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Topic Review
Efficacy of Auto-CAR T Cell Therapy in Lymphoma
While more than half of non-Hodgkin lymphomas (NHL) can be cured with modern frontline chemoimmunotherapy regimens, outcomes of relapsed and/or refractory (r/r) disease in subsequent lines remain poor, particularly if considered ineligible for hematopoietic stem cell transplantation. Hence, r/r NHLs represent a population with a high unmet medical need. This therapeutic gap has been partially filled by adoptive immunotherapy. CD19-directed autologous chimeric antigen receptor (auto-CAR) T cells have been transformative in the treatment of patients with r/r B cell malignancies.
  • 839
  • 19 Aug 2022
Topic Review
Management of Obesity in Cancer Survivors
Many cancer survivors experience weight gain following the diagnosis of cancer and its treatment. As described above, obesity not only increases the risk of recurrence in some cancers but also increases the risk of diabetes mellitus, cardiovascular disease, and poor quality of life.
  • 839
  • 07 Feb 2023
Topic Review
Characteristics and General Classification of Gastric Cancer
Gastric tumors have been divided based on their location—cardiac and distal. The former refers to the small paracardial area, while the latter refers to the rest of it. The most popular classification in terms of histology is the Laurén classification, which distinguishes between two types of gastric cancer (GC)—intestinal and diffuse. The first GC subtype is often associated with Helicobacter Pylori and lifestyle, which includes a high intake of table salt and alcohol, a low supply of fruits and vegetables, or smoking. It is estimated that about 15–20% of tumors do not fall under Laurén’s classification and are, therefore, considered intermediate tumors. Clinically, GC can also be divided according to its early or advanced stage. Early gastric cancers refer to small tumors (2–5 cm) that take the form of invasive carcinoma of the gastric mucosa or submucosa. Detection of lesions at their early stage is associated with relatively good survival.
  • 838
  • 03 Mar 2023
Topic Review
Active Targeted Nanoparticles
PARP inhibitors were introduced as tools to protect from inflammatory diseases. Later, these selective inhibitors were evaluated as nanotherapeutic agents in clinical trials as targeted treatment strategies against solid tumors derived from ovarian, prostate, breast, colorectal, and uterine tissues. Although previous reports have established that PARP inhibitors effectively treat BRCA1-deficient cancers and increase patients’ progression-free survival (PFS), new studies have suggested that HR-deficient cells may also be vulnerable to PARP inhibition.
  • 837
  • 10 Nov 2021
Topic Review
External Beam Radiotherapy for Cervical Cancer
The standard of care for locally advanced cervical cancer is external beam radiotherapy (EBRT) with simultaneous chemotherapy followed by an internal radiation boost. New imaging methods such as positron-emission tomography and magnetic resonance imaging have been implemented into daily practice for better tumor delineation in radiotherapy planning. The method of delivering radiation has changed with technical advances in qualitative imaging and treatment delivery. Image-guided radiotherapy (IGRT) plays an important role in minimizing treatment toxicity of pelvic radiation and provides a superior conformality for sparing the organs at risk (OARs) such as bone marrow, bowel, rectum, and bladder. 
  • 837
  • 17 Oct 2023
Topic Review
Role of Somatic BRCA Mutation in Solid Tumors
Ten percent of patients with breast cancer, and probably somewhat more in patients with ovarian cancer, have inherited germline DNA mutations in the breast and ovarian cancer genes BRCA1 and BRCA2. In the remaining cases, the disease is caused by acquired somatic genetic and epigenetic alterations. Targeted therapeutic agents, such as poly ADP-ribose polymerases (PARP) inhibitors (PARPi), have emerged in treating cancers associated with germline BRCA mutations since 2014. The first PARPi was FDA-approved initially for ovarian cancer patients with germline BRCA mutations. Deleterious variants in the BRCA1/BRCA2 genes and homologous recombination deficiency status have been strong predictors of response to PARPi in a few solid tumors since then.
  • 837
  • 15 Mar 2024
Topic Review
Mismatch Repair Deficiency in Endometrial Cancer
Among the four endometrial cancer (EC) TCGA molecular groups, the MSI/hypermutated group represents an important percentage of tumors (30%), including different histotypes, and generally confers an intermediate prognosis for affected women, also providing new immunotherapeutic strategies. Immunohistochemistry for MMR proteins (MLH1, MSH2, MSH6 and PMS2) has become the optimal diagnostic MSI surrogate worldwide. 
  • 836
  • 25 Jan 2024
Topic Review
Association between Sodium Channels and Gynecological Cancers
Targeted therapy against cancer plays a key role in delivering safer and more efficient treatments. In the last decades, ion channels have been studied for their participation in oncogenic processes because their aberrant expression and/or function have been associated with different types of malignancies, including ovarian, cervical, and endometrial cancer. 
  • 835
  • 13 Jun 2023
Topic Review
Tumour Proliferation and Imaging Biomarkers
Imaging biomarkers play a key role in the identification of biological particularities within tumours and therefore are an important component of treatment personalisation in radiotherapy. Imaging techniques such as PET, SPECT, MRI that employ tumour-specific biomarkers already play a critical role in patient stratification towards individualized treatment. 
  • 834
  • 11 Oct 2021
Topic Review
Matrix Metalloproteinases Inhibitors in Cancer Treatment
Matrix metalloproteinases (MMPs) are a member of the enzyme group that is capable of protein degradation. MMPs are recognized as metalloproteinases because they require either zinc and calcium to perform their functions.
  • 834
  • 25 Jul 2023
Topic Review
MYCN Impact on High-Risk Neuroblastoma
Among childhood cancers, neuroblastoma is the most diffuse solid tumor and the deadliest in children. While to date, the pathology has become progressively manageable with a significant increase in 5-year survival for its less aggressive form, high-risk neuroblastoma (HR-NB) remains a major issue with poor outcome and little survivability of patients. The staging system has also been improved to better fit patient needs and to administer therapies in a more focused manner in consideration of pathology features. New and improved therapies have been developed; nevertheless, low efficacy and high toxicity remain a staple feature of current high-risk neuroblastoma treatment. For this reason, more specific procedures are required, and new therapeutic targets are also needed for a precise medicine approach. In this scenario, MYCN is certainly one of the most interesting targets. Indeed, MYCN is one of the most relevant hallmarks of HR-NB, and many studies has been carried out in recent years to discover potent and specific inhibitors to block its activities and any related oncogenic function. N-Myc protein has been considered an undruggable target for a long time. 
  • 833
  • 25 Sep 2022
Topic Review
Role of Mevalonate Pathway in Pancreatic Cancer
Pancreatic cancer’s substantial impact on cancer-related mortality, responsible for 8% of cancer deaths and ranking fourth in the US, persists despite advancements, with a five-year relative survival rate of only 11%. The mevalonate pathway and its components play crucial roles in the development and progression of pancreatic cancer. Targeting cholesterol metabolism, particularly through the use of statins, holds promise as a therapeutic strategy.
  • 833
  • 10 Nov 2023
Topic Review
Neurosurgical Clinical Trials for Glioblastoma
Standard neurosurgery for cerebral glioma requires maximal safe tumor resection. For low-grade tumors (WHO Grade II–III), maximal safe resection of the tumor confers an improved outcome without compromising functional outcomes. In the case of glioblastoma, the location of the bulk of the tumor relative to eloquent brain areas dictates the safest and most effective surgical approach.
  • 832
  • 01 Sep 2022
Topic Review
Role of Radioembolization in Neuroendocrine Liver Metastases Treatment
Neuroendocrine neoplasms (NEN) consist of a very heterogenous group of tumors, contributing to large differences in patients’ disease burden, symptomatology, clinical and objective responses to different treatments, and prognosis. Liver-directed treatments for NELM can be divided into two categories: ablative localized treatments, e.g., radiofrequency ablation (RFA) or microwave ablation (MWA); or trans-arterial treatments, e.g., trans-arterial (bland) embolization (TAE), trans-arterial chemoembolization (TACE) and trans-arterial radioembolization (TARE). The latter technique is also known as selective internal radiation therapy (SIRT). Radioembolization is a more commonly used and simplified term but also a misnomer. Contrary to TAE and TACE, the primary effect is not to embolize vasculature and induce ischemia but to deliver high doses of radiation to tumor tissue via trans-arterial implantation. 
  • 832
  • 21 Sep 2022
Topic Review
Long-Term Management of Advanced Basal Cell Carcinoma
The first-line therapy for locally advanced basal cell carcinoma (laBCC) is Hedgehog pathway inhibitors (HHIs), as they achieve good efficacy and duration of response. However, toxicity in the course of long-term treatment may lead to a decrease in the quality of life, and consequently to interruption or even discontinuation of therapy. As HHI therapy is a balancing act between effectiveness, adverse events, quality of life, and adherence, numerous successful treatment strategies have evolved, such as dose reduction and dose interruptions with on-off treatment schedules or interruptions with re-challenge after progression. As a small percentage of patients show primary or acquired resistance to HHIs, the inhibition of programmed cell death protein 1 (PD-1) has been approved as a second-line therapy, which may also be accompanied by immune-related toxicities and non-response. Thus, optimization of current treatment schedules, novel agents, and combination strategies are urgently needed for laBCC. 
  • 832
  • 01 Dec 2022
Topic Review
PARP Inhibitors in SCLC
Despite recent advances in first-line treatment for small-cell lung cancer (SCLC), durable respons-es remain rare. The DNA repair enzyme poly-(ADP)-ribose polymerase (PARP) was identified as a therapeutic target in SCLC using unbiased preclinical screens and confirmed in human and mouse models. Early trials of PARP inhibitors, either alone or in combination with chemotherapy, showed promising but limited responses, suggesting that selecting patient subsets and treatment combinations will prove critical to further clinical development. Expression of SLFN11 and other components of the DNA damage response (DDR) pathway appears to select for improved re-sponses. Combining PARP inhibitors with agents that damage DNA and inhibit DDR appears particularly effective in preclinical and early trial data, as well as strategies that enhance anti-tumor immunity downstream of DNA damage.
  • 832
  • 23 Feb 2021
Topic Review
BRCA Mutation Status on TILs
High lymphocytic infiltration (TILs) seem to reflect favorable host antitumor immune responses. In breast cancer, the variation of TILs before and after neoadjuvant chemotherapy (NAC) according to BRCA status has been poorly described. 
  • 831
  • 20 Aug 2021
Topic Review
HGG in Patients with LFS
Li-Fraumeni syndrome (LFS) is a rare high-penetrance and autosomal-dominant pathological condition caused by the germline mutation of the TP53 gene, predisposing to the development of tumors from pediatric age. High-grade glioma (HGG) is a common tumor in children.
  • 831
  • 10 May 2021
Topic Review
Photodynamic Therapy-Mediated Immune Responses in Three-Dimensional Tumor Models
Photodynamic therapy (PDT) is a promising non-invasive phototherapeutic approach for cancer therapy that can eliminate local tumor cells and produce systemic antitumor immune responses. Significant efforts have been made in developing strategies to further investigate the immune mechanisms triggered by PDT. The majority of in vitro experimental models still rely on the two-dimensional (2D) cell cultures that do not mimic a three-dimensional (3D) cellular environment in the human body, such as cellular heterogeneity, nutrient gradient, growth mechanisms, and the interaction between cells as well as the extracellular matrix (ECM) and therapeutic resistance to anticancer treatments. In addition, in vivo animal studies are highly expensive and time consuming, which may also show physiological discrepancies between animals and humans. In this sense, there is growing interest in the utilization of 3D tumor models, since they precisely mimic different features of solid tumors. This entry summarizes the characteristics and techniques for 3D tumor model generation. Furthermore, researchers provide an entry of innate and adaptive immune responses induced by PDT in several in vitro and in vivo tumor models. Future perspectives are highlighted for further enhancing PDT immune responses as well as ideal experimental models for antitumor immune response sudies.
  • 831
  • 08 Dec 2021
Topic Review
Application of Epidermal Growth Factor Receptor TKIs
The use of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) as first-line treatment in patients with lung adenocarcinoma (LUAD) harboring EGFR-activating mutations has resulted in a dramatic improvement in the management of the disease. Lung cancer remains one of the most frequent and deadly types of cancer for both genders, while predictions about the future do not suggest dramatic improvements in incidence and mortality rates. There are different histological types of primary lung cancer, classified mainly into non-small-cell lung cancer (NSCLC) and small-cell lung cancer, with an annual incidence of approximately 85% and 15%, respectively. Lung adenocarcinoma (LUAD) is the most common subtype of NSCLC, accounting for around 40% of NSCLC cases.
  • 831
  • 18 Feb 2022
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