrition, physical exercise, psychosocial support and antiemetic drugs into CINV management: The road to success","authors":"Lorenzo Belluomini ,&nbsp;Alice Avancini ,&nbsp;Marco Sposito ,&nbsp;Letizia Pontolillo ,&nbsp;Daniela Tregnago ,&nbsp;Ilaria Trestini ,&nbsp;Jessica Insolda ,&nbsp;Luisa Carbognin ,&nbsp;Michele Milella ,&nbsp;Emilio Bria ,&nbsp;Sara Pilotto","doi":"10.1016/j.critrevonc.2024.104444","DOIUrl":"10.1016/j.critrevonc.2024.104444","url":null,"abstract":"<div><p>Over the years, advancements in antiemetic drugs have improved chemotherapy-induced nausea and vomiting (CINV) control. However, despite the antiemetics therapies, in a relevant number of adult patients (∼30 %), CINV is still persistent, leading to several complications, such as electrolyte imbalances, anorexia, and treatment discontinuation. Supportive care interventions have gained credibility in cancer care, helping to improve patients' psycho-physical condition, quality of life, and managing symptoms, including CINV. Physical exercise and tailored nutritional counseling have demonstrated benefits in reducing the severity of nausea and vomiting. Psychological intervention has been postulated as a key approach in controlling anticipatory nausea/vomiting, as well as acupuncture/acupressure has been shown to decrease nausea and vomiting after chemotherapy treatments. In the current review, we aim to provide a clinical update on current prophylactic and delayed antiemetic guidelines for CINV and an overview of the non-pharmacological interventions tested for alleviating CINV in patients with cancer.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"201 ","pages":"Article 104444"},"PeriodicalIF":5.5,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040842824001872/pdfft?md5=ba1c560701d84a8a6cbe35c71570b9be&pid=1-s2.0-S1040842824001872-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative imaging predictors of tumor progression and pseudoprogression: A systematic review 肿瘤进展和假性进展的围手术期成像预测因素:系统综述。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-09 DOI: 10.1016/j.critrevonc.2024.104445
{"title":"Perioperative imaging predictors of tumor progression and pseudoprogression: A systematic review","authors":"","doi":"10.1016/j.critrevonc.2024.104445","DOIUrl":"10.1016/j.critrevonc.2024.104445","url":null,"abstract":"<div><p>In high-grade gliomas, pseudoprogression after radiation treatment might dramatically impact patient’s management. We searched for perioperative imaging predictors of pseudoprogression in high-grade gliomas according to PRISMA guidelines, using MEDLINE/Pubmed and Embase (until January 2024).</p><p>Study design, sample size, setting, diagnostic gold standard, imaging modalities and contrasts, and differences among variables or measures of diagnostic accuracy were recorded. Study quality was assessed through the QUADAS-2 tool.</p><p>Twelve studies (11 with MRI, one with PET; 1058 patients) were reviewed. Most studies used a retrospective design (9/12), and structural MRI (7/12). Studies were heterogeneous in metrics and diagnostic reference standards; patient selection bias was a frequent concern. Pseudoprogression and progression showed some significant group differences in perioperative imaging metrics, although often with substantial overlap. Radiomics showed moderate accuracy but requires further validation.</p><p>Current literature is scarce and limited by methodological concerns, highlighting the need of new predictors and multiparametric approaches.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"202 ","pages":"Article 104445"},"PeriodicalIF":5.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040842824001884/pdfft?md5=3be3ad78762e5022f47190cbf28a37b1&pid=1-s2.0-S1040842824001884-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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 ferroptosis suppressor protein 1 in cancer therapy: Implications and perspectives, with emphasis on head and neck cancer 癌症治疗中的铁突变抑制蛋白 1 靶点:影响和前景,重点是头颈癌。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-09 DOI: 10.1016/j.critrevonc.2024.104440
{"title":"Targeting ferroptosis suppressor protein 1 in cancer therapy: Implications and perspectives, with emphasis on head and neck cancer","authors":"","doi":"10.1016/j.critrevonc.2024.104440","DOIUrl":"10.1016/j.critrevonc.2024.104440","url":null,"abstract":"<div><p>The diverse functions of ferroptosis suppressor protein 1 (FSP1/AIFM2) in cancer have positioned it as a promising therapeutic target across various malignancies, including head and neck cancer (HNC). Initially characterized as a potential tumor suppressor due to its involvement in apoptosis and ferroptosis, recent studies have revealed its complex role in tumor growth, metabolism, and therapy resistance. Pharmacological inhibition of FSP1 shows potential in sensitizing cancer cells to ferroptosis and overcoming resistance to conventional therapies, offering new avenues for precision medicine approaches. Identifying novel FSP1 inhibitors and their synergistic effects with existing therapies presents exciting opportunities for therapeutic development. However, translating preclinical findings into clinical practice requires the refinement of FSP1 inhibitors, robust biomarkers for patient stratification, and further investigations into the molecular mechanisms underlying FSP1-mediated therapy resistance. Integrating FSP1-targeted therapies into comprehensive treatment regimens holds promise for improving outcomes in cancer patients and advancing the field of precision oncology.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"202 ","pages":"Article 104440"},"PeriodicalIF":5.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of hematological and neurological expressed 1 (HN1) in human cancers 血液和神经表达 1 (HN1) 在人类癌症中的作用。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-09 DOI: 10.1016/j.critrevonc.2024.104446
Huangcan Li , Simiao Fan , Zhongqin Gong, Jason Ying Kuen Chan, Michael Chi Fai Tong, George Gong Chen
{"title":"Role of hematological and neurological expressed 1 (HN1) in human cancers","authors":"Huangcan Li ,&nbsp;Simiao Fan ,&nbsp;Zhongqin Gong,&nbsp;Jason Ying Kuen Chan,&nbsp;Michael Chi Fai Tong,&nbsp;George Gong Chen","doi":"10.1016/j.critrevonc.2024.104446","DOIUrl":"10.1016/j.critrevonc.2024.104446","url":null,"abstract":"<div><p>Hematological and neurological expressed 1 (HN1), also known as Jupiter microtubule associated homolog 1 (JPT1), is a highly conserved protein with widespread expression in various tissues. Ectopic elevation of HN1 has been observed in multiple cancers, highlighting its role in tumorigenesis and progression. Both proteomics and transcriptomics reveal that HN1 is closely associated with severe disease progression, poor prognostic and shorter overall survival. HN1's involvement in cancer cell proliferation and metastasis has been extensively investigated. Overexpression of HN1 is associated with increased tumor growth and disease progression, while its depletion leads to cell cycle arrest and apoptosis. The pivotal role of HN1 in cancer progression, particularly in proliferation, migration, and invasion, underscores its significance in cancer metastasis. Validation of the efficacy and safety of HN1 inhibition, along with the development of diagnostic methods to determine HN1 expression levels in patients, is essential for the translation of HN1-targeted therapies into clinical practice. Overall, HN1 emerges as a valuable prognostic marker and therapeutic target in cancer, and further investigations hold the potential to improve patient outcomes by impeding metastasis and enhancing treatment strategies.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"201 ","pages":"Article 104446"},"PeriodicalIF":5.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multigenic panels in breast cancer: clinical utility and management of patients with pathogenic variants other than BRCA1/2 乳腺癌的多基因检测:BRCA1/2 以外致病变异患者的临床实用性和管理。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-06 DOI: 10.1016/j.critrevonc.2024.104431
Alessandra Fabi , Laura Cortesi , Simona Duranti , Emanuela Lucci Cordisco , Alba Di Leone , Daniela Terribile , Ida Paris , Antonio Giulio de Belvis , Armando Orlandi , Fabio Marazzi , Margherita Muratore , Giorgia Garganese , Paola Fuso , Filippo Paoletti , Rossella Dell’Aquila , Angelo Minucci , Giovanni Scambia , G. Franceschini , R. Masetti , Maurizio Genuardi
{"title":"Multigenic panels in breast cancer: clinical utility and management of patients with pathogenic variants other than BRCA1/2","authors":"Alessandra Fabi ,&nbsp;Laura Cortesi ,&nbsp;Simona Duranti ,&nbsp;Emanuela Lucci Cordisco ,&nbsp;Alba Di Leone ,&nbsp;Daniela Terribile ,&nbsp;Ida Paris ,&nbsp;Antonio Giulio de Belvis ,&nbsp;Armando Orlandi ,&nbsp;Fabio Marazzi ,&nbsp;Margherita Muratore ,&nbsp;Giorgia Garganese ,&nbsp;Paola Fuso ,&nbsp;Filippo Paoletti ,&nbsp;Rossella Dell’Aquila ,&nbsp;Angelo Minucci ,&nbsp;Giovanni Scambia ,&nbsp;G. Franceschini ,&nbsp;R. Masetti ,&nbsp;Maurizio Genuardi","doi":"10.1016/j.critrevonc.2024.104431","DOIUrl":"10.1016/j.critrevonc.2024.104431","url":null,"abstract":"<div><p>Multigene panels can analyze high and moderate/intermediate penetrance genes that predispose to breast cancer (BC), providing an opportunity to identify at-risk individuals within affected families. However, considering the complexity of different pathogenic variants and correlated clinical manifestations, a multidisciplinary team is needed to effectively manage BC. A classification of pathogenic variants included in multigene panels was presented in this narrative review to evaluate their clinical utility in BC. Clinical management was discussed for each category and focused on BC, including available evidence regarding the multidisciplinary and integrated management of patients with BC. The integration of both genetic testing and counseling is required for customized decisions in therapeutic strategies and preventative initiatives, as well as for a defined multidisciplinary approach, considering the continuous evolution of guidelines and research in the field.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"201 ","pages":"Article 104431"},"PeriodicalIF":5.5,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metabolic vulnerabilities in cancer: A new therapeutic strategy 癌症中的代谢脆弱性:新的治疗策略
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-07-06 DOI: 10.1016/j.critrevonc.2024.104438
{"title":"Metabolic vulnerabilities in cancer: A new therapeutic strategy","authors":"","doi":"10.1016/j.critrevonc.2024.104438","DOIUrl":"10.1016/j.critrevonc.2024.104438","url":null,"abstract":"<div><p>Cancer metabolism is now a key area for therapeutic intervention, targeting unique metabolic reprogramming crucial for tumor growth and survival. This article reviews the therapeutic potential of addressing metabolic vulnerabilities through glycolysis and glutaminase inhibitors, which disrupt cancer cell metabolism. Challenges such as tumor heterogeneity and adaptive resistance are discussed, with strategies including personalized medicine and predictive biomarkers to enhance treatment efficacy. Additionally, integrating diet and lifestyle changes with metabolic targeting underscores a holistic approach to improving therapy outcomes. The article also examines the benefits of incorporating these strategies into standard care, highlighting the potential for more tailored, safer treatments. In conclusion, exploiting metabolic vulnerabilities promises a new era in oncology, positioning metabolic targeting at the forefront of personalized cancer therapy and transforming patient care.</p></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"201 ","pages":"Article 104438"},"PeriodicalIF":5.5,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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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