Open Biology,
Journal Year:
2024,
Volume and Issue:
14(10)
Published: Oct. 1, 2024
The
switch/sucrose
non-fermentable
(SWI/SNF)
subfamily
are
evolutionarily
conserved,
ATP-dependent
chromatin-remodelling
complexes
that
alter
nucleosome
position
and
regulate
a
spectrum
of
nuclear
processes,
including
gene
expression,
DNA
replication,
damage
repair,
genome
stability
tumour
suppression.
These
complexes,
through
their
chromatin
remodelling,
contribute
to
the
dynamic
regulation
genetic
information
maintenance
cellular
processes
essential
for
normal
function
overall
genomic
integrity.
Mutations
in
SWI/SNF
subunits
detected
25%
human
malignancies,
indicating
efficient
functioning
this
complex
is
required
prevent
tumourigenesis
diverse
tissues.
During
development,
help
establish
maintain
expression
patterns
proper
identity
function,
lineage-specific
enhancers.
Moreover,
specific
molecular
signatures
associated
with
mutations,
disruption
activity
at
enhancers,
evasion
G0
cell
cycle
arrest,
induction
plasticity
pro-oncogene
activation
Polycomb
group
(PcG)
antagonism,
linked
initiation
progression
carcinogenesis.
Here,
we
review
insights
into
aetiology
malignancies
driven
by
correlate
these
mechanisms
developmental
functions.
Finally,
discuss
therapeutic
potential
targeting
cancer.
Liver International,
Journal Year:
2023,
Volume and Issue:
43(8), P. 1803 - 1812
Published: July 14, 2023
Abstract
Background
The
TOPAZ‐1
phase
III
trial
reported
a
survival
benefit
with
the
anti‐programmed
death
cell
ligand
1
(anti‐PD‐L1)
durvalumab
in
combination
gemcitabine
and
cisplatin
patients
advanced
biliary
tract
cancer.
present
study
investigated
efficacy
safety
of
this
new
standard
treatment
real‐world
setting.
Methods
analysed
population
included
unresectable,
locally
or
metastatic
adenocarcinoma
treated
at
17
Italian
centres.
primary
endpoint
was
progression‐free
(PFS),
whereas
secondary
endpoints
overall
(OS),
response
rate
(ORR)
safety.
Unadjusted
adjusted
hazard
ratios
(HRs)
by
baseline
characteristics
were
calculated
using
Cox
proportional
hazards
model.
Results
From
February
2022
to
November
2022,
145
enrolled.
After
median
follow‐up
8.5
months
(95%
CI:
7.9–13.6),
PFS
8.9
7.4–11.7).
Median
OS
12.9
10.9–12.9).
investigator‐assessed
confirmed
ORR
34.5%,
disease
control
87.6%.
Any
grade
adverse
events
(AEs)
occurred
137
(94.5%).
Grades
3–4
AEs
51
(35.2%).
immune‐mediated
(imAEs)
22.7%.
imAEs
2.1%
patients.
In
univariate
analysis,
non‐viral
aetiology,
ECOG
PS
>0
NLR
≥3
correlated
shorter
PFS.
Conclusion
results
first
analysis
mostly
achieved
terms
PFS,
Clinical and Experimental Medicine,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: April 10, 2024
Abstract
Despite
recent
advances,
biliary
tract
cancer
(BTC)
remains
one
of
the
most
lethal
tumor
worldwide
due
to
late
diagnosis,
limited
therapeutic
strategies
and
resistance
conventional
therapies.
In
years,
high-throughput
technologies
have
enabled
extensive
genome,
transcriptome
sequencing
unveiling,
among
others,
regulatory
potential
microRNAs
(miRNAs).
Compelling
evidence
shown
that
miRNA
are
attractive
targets
promising
candidates
as
biomarkers
for
various
therapy-resistant
tumors.
The
analysis
profile
successfully
identified
miR-181c
-181d
significantly
downregulated
in
BTC
patients.
Low
expression
levels
were
correlated
with
worse
prognosis
poor
treatment
efficacy.
fact,
progression-free
survival
indicated
rates
low
expressing
cell
lines
revealed
both
miRNAs
dysregulated.
Functional
vitro
experiments
showed
overexpression
affected
viability
increased
sensitivity
chemotherapy
compared
controls.
addition,
by
using
bioinformatic
tools
we
miR-181c/d
functional
role
is
determined
binding
their
target
SIRT1
(Sirtuin
1).
Moreover,
patients
high
miR-181
an
improved
response.
An
integrative
network
demonstrated
that,
miR-181/SIRT1
circuit
had
a
effect
on
several
important
metabolic
tumor-related
processes.
Our
study
act
suppressor
BTC,
suggesting
use
strategy
resistant
cancers
predictive
biomarker
precision
medicine
BTC.
Current Oncology,
Journal Year:
2025,
Volume and Issue:
32(1), P. 44 - 44
Published: Jan. 17, 2025
Mutations
in
isocitrate
dehydrogenase
(IDH)
genes
are
among
the
most
frequently
encountered
molecular
alterations
cholangiocarcinoma
(CCA).
These
neomorphic
point
mutations
endow
mutant
IDH
(mIDH)
with
ability
to
generate
an
R-enantiomer
of
2-hydroxyglutarate
(R2HG),
a
metabolite
that
drives
malignant
transformation
through
aberrant
epigenetic
signaling.
As
result,
pharmacologic
inhibition
mIDH
has
become
attractive
therapeutic
strategy
CCAs
harboring
this
mutation.
One
such
inhibitor,
ivosidenib,
already
undergone
clinical
validation
and
received
FDA
approval
disease,
but
there
is
still
much
work
be
done
improve
outcomes
CCA
patients.
In
publication
we
will
review
pathogenesis
treatment
special
emphasis
on
novel
agents
combinations
currently
under
investigation.
Therapeutic Advances in Medical Oncology,
Journal Year:
2023,
Volume and Issue:
15
Published: Jan. 1, 2023
The
results
of
the
phase
III
ClarIDHy
trial
led
to
FDA
approval
ivosidenib
as
a
therapeutic
option
for
patients
with
locally
advanced
or
metastatic
cholangiocarcinoma
(CCA)
harboring
isocitrate
dehydrogenase
1
(IDH1)
mutations.
We
recently
published
first
data
on
use
in
real-world
setting.Here
we
report
updated
survival
11
IDH1-mutated
CCA
who
received
clinical
practice.Patients
treated
second-
and
third-line
treatments
have
been
collected
aim
evaluate
outcomes.
A
molecular
study
has
performed
by
next
generation
sequencing
essay.Overall,
were
included.
After
median
follow-up
13.7
months,
progression-free
from
start
treatment
was
4.4
months
(95%
CI:
2.0-5.8),
whereas
overall
15
6.6-15.0)
regardless
line.
Disease
control
rate
63%,
two
achieving
partial
response
(18%).
Eighteen
percent
experienced
at
least
one
treatment-related
adverse
events
(AEs),
but
no
grade
⩾3
reported.
most
frequently
observed
2
AEs
prolonged
QT
interval
hypomagnesemia.
profiling
8
out
patients,
highlighting
TP53,
BAP1,
CDKN2A,
CDKN2B
common
co-altered
genes
these
patients.The
present
update
confirms
our
previous
experience
CCA.
Real-world
evidence
larger
numbers
is
needed
confirm
findings.
Cancer Gene Therapy,
Journal Year:
2023,
Volume and Issue:
31(2), P. 322 - 333
Published: Dec. 6, 2023
Abstract
Intrahepatic
cholangiocarcinoma
(iCCA)
is
a
subtype
of
CCA
and
has
high
mortality
rate
relatively
poor
prognosis.
However,
studies
focusing
on
increased
cell
motility
loss
epithelial
integrity
during
iCCA
progression
remain
scarce.
We
collected
seven
fresh
tumor
samples
from
four
patients
to
perform
RNA
sequencing
(RNA-seq)
assay
for
transposase-accessible
chromatin
using
(ATAC-seq)
determine
the
transcriptome
profile
accessibility
iCCA.
The
expression
cycle
regulators,
including
PLK1
its
substrate
MISP,
was
identified.
Ninety-one
were
used
validate
clinical
significance
MISP.
upregulation
MISP
determined
in
tissues.
Increased
significantly
correlated
with
number,
N
stage,
lymphatic
invasion
an
cohort.
Knockdown
or
reduced
trans-lymphatic
endothelial
migration
wound
healing
affected
focal
adhesions
vitro.
In
cell‒cell
junctions,
localized
adherens
junctions
suppressed
E-cadherin
dimerization.
disrupted
myosin-dependent
manner.
Furthermore,
promoted
proliferation
vitro
tumorigenesis
vivo.
iCCA,
promote
aggressiveness
by
increasing
invasion,
growth,
through
repression
junctions.