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Evaluation of Different Risk Factors for Metastatic Sentinel Lymph Nodes in Endometrial Cancer. 评估子宫内膜癌转移前哨淋巴结的不同风险因素
IF 4.5 2区 医学
Cancers Pub Date : 2024-12-01 DOI: 10.3390/cancers16234035
Michele Peiretti, Alfonso Altieri, Giorgio Candotti, Giuseppina Fais, Andrea Ungredda, Valerio Mais, Daniela Fanni, Stefano Angioni
{"title":"Evaluation of Different Risk Factors for Metastatic Sentinel Lymph Nodes in Endometrial Cancer.","authors":"Michele Peiretti, Alfonso Altieri, Giorgio Candotti, Giuseppina Fais, Andrea Ungredda, Valerio Mais, Daniela Fanni, Stefano Angioni","doi":"10.3390/cancers16234035","DOIUrl":"https://doi.org/10.3390/cancers16234035","url":null,"abstract":"<p><p><i>Background/Objectives</i>: This study investigates which demographic, clinical and pathological factors of women with early-stage presurgical EC could be considered risk factors for the presence of different subtypes of metastases in sentinel lymph nodes (SLNs). <i>Methods</i>: This is a retrospective single-center study that collected data between December 2015 and April 2024. EC patients who underwent total hysterectomy with salpingo-oophorectomy and SLN mapping with indocyanine green (ICG) were recorded. <i>Results</i>: Data from 98 women with EC were analyzed. The endometrioid histotype was present in 85 (86%) women, and the non-endometrioid histotype was present in 13 (13%) women. High-grade EC (G3) was present in 21 (21.4%) patients, and low-grade EC (G1-G2) was present in 77 (78.6%) patients. The total number of women with SLN metastasis was 21/98 (21%). Of 21 women, 5 had MAC, 6 had MIC and 10 had ITCs. <i>Conclusions</i>: Preliminary analysis identified three risk factors for nodal involvement: age greater than 67 years, high-grade endometrial carcinomas and myometrial invasion greater than or equal to 50%. Lymphovascular space invasion, histotype 2 and p53 mutation showed a slight, but not statistically significant, tendency to be risk factors for SLN positivity. A deeper analysis with univariate uninominal logistic regression showed that high-grade EC is related to a greater probability of MACs, as shown in other studies, and that low-grade EC (grades 1 and 2) had a strong relationship with low-volume metastasis (LVM); further studies are needed to confirm these results.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833977","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
High Rate of Thromboembolic Events in the Last Year of Life of Cancer Patients: A Registry Study.
IF 4.5 2区 医学
Cancers Pub Date : 2024-12-01 DOI: 10.3390/cancers16234031
Peter Strang, Torbjörn Schultz
{"title":"High Rate of Thromboembolic Events in the Last Year of Life of Cancer Patients: A Registry Study.","authors":"Peter Strang, Torbjörn Schultz","doi":"10.3390/cancers16234031","DOIUrl":"https://doi.org/10.3390/cancers16234031","url":null,"abstract":"<p><strong>Background/objectives: </strong>Venous thromboembolism (VTE) is associated with cancer, but we wanted to show VTE data for the last year of life, adjusting for age, sex, socioeconomic status and comorbidities. We also wanted to study the possible increase in VTE month by month, as well as time trends from 2015 to 2023.</p><p><strong>Methods: </strong>A cohort of 27,423 deceased people with cancer were analyzed with <i>t</i>-tests, chi-square tests and binary logistic regression models.</p><p><strong>Results: </strong>In total, 13.6% had at least one VTE episode during the last year of life and the VTE rate increased month by month (<i>p</i> < 0.0001). In adjusted models, higher VTE rates were associated with younger age and being a woman (<i>p</i> < 0.0001), both for all VTE as well as separately for pulmonary embolism (PE). The VTE rate increased by 47% from 11.1% in 2015 to 16.3% in 2023, and with significant differences for the pre-COVID-19 and COVID-19 years (i.e., 2015-2019 compared to 2020-2023, <i>p</i> < 0.0001).</p><p><strong>Conclusions: </strong>VTE is common in the last year of life and increases month by month. Higher frequencies are associated with female sex but especially with being younger, or having certain cancer forms such as pancreatic, gynecologic or lung cancer. The rate of VTE increased from 2015 to 2023. This is of interest as VTE has been associated with higher treatment intensity and with poorer prognosis and should be considered in the decision-making process.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834013","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
Targeting Precision in Cancer Immunotherapy: Naturally-Occurring Antigen-Specific TCR Discovery with Single-Cell Sequencing. 癌症免疫疗法中的精准靶向:利用单细胞测序发现天然抗原特异性 TCR。
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234020
Saleh Alrhmoun, Marina Fisher, Julia Lopatnikova, Olga Perik-Zavodskaia, Marina Volynets, Roman Perik-Zavodskii, Julia Shevchenko, Kirill Nazarov, Julia Philippova, Alaa Alsalloum, Vasily Kurilin, Alexander Silkov, Sergey Sennikov
{"title":"Targeting Precision in Cancer Immunotherapy: Naturally-Occurring Antigen-Specific TCR Discovery with Single-Cell Sequencing.","authors":"Saleh Alrhmoun, Marina Fisher, Julia Lopatnikova, Olga Perik-Zavodskaia, Marina Volynets, Roman Perik-Zavodskii, Julia Shevchenko, Kirill Nazarov, Julia Philippova, Alaa Alsalloum, Vasily Kurilin, Alexander Silkov, Sergey Sennikov","doi":"10.3390/cancers16234020","DOIUrl":"https://doi.org/10.3390/cancers16234020","url":null,"abstract":"<p><p><b>Background</b>: Adoptive cell therapy is the most promising approach for battling cancer, with T cell receptor-engineered T (TCR-T) cell therapy emerging as the most viable option for treating solid tumors. Current techniques for preparing TCR-T cell therapy provide a limited number of candidates TCRs, missing the comprehensive view of the repertoire, which may hinder the identification of the most effective TCRs. <b>Methods</b>: Dendritic cells were primed with immunogenic peptides of the antigen of interest to expand antigen-specific CD8 T lymphocytes from peripheral blood. Following that, the entire repertoire of naturally occurring antigen-specific TCRs was analyzed using single-cell RNA sequencing, alongside the assessment of the dominancy, transcriptome, and binding specificity of the obtained clonotypes, utilizing the TCRscape tool and ERGO-II neural network to identify the most effective candidate for TCR-T cell therapy development. Finally, TCR-T cells with the candidate TCR were obtained, followed by assessing their functionality and selectivity. <b>Results</b>: The developed protocol achieved a remarkable increase in the percentage of antigen-specific T cells by more than 200-fold, with more than 100 antigen-specific TCR clonotypes identified. The resulting TCR-T cells demonstrated high cytotoxicity and selectivity for the targeted antigen, indicating their potential to preferentially target tumor cells. <b>Conclusions</b>: This study offers a comprehensive approach for the discovery and analysis of not only few, but the entire repertoire of naturally occurring antigen-specific TCRs for TCR-T cell therapy development. Additionally, the proposed approach can be tailored to accommodate different types of antigens and MHC variants, making it a highly versatile tool for both research and clinical applications.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834001","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
Colorectal Neoplasia Detection Rates in Lynch Syndrome.
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234021
Danielle Mirda, Michaela Dungan, Yue Ren, Hongzhe Li, Bryson W Katona
{"title":"Colorectal Neoplasia Detection Rates in Lynch Syndrome.","authors":"Danielle Mirda, Michaela Dungan, Yue Ren, Hongzhe Li, Bryson W Katona","doi":"10.3390/cancers16234021","DOIUrl":"https://doi.org/10.3390/cancers16234021","url":null,"abstract":"<p><strong>Background: </strong>The expected and optimal adenoma detection rate (ADR) is not well characterized in Lynch syndrome (LS). The aim of this study is to determine the ADR, the overall colorectal neoplasia detection rate (CNDR), proximal serrated detection rate (PSDR), and CRC detection rate (CRCDR) in an LS cohort.</p><p><strong>Methods: </strong>A retrospective study was performed of individuals with LS who were evaluated at a single tertiary care center from May 2001 to September 2023 (<i>n</i> = 542). Data from procedure and pathology reports were collected along with relevant demographic, clinical history, and family history data. Fisher's exact test and the Kruskal-Wallis test were used to assess factors associated with colorectal neoplasia.</p><p><strong>Results: </strong>Amongst 542 individuals with LS, 352 met the inclusion criteria, and their 1296 colonoscopies/sigmoidoscopies were used for analysis. The cohort was primarily female (64.5%), white (87.5%), and privately insured (76.1%), with a near even distribution across genotypes. CNDR was 27.9%, ADR was 21.4%, PSDR was 7.7%, and CRCDR was 1.5%. Advanced age, Medicare insurance, prior colonic resection, and prior history of non-CRC were significantly associated with an increased CNDR and ADR (<i>p</i> < 0.05). PSDR remained constant with age. There was no association with genotype, biological sex, race, smoking, BMI, aspirin use, nor family history.</p><p><strong>Conclusions: </strong>Despite frequent colonoscopies/sigmoidoscopies, individuals with LS maintain a high rate of colorectal neoplasia, primarily driven by increased detection of adenomas with advancing age. Neoplasia rates may serve as helpful \"ballpark rates\" for endoscopists performing colonoscopies/sigmoidoscopies in LS. However, further studies need to determine whether neoplasia rates are predictive of CRC risk and outcomes in LS.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833528","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
Changes in Skin Cancer-Related Behaviors, Distress, and Beliefs in Response to Receipt of Low- to Moderate-Penetrance Genetic Test Results for Skin Cancer Risk. 收到皮肤癌风险低至中度遗传风险基因检测结果后与皮肤癌有关的行为、压力和信念的变化。
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234027
Monica Khadka, John Charles A Lacson, Steven K Sutton, Youngchul Kim, Susan T Vadaparampil, Brenda Soto-Torres, Jennifer L Hay, Peter A Kanetsky
{"title":"Changes in Skin Cancer-Related Behaviors, Distress, and Beliefs in Response to Receipt of Low- to Moderate-Penetrance Genetic Test Results for Skin Cancer Risk.","authors":"Monica Khadka, John Charles A Lacson, Steven K Sutton, Youngchul Kim, Susan T Vadaparampil, Brenda Soto-Torres, Jennifer L Hay, Peter A Kanetsky","doi":"10.3390/cancers16234027","DOIUrl":"https://doi.org/10.3390/cancers16234027","url":null,"abstract":"<p><p><b>Background.</b> Little is known about the impact of low- to moderate-penetrance genetic testing for skin cancer, which is a promising approach to skin cancer prevention. <b>Methods.</b> To address this deficit, we conducted an analysis comparing changes in skin cancer-related behaviors, distress, and beliefs measured at a baseline and twice after the receipt of skin cancer precision prevention materials containing <i>MC1R</i> risk feedback (higher or average risk) among 568 non-Hispanic White (NHW) and 463 Hispanic participants. <b>Results.</b> Regression analyses identified decreased average weekend hours in the sun (β = -0.25; 95% CI, -0.46-[-0.04]) and increased average skin cancer worry (β = 0.09; 95% CI, 0.01-0.18) among higher-risk NHW participants at the first but not second follow-up. On average, higher-risk NHW and Hispanic participants reported a persistent increased risk of developing skin cancer compared with similar others (β = 0.49; 95% CI, 0.33, 0.65; β = 0.42; 95% CI, 0.17, 0.67, respectively). <b>Conclusions.</b><i>MC1R</i> genetic testing resulted in durable elevated skin cancer risk perceptions and shorter-term behavior changes among higher-risk individuals. Although higher-risk participants reported slight heightened worry at the first follow-up, the overall levels of skin cancer-related distress were low. The lack of sustained behavioral changes highlights the need for intervention reinforcement in precision prevention approaches to reduce cancer risk.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833927","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
Salvage Therapy with Second-Generation Inhibitors for FLT3 Mutated Acute Myeloid Leukemia: A Real-World Study by the CETLAM and PETHEMA Groups.
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234028
Susana Vives, David Quintela, Mireia Morgades, Isabel Cano-Ferri, Alfons Serrano, Evelyn Acuña-Cruz, Marta Cervera, Marina Díaz-Beyá, Belén Vidriales, José Ángel Raposo-Puglia, Montserrat Arnan, Ana Garrido, Amaia Balerdi, Ana Isabel Cabello, Pilar Herrera-Puente, Josefina Serrano, Rosa Coll, Mar Tormo, Javier López-Marín, Sara García-Ávila, María Soledad Casado, Irene Padilla, Gabriela Rodríguez-Macías, María Calbacho, Ana Puchol, Agustín Hernández, Melissa Torres, Lissette Costilla, Maria Mercedes Colorado, David Martínez-Cuadrón, Jordi Esteve, Pau Montesinos
{"title":"Salvage Therapy with Second-Generation Inhibitors for FLT3 Mutated Acute Myeloid Leukemia: A Real-World Study by the CETLAM and PETHEMA Groups.","authors":"Susana Vives, David Quintela, Mireia Morgades, Isabel Cano-Ferri, Alfons Serrano, Evelyn Acuña-Cruz, Marta Cervera, Marina Díaz-Beyá, Belén Vidriales, José Ángel Raposo-Puglia, Montserrat Arnan, Ana Garrido, Amaia Balerdi, Ana Isabel Cabello, Pilar Herrera-Puente, Josefina Serrano, Rosa Coll, Mar Tormo, Javier López-Marín, Sara García-Ávila, María Soledad Casado, Irene Padilla, Gabriela Rodríguez-Macías, María Calbacho, Ana Puchol, Agustín Hernández, Melissa Torres, Lissette Costilla, Maria Mercedes Colorado, David Martínez-Cuadrón, Jordi Esteve, Pau Montesinos","doi":"10.3390/cancers16234028","DOIUrl":"https://doi.org/10.3390/cancers16234028","url":null,"abstract":"<p><strong>Background/objectives: </strong>Patients with relapsed/refractory (R/R) AML with <i>FLT3</i> mutation (<i>FLT3</i><sup>mut</sup>) have a dismal prognosis. <i>FLT3</i><sup>mut</sup> offers a target for therapy in these patients. Gilteritinib (gilter) and quizartinib (quizar) have demonstrated efficacy as single agents in two phase 3 clinical trials.</p><p><strong>Methods: </strong>We retrospectively analyzed the characteristics, treatments, and outcomes of 50 patients with R/R <i>FLT3</i><sup>mut</sup> AML who received gilter or quizar as monotherapy in 27 Spanish centers before their commercial availability. Forty-four patients were treated with gilter and six with quizar.</p><p><strong>Results: </strong>The median age was 62.5 years, and 52% were women. Most patients presented with <i>FLT3</i>-ITD mutations (80%); 46% had refractory disease and 54% had relapsed disease at treatment initiation. First-line treatment was chemotherapy in 80% of patients, with 40% of these also receiving midostaurin. Twenty-five patients (50%) had previously received FLT3 inhibitor, and twenty-eight (56%) had received more than one line treatment before starting gilter/quizar. The rates of complete remission (CR), CR without hematological recovery (CRi), and partial remission were 22%, 18%, and 16%, respectively. The median overall survival (OS) and disease-free survival were 4.74 months and 2.99 months, respectively. We observed a significant improvement in OS in patients who had received only one prior line of therapy compared to those who had received two or more therapies (10.77 months vs. 4.24 months, <i>p</i> = 0.016). Multivariate analysis identified failure to achieve CR/CRi, receiving more than one prior line of therapy, age, and white blood cells count as independent prognostic factors for OS. The most common toxicities were febrile neutropenia, liver function abnormalities, and QT interval prolongation.</p><p><strong>Conclusions: </strong>Gilter/quizar monotherapy are effective and tolerable options for patients with R/R <i>FLT3</i><sup>mut</sup> AML in a real-world setting. Response and toxicity rates are similar to those reported in the phase 3 trials, despite the more heterogeneous nature of the study population.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834124","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
Postoperative Radiotherapy for pT1- and pT2-Classified Squamous Cell Carcinoma of the External Auditory Canal. 外耳道鳞状细胞癌 pT1 和 pT2 级术后放疗。
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234026
Cindy H Nabuurs, Wietske Kievit, Charles René Reinier Leemans, Conrad F G M Smit, Michiel W M van den Brekel, Robert J Pauw, Bernard F A M van der Laan, Jeroen C Jansen, Martin Lacko, Weibel W Braunius, Chunfu Dai, Xunbei Shi, Giovanni Danesi, Jan Bouček, Daniele Borsetto, Shavran Gowrishankar, Romain Kania, Clément Jourdaine, Thijs T G Jansen, Jolanda Derks, Tim Dijkema, Robert P Takes, Henricus Dirk P M Kunst
{"title":"Postoperative Radiotherapy for pT1- and pT2-Classified Squamous Cell Carcinoma of the External Auditory Canal.","authors":"Cindy H Nabuurs, Wietske Kievit, Charles René Reinier Leemans, Conrad F G M Smit, Michiel W M van den Brekel, Robert J Pauw, Bernard F A M van der Laan, Jeroen C Jansen, Martin Lacko, Weibel W Braunius, Chunfu Dai, Xunbei Shi, Giovanni Danesi, Jan Bouček, Daniele Borsetto, Shavran Gowrishankar, Romain Kania, Clément Jourdaine, Thijs T G Jansen, Jolanda Derks, Tim Dijkema, Robert P Takes, Henricus Dirk P M Kunst","doi":"10.3390/cancers16234026","DOIUrl":"https://doi.org/10.3390/cancers16234026","url":null,"abstract":"<p><strong>Background: </strong>There is no consensus regarding the indication for postoperative radiotherapy (PORT) for T1- and T2-classified squamous cell carcinoma (SCC) of the external auditory canal (EAC) even with negative surgical margins. This study aimed to evaluate whether PORT provides additional benefits for these cases.</p><p><strong>Methods: </strong>We collected retrospective data from fourteen international hospitals, including resected pT1- and pT2-classified EAC SCC with negative surgical margins.</p><p><strong>Results: </strong>A total of 112 early-stage radically resected EAC SCC were included, with 48 patients receiving PORT. The 5-year DFS of T1- and T2-classified EAC SCC treated with PORT was not statistically significantly different (92.9% and 76.9%, respectively) compared to the group treated without PORT (100% and 90.9%, respectively; <i>p</i>-values of 0.999 and 0.526, respectively). EAC SCC treated with PORT more frequently exhibited perineural and angioinvasive growth. Eighteen patients experienced side effects related to radiotherapy, of which one patient developed osteoradionecrosis.</p><p><strong>Conclusions: </strong>Our study suggests that PORT for early-stage radically resected EAC SCC should only be considered in selected cases with perineural, infiltrative growth or angioinvasive growth, and with a close margin. This approach helps mitigate the negative impact on quality of life and the risk of side effects associated with radiotherapy.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833546","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
Unveiling the HSF1 Interaction Network: Key Regulators of Its Function in Cancer. 揭示 HSF1 相互作用网络:癌症功能的关键调控因子
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234030
Snezhana A Vladimirova, Nadezhda E Kokoreva, Irina V Guzhova, Bashar A Alhasan, Boris A Margulis, Alina D Nikotina
{"title":"Unveiling the HSF1 Interaction Network: Key Regulators of Its Function in Cancer.","authors":"Snezhana A Vladimirova, Nadezhda E Kokoreva, Irina V Guzhova, Bashar A Alhasan, Boris A Margulis, Alina D Nikotina","doi":"10.3390/cancers16234030","DOIUrl":"https://doi.org/10.3390/cancers16234030","url":null,"abstract":"<p><p>Heat shock factor 1 (HSF1) plays a central role in orchestrating the heat shock response (HSR), leading to the activation of multiple heat shock proteins (HSPs) genes and approximately thousands of other genes involved in various cellular functions. In cancer cells, HSPs play a particular role in coping with the accumulation of damaged proteins resulting from dysregulated translation and post-translational processes. This proteotoxic stress is a hallmark of cancer cells and causes constitutive activation of HSR. Beyond its role in the HSR, HSF1 regulates diverse processes critical for tumor cells, including proliferation, cell death, and drug resistance. Emerging evidence also highlights HSF1's involvement in remodeling the tumor immune microenvironment as well as in the maintenance of cancer stem cells. Consequently, HSF1 has emerged as an attractive therapeutic target, prompting the development of specific HSF1 inhibitors that have progressed to clinical trials. Importantly, HSF1 possesses a broad interactome, forming protein-protein interactions (PPIs) with components of signaling pathways, transcription factors, and chromatin regulators. Many of these interactors modulate HSF1's activity and HSF1-dependent gene expression and are well-recognized targets for cancer therapy. This review summarizes the current knowledge on HSF1 interactions with molecular chaperones, protein kinases, and other regulatory proteins. Understanding the key HSF1 interactions promoting cancer progression, along with identifying factors that disrupt these protein complexes, may offer valuable insights for developing innovative therapeutic strategies against cancer.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834135","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
The Influence of Sex and Age on Survival in Patients with Hepatocellular Carcinoma. 性别和年龄对肝细胞癌患者生存期的影响
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234023
Iuliana Pompilia Radu, Bernhard Scheiner, Jonas Schropp, Maria Gabriela Delgado, Birgit Schwacha-Eipper, Chaonan Jin, Jean-Francois Dufour, Matthias Pinter
{"title":"The Influence of Sex and Age on Survival in Patients with Hepatocellular Carcinoma.","authors":"Iuliana Pompilia Radu, Bernhard Scheiner, Jonas Schropp, Maria Gabriela Delgado, Birgit Schwacha-Eipper, Chaonan Jin, Jean-Francois Dufour, Matthias Pinter","doi":"10.3390/cancers16234023","DOIUrl":"https://doi.org/10.3390/cancers16234023","url":null,"abstract":"<p><p><b>Background and Aim:</b> Age and biological sex are risk factors for hepatocellular carcinoma (HCC) occurrence, but their impact on overall survival (OS) is a matter of debate. This study aims to investigate how sex and age at diagnosis, along with other associated factors (i.e., comorbidities, etiologies, therapy) impact OS in the HCC population. <b>Method:</b> Data from two HCC cohorts-a prospective registry from the University Hospital of Bern, Switzerland, and a retrospective registry from General Hospital Vienna, Austria-were combined and analyzed. Clinical and laboratory data were reviewed, and OS was compared using Kaplan-Meier curves and the log-rank test. Cox regression models with penalized splines were applied to examine how age at diagnosis influenced OS. <b>Results:</b> Of 1547 HCC patients, 1284 (84.1%) were male. Females were older (67 vs. 63 years, <i>p</i> < 0.001) and had lower rates of liver cirrhosis (<i>p</i> < 0.001), cardiac comorbidities (<i>p</i> < 0.001), and diabetes (<i>p</i> < 0.001). No significant difference in median OS between men and women was observed (18 months vs. 16 months, <i>p</i> = 0.304). Mortality risk increased with age, particularly between 60 and 70 years. However, after adjusting for treatment, the age effect became non-significant (<i>p</i> = 0.171). <b>Conclusions:</b> After controlling the model for therapy, neither age nor sex independently influenced OS in HCC patients, underscoring the impact of therapy on survival.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834069","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
Thermal Liquid Biopsy: A Promising Tool for the Differential Diagnosis of Pancreatic Cystic Lesions and Malignancy Detection. 热液体活检:胰腺囊性病变鉴别诊断和恶性肿瘤检测的有效工具
IF 4.5 2区 医学
Cancers Pub Date : 2024-11-30 DOI: 10.3390/cancers16234024
Judith Millastre, Sonia Hermoso-Durán, María Ortiz de Solórzano, Nicolas Fraunhoffer, Guillermo García-Rayado, Sonia Vega, Luis Bujanda, Carlos Sostres, Ángel Lanas, Adrián Velázquez-Campoy, Olga Abian
{"title":"Thermal Liquid Biopsy: A Promising Tool for the Differential Diagnosis of Pancreatic Cystic Lesions and Malignancy Detection.","authors":"Judith Millastre, Sonia Hermoso-Durán, María Ortiz de Solórzano, Nicolas Fraunhoffer, Guillermo García-Rayado, Sonia Vega, Luis Bujanda, Carlos Sostres, Ángel Lanas, Adrián Velázquez-Campoy, Olga Abian","doi":"10.3390/cancers16234024","DOIUrl":"https://doi.org/10.3390/cancers16234024","url":null,"abstract":"<p><p>Pancreatic cystic lesions (PCLs) are a heterogeneous group of lesions with increasing incidence, usually identified incidentally on imaging studies (multidetector computed tomography (MDCT), magnetic resonance imaging (MRI), or endoscopic ultrasound (EUS)) [...].</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"16 23","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834119","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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