{"title":"9-Deazaadenosine directly binds PYCR1 and inhibits cancer cell proliferation through disruption of NAD+ metabolism","authors":"Jongtae Roh , Inho Ahn , Jong-Ryoo Choi , Sung-Kyun Ko","doi":"10.1016/j.tranon.2025.102478","DOIUrl":"10.1016/j.tranon.2025.102478","url":null,"abstract":"<div><div>Cancer cells exhibit abnormal proliferation and dysregulated cell cycle checkpoints. Therefore, discovering cell cycle inhibitors is a promising strategy for cancer treatment. The pyrroline-5-carboxylate reductase 1 (PYCR1) is a key enzyme that controls proline metabolism by regulating the conversion of pyrroline-5-carboxylate to proline. PYCR1 is highly expressed in various cancers, including colon cancer. In this study, we discovered a novel role of 9-deazaadenosine (9-DAA) as a cell cycle inhibitor and demonstrated that this compound directly binds to PYCR1. Our results suggest that the inhibitory effects of 9-DAA are due to nicotinamide adenine dinucleotide. We further demonstrated that PYCR1 was elevated under hypoxia and in 3D spheroids in colon cancer and that 9-DAA effectively inhibited cancer progression under cancer-mimicking conditions and in vivo.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102478"},"PeriodicalIF":5.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694760","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}
Martin A. Proescholdt , Tommaso Araceli , Karl-Michael Schebesch , Christian Doenitz , Christina Wendl , Katja Evert , Ekaterina Noeva , Julius Hoehne , Markus J. Riemenschneider , Daniela Hirsch , Nils Ole Schmidt , Daniela Sparrer , Florian Lüke , Daniel Heudobler , Tobias Pukrop , Raquel Blazquez
{"title":"MetInfilt: A prospective trial highlighting the importance of the histological growth pattern in brain metastases","authors":"Martin A. Proescholdt , Tommaso Araceli , Karl-Michael Schebesch , Christian Doenitz , Christina Wendl , Katja Evert , Ekaterina Noeva , Julius Hoehne , Markus J. Riemenschneider , Daniela Hirsch , Nils Ole Schmidt , Daniela Sparrer , Florian Lüke , Daniel Heudobler , Tobias Pukrop , Raquel Blazquez","doi":"10.1016/j.tranon.2025.102480","DOIUrl":"10.1016/j.tranon.2025.102480","url":null,"abstract":"<div><h3>Background</h3><div>While the histological growth pattern (HGP) of liver metastases is frequently evaluated, the same attention is often absent for brain metastases despite evidence suggesting its prognostic significance. This oversight may stem from the lack of a standardized method for assessing the HGP at the macro-metastasis / brain parenchyma interface (MMPI<sub>brain</sub>). MetInfilt is the first prospective, imaging-guided trial aimed at standardizing the collection and analysis of the HGP at the MMPI<sub>brain</sub>.</div></div><div><h3>Methods</h3><div>We recruited fifty patients. The MMPI<sub>brain</sub> was identified using preoperative contrast-enhanced T1-weighted MRI. Intraoperative confocal microscopy (CONVIVO) visualized the MMPI<sub>brain</sub>, while a YELLOW 560 nm filter in the surgical microscope facilitated precise tissue sampling. Samples from the MMPI<sub>brain</sub> and the core of the metastasis were collected for postoperative histological confirmation.</div></div><div><h3>Results</h3><div>The protocol achieved successful tissue acquisition from the MMPI<sub>brain</sub> in 93.2 % of patients, meeting the study's primary endpoint. Preoperative MRI patterns strongly correlated with infiltrative HGPs, and CONVIVO accurately visualized the MMPI<sub>brain</sub> intraoperatively. Exploratory analyses suggest that infiltrative HGPs might negatively impact patient prognosis and represent a potential risk of meningeal metastasis.</div></div><div><h3>Conclusions</h3><div>Our neurosurgical protocol allows the successful and precise acquisition of tissue from the MMPI<sub>brain</sub> through presurgical imaging, intraoperative microscopy, and fluorescence-assisted sampling. The evaluation of the HGP in our limited patient cohort highlights its potential clinical significance and supports the urgent necessity to investigate it further for the benefit of patients with brain metastases.</div></div><div><h3>Clinical trial registration number</h3><div>Z-2019–1307–9.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102480"},"PeriodicalIF":5.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703021","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}
Seo-Yeon Ahn , Manh-Cuong Vo , Van-Tan Nguyen , Van-Dinh-Huan Tran , Tien Nguyen Duc , Mihee Kim , Ga-Young Song , Jae-Sook Ahn , Deok-Hwan Yang , Hyeoung-Joon Kim , Sung-Hoon Jung , Je-Jung Lee
{"title":"Expanded and activated marrow-infiltrating lymphocytes exhibit potent antimyeloma activity against autologous multiple myeloma cells","authors":"Seo-Yeon Ahn , Manh-Cuong Vo , Van-Tan Nguyen , Van-Dinh-Huan Tran , Tien Nguyen Duc , Mihee Kim , Ga-Young Song , Jae-Sook Ahn , Deok-Hwan Yang , Hyeoung-Joon Kim , Sung-Hoon Jung , Je-Jung Lee","doi":"10.1016/j.tranon.2025.102475","DOIUrl":"10.1016/j.tranon.2025.102475","url":null,"abstract":"<div><div>Adoptive immunotherapy represents a promising treatment for multiple myeloma (MM), relying on the availability of sustainable tumor-specific cytotoxic T cells. This study generated potent <em>ex vivo</em> expanded and activated marrow-infiltrating lymphocytes (eMILs) from MM patients and evaluated their immunologic characteristics and cytotoxic potential. MILs were expanded using anti-CD3/CD28 beads in the presence of IL-2, IL-7, and IL-15. The expansion rate, proportions of effector cells (including CD4<sup>+</sup> <em>T</em> cells, CD8<sup>+</sup> <em>T</em> cells, natural killer cells, and memory T cells), and the functional capacity of eMILs were assessed over 2 weeks of culture. Co-culturing MILs with anti-CD3/CD28 beads and cytokines resulted in substantial expansion and activation of MILs during the 14-day culture period. The eMILs displayed an increased proportion of CD8<sup>+</sup> <em>T</em> cells and a high prevalence of central memory T cells (Tcm; > 80 %), with minimal presence of myeloid-derived suppressor cells or regulatory T cells. Compared to expanded peripheral blood lymphocytes, eMILs demonstrated potent cytotoxicity against target MM cells, particularly CD138<sup>+</sup> primary MM cells from autologous patients. These findings suggest that MILs derived from the bone marrow (BM) of MM patients can be expanded and activated to exhibit enhanced antigen specificity for CD138<sup>+</sup> MM cells. Furthermore, eMILs may induce sustained cytotoxic effects due to their high proportion of Tcms. In conclusion, as a unique subset of T cells shaped by the BM microenvironment, MILs show promise as a novel immunotherapeutic approach for MM.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102475"},"PeriodicalIF":5.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702463","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}
{"title":"Corrigendum to “Identification and validation of synergistic drug strategies targeting macrophage polarization in triple-negative breast cancer via single-cell transcriptomics and deep learning” [Translational Oncology 2025 Jun 26;59:102457]","authors":"Qi Qi , Wenhao Yang , Liang Li, Yuheng Tang, Yongzhi Chen, Hui Wang, Sun Yingjie, Jialin Shi, Samina Gul, Wenru Tang, Jianyu Pang, Xiaoli Xie","doi":"10.1016/j.tranon.2025.102474","DOIUrl":"10.1016/j.tranon.2025.102474","url":null,"abstract":"","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102474"},"PeriodicalIF":5.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831431","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}
Juan Iovanna , Nicolas Fraunhoffer , Raul Urrutia , Nelson Dusetti
{"title":"Understanding the heterogeneity of pancreatic ductal adenocarcinoma","authors":"Juan Iovanna , Nicolas Fraunhoffer , Raul Urrutia , Nelson Dusetti","doi":"10.1016/j.tranon.2025.102479","DOIUrl":"10.1016/j.tranon.2025.102479","url":null,"abstract":"<div><div>Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive, treatment-resistant cancer characterized by extensive inter- and intra-tumoral heterogeneity. Although over 95 % of cases harbor KRAS mutations and commonly altered tumor suppressors like TP53, SMAD4, and CDKN2A, these genetic changes alone do not fully explain PDAC variability. We propose a paradigm shift: PDAC heterogeneity is not solely genetic but also shaped by epigenetic regulation and the tumor microenvironment. Traditional transcriptomic classifications define PDAC into fixed subtypes, primarily classical and basal-like, but we argue these are not static categories. Instead, PDAC phenotypes exist along a dynamic continuum influenced by stromal interactions and epigenetic cues. This model challenges the binary classification view. We show that transitions from classical to basal-like states are gradual and reversible, driven by tumor-stroma crosstalk and chromatin remodeling. Such plasticity underpins tumor adaptation, resistance, and progression. Embracing this dynamic framework offers novel therapeutic opportunities.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102479"},"PeriodicalIF":5.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678941","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}
Juan Zhang , Biyang Jing , Xiaojian Ni , Youpei Lin , Jiaomeng Pan , MaoPei Chen , Boheng Zhang , Lan Zhang , Ningling Ge , Ruyuan Deng , Xiao Wang , Guohe Song
{"title":"AGEs-RAGE manipulates tumor intrinsic pERK/Sp1/IL6 pathway and reprograms macrophage to promote intrahepatic cholangiocarcinoma progression","authors":"Juan Zhang , Biyang Jing , Xiaojian Ni , Youpei Lin , Jiaomeng Pan , MaoPei Chen , Boheng Zhang , Lan Zhang , Ningling Ge , Ruyuan Deng , Xiao Wang , Guohe Song","doi":"10.1016/j.tranon.2025.102446","DOIUrl":"10.1016/j.tranon.2025.102446","url":null,"abstract":"<div><div>Tumors often exhibit oxygen deprivation and enhanced glucose uptake, leading to glycolysis. Advanced glycation end products (AGEs) protein modifications induced by hyperglycemia—activate signaling pathways that promote cancer progression upon binding to its receptor (RAGE). In this study, AGEs-treatment enhanced the growth, invasion and migration of intrahepatic cholangiocarcinoma cells (ICC), while increasing IL-6 expression and secretion. Meanwhile, AGEs stimulated the expression of RAGE, specificity protein 1 (Sp1), and the phosphorylation of extracellular signal-regulated kinase (ERK) in a dose-dependent manner. However, these effects were attenuated by RAGE antibody blockade, RAGE knockdown, the ERK inhibitor U0126, or Sp1-specific siRNA. Furthermore, the supernatant of AGEs-treated RBE cells induced M2 polarization of THP-1 macrophages. Thus, AGEs promote ICC progression partly through the pERK/Sp1/IL-6 pathway and M2 macrophage polarization. These findings highlight underscore the role of the AGEs-RAGE axis in driving ICC progression via pERK/Sp1/IL-6 signaling.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102446"},"PeriodicalIF":5.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678942","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}
Guang Chen , Shichen Zhou , Qiaoxin Shi , Yunqing Xun , Tung-Leong Fong , Ruogu Xiong , Ya Xuan Sun , Junjie Lu , Yige Li , Zheng Li , Guanghui Zhu , Ying Wu , Yang Zhou , Yibin Feng , Karen K.L. CHAN
{"title":"Global, regional, and national estimates of burden and risk factors of female cancers in child-bearing age: A systematic analysis for Global Burden of Disease Study and Bayesian projection to 2030","authors":"Guang Chen , Shichen Zhou , Qiaoxin Shi , Yunqing Xun , Tung-Leong Fong , Ruogu Xiong , Ya Xuan Sun , Junjie Lu , Yige Li , Zheng Li , Guanghui Zhu , Ying Wu , Yang Zhou , Yibin Feng , Karen K.L. CHAN","doi":"10.1016/j.tranon.2025.102473","DOIUrl":"10.1016/j.tranon.2025.102473","url":null,"abstract":"<div><h3>Background</h3><div>The prevention, management, and treatment of female cancers among women of childbearing age (WCBA) are crucial strategies for achieving the objectives outlined in the World Health Organization (WHO) Global Breast Cancer Initiative and Cervical Cancer Elimination Initiative. This review aims to provide comprehensive global, regional, and national estimates of the burden of female cancers in women of childbearing age, as well as their attributable risk factors, from 1990 to 2021.</div></div><div><h3>Methods</h3><div>According to the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 methodology, we estimated the incidence, disability-adjusted life-years (DALYs), and mortality of breast, cervical, ovarian, and uterine cancer among women of childbearing age. Temporal trends were assessed using the age-adjusted percentage change (AAPC). Risk factors were estimated using the population attributable fraction, stratified by socio-demographic index (SDI). Projections to 2030 were generated using a Bayesian model.</div></div><div><h3>Results</h3><div>In 2021, the global incidence of breast, uterine, cervical, and ovarian cancer among WCBA was 561,438 (95 % Uncertainty Interval [UI]: 523,147–602,978), 58,860 (95 % UI: 50,765–65,452), 307,428 (95 % UI: 280,667–335,692), and 85,749 (95 % UI: 75,169–95,090), respectively, corresponding to age-standardized rates per 100,000 population of 28.1 (95 % Confidence Interval [CI]: 28.0–28.1), 2.9 (95 % CI: 2.9–3.0), 15.4 (95 % CI: 15.4–15.5), and 4.3 (95 % CI: 4.3–4.4). Breast cancer accounted for the highest number of DALYs at 6659,460 (95 % UI: 6192,226–7145,549), followed by cervical cancer at 4184,314 (95 % UI: 3779,640–4629,604). Diets high in red meat, smoking, and alcohol consumption contributed to 11.2 %, 2.5 %, and 2.6 % of breast cancer deaths, respectively, while unprotected sex accounted for majority of cervical cancer deaths. Obesity was responsible for 30.2 % of both ovarian and uterine cancer deaths. Bayesian projection models indicated that by 2030, the global age-standardized incidence rates of breast and ovarian cancers among WCBA will reach 31.5 and 4.7 per 100,000 population, respectively.</div></div><div><h3>Conclusion</h3><div>Globally, the number of breast, uterine, and ovarian cancer cases among WCBA has increased over the past decade, accompanied by a steady rise in age-standardized incidence rates. In contrast, while the absolute number of cervical cancer cases has risen, its age-standardized incidence rate has declined. Mortality rates for both breast and cervical cancers have generally decreased worldwide; however, in countries within the lower SDI quintile, mortality rates for these cancers continue to rise. Therefore, priority should be given to initiatives such as smoking cessation programs, alcohol reduction strategies, HPV vaccination campaigns, and safe sex education, particularly in lower SDI countries.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102473"},"PeriodicalIF":5.0,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665967","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}
{"title":"The effectiveness and safety of cadonilimab in the first-line treatment of recurrent or metastatic cervical cancer: A retrospective, real-world study","authors":"Jin Ge, Wang Jun","doi":"10.1016/j.tranon.2025.102470","DOIUrl":"10.1016/j.tranon.2025.102470","url":null,"abstract":"<div><h3>Background</h3><div>This retrospective research aims to assess the efficacy and safety of cadonilimab in the first-line treatment of recurrent or metastatic cervical cancer (CC).</div></div><div><h3>Methods</h3><div>The analysis included 25 patients with recurrent or metastatic CC. Each patient received at least two doses of cadonilimab (10mg/kg every three weeks). Among them, one patient received cadonilimab as monotherapy, 15 received targeted therapy, 20 received chemotherapy, and 13 underwent local radiotherapy. The study evaluated the objective response rate (ORR) and the disease control rate (DCR) along with the treatment-related adverse events (TRAEs).</div></div><div><h3>Results</h3><div>The ORR was 76.0 % (19/25, 95 % confidence interval [CI]: 54.5–89.8 %), comprising six complete and 13 partial responses. Additionally, two patients exhibited stable disease, resulting in a DCR of 84.0 % (21/25, 95 % CI: 63.1–94.8 %). All patients developed at least one TRAE. The most frequent TRAEs included anemia (84.0 %), elevated levels of AST and ALT (36.0 %), and leukopenia (64.0 %). Most adverse events were of grades 1–2, with no treatment-related deaths reported. Immune-related adverse events were all grades 1–2 and occurred in nine patients (36.0 %). These included hypothyroidism (<em>n</em> = 5, 20.0 %), hyperthyroidism (<em>n</em> = 4, 16.0 %), immune myocarditis (<em>n</em> = 1, 4.0 %), immune pneumonia (<em>n</em> = 1, 4.0 %), and rash (<em>n</em> = 1, 4.0 %). The incidence of grade 3 leukopenia and thrombocytopenia was elevated in the radiotherapy group in contrast to the non-radiotherapy group, but this contrast did not exhibit statistical significance.</div></div><div><h3>Conclusion</h3><div>Cadonilimab combined with other therapies was acceptable, with encouraging antitumor activity in patients with recurrent or metastatic CC who have undergone radical treatment. Further studies are needed to confirm the long-term outcomes.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102470"},"PeriodicalIF":5.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662132","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}
{"title":"Epigenetic insights: unveiling the impact of hypomethylated CACNA2D3 and FLNA genes in breast cancer progression","authors":"Samar Sindi , Safiah Alhazmi , Mansour Alsaleem , Sabah Hassan , Magdah Ganash , Aisha Alrofidi , Khloud Algothmi , Shadi Alkhayyat , Ayman Linjawi , Aisha Elaimi , Saif Alharthy , Heba Alkhatabi","doi":"10.1016/j.tranon.2025.102469","DOIUrl":"10.1016/j.tranon.2025.102469","url":null,"abstract":"<div><div>Breast Cancer (BC) remains a significant cause of cancer-related mortality in women, impacted by complex genetic and epigenetic alterations in its progression. Among these processes is DNA hypomethylation, which promotes cancer growth. This study aimed to detect the expression level and methylation status of <em>CACNA2D3</em> and <em>FLNA</em> genes in breast cancer patients and then assess the relationship between the mRNA expression and clinicopathological characteristics, as well as the survival rate of these genes. Two advanced techniques, whole genome bisulfite sequencing (WGBS) and differentially expressed WGBS (DEGs), were used to assess the expression and methylation levels. To analyze the pathways that were altered in breast cancer, the WebGestalt over-representation analysis tool (ORA) was used to perform gene ontology (GO) for the highly expressed hypomethylated genes in BC samples. Moreover, the Molecular Taxonomy of Breast Cancer International Consortium (METABRIC) cohort, The Cancer Genome Atlas (TCGA), and Kaplan-Meier Plotter datasets were used to examine the predictive significance of the <em>CACNA2D3</em> and <em>FLNA</em> genes. Then, 5-aza-2′-deoxycytidine (5-AZA) treatment was applied to examine the relationship between DNA methylation and gene expression in MCF7 and MCF10A cells. The results of these advanced techniques indicated that <em>CACNA2D3</em> and <em>FLNA</em> exhibited a significant difference in gene expression and methylation levels between breast cancer patients and controls. The data analysis from several public domains of BC datasets showed that the MAPK pathway was the most significant pathway in BC (p-value 0.035) with four overlapping aberrant hypomethylated genes (<em>ANGPT1, CACNA2D3, FLNA</em>, and <em>IKBKG</em>). Moreover, the <em>CACNA2D3</em> gene was associated with tumor size, histological grade, estrogen receptor (ER), and progesterone receptor (PR) status. Furthermore, <em>CACNA2D3</em> gene expression was increased after 5-AZA treatment in two cell lines, while <em>FLNA</em> gene showed fluctuations in its expression, suggesting that additional factors regulate <em>FLNA</em> expression, which could be related to tumor size, histology, ER, and PR. In conclusion, DNA methylation could be a regulatory factor for <em>CACNA2D3</em> and its high expression was linked to clinicopathological characteristics of breast cancer patients, especially with a good prognosis.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102469"},"PeriodicalIF":5.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656529","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}
Annabell Wolff , Johanna Maennicke , Maja Huehns , Paula Krone , Sonja Oehmcke-Hecht , Caterina Redwanz , Wendy Bergmann-Ewert , Christian Junghanss , Claudia Maletzki
{"title":"Immune-checkpoint inhibition for tumor prevention in a preclinical Lynch syndrome model","authors":"Annabell Wolff , Johanna Maennicke , Maja Huehns , Paula Krone , Sonja Oehmcke-Hecht , Caterina Redwanz , Wendy Bergmann-Ewert , Christian Junghanss , Claudia Maletzki","doi":"10.1016/j.tranon.2025.102472","DOIUrl":"10.1016/j.tranon.2025.102472","url":null,"abstract":"<div><h3>Background</h3><div>FDA-approved immune checkpoint inhibitors (ICIs) are the state-of-the-art treatment for mismatch-repair deficient tumors (dMMR). Their immunomodulatory effects in a preventive setting, are poorly studied. In this study, we used two ICIs against PD-L1 or LAG-3 in a preclinical mouse model of dMMR-driven carcinogenesis.</div></div><div><h3>Methods</h3><div>Msh2<sup>loxP/loxP; TgTg(Vil1-cre</sup> mice without clinical signs of tumor development (i.e. age <12 weeks) received repeated applications (<em>n</em> = 8, 28-day interval) of anti-PD-L1, anti-LAG-3 (2.5 mg/kg bw, i.p.) or isotype (anti-IgG1, 2.5 mg/kg bw, i.p.). Blood phenotyping, tumor microenvironment, and hematopoiesis, and presence of procoagulant extracellular vesicles (EV) were studied.</div></div><div><h3>Results</h3><div>Prophylactic ICI application significantly prolonged overall survival (OS) of Msh2<sup>loxP/loxP; TgTg(Vil1-cre</sup> mice (OS: anti-PD-L1: 54.4 wks and anti-LAG-3: 58.4 wks vs. ctrl 35.8 wks). Circulating exhausted and regulatory T cells were significantly lower in the ICI groups. Splenic exhaustion markers showed correlating results. Outgrowing tumors showed an inflammatory response-related gene signature. Accompanying immunofluorescence confirmed data and identified reduced numbers of tumor-infiltrating regulatory granulocytes in late-onset tumors. Alterations in bone marrow hematopoiesis accompanied this massive immune modulation, indicating successful prevention of myeloid-shifted hematopoiesis. Plasma coagulation of EVs was not significantly altered in the ICI groups.</div></div><div><h3>Conclusion</h3><div>Preventive ICI prolongs overall survival of cancer-prone mice. The sustained immune modulation and normal bone marrow hematopoiesis may pre-sensitize late-onset dMMR tumors to a second round of immunotherapy. Hence, we highlight the importance of preventive strategies for germline MMR mutation carriers and recommend improved screening of patients eligible for prophylactic ICIs to improve long-term outcomes.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"60 ","pages":"Article 102472"},"PeriodicalIF":5.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656530","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}