High-grade
lung
neuroendocrine
carcinomas
(Lu-NECs)
are
clinically
refractory
malignancies
with
poor
prognosis
and
limited
therapeutic
advances.
The
biological
molecular
features
underlying
the
histological
heterogeneity
of
Lu-NECs
not
fully
understood.
In
this
study,
we
present
a
multi-omics
integration
whole-exome
sequencing
deep
proteomic
profiling
in
93
Chinese
to
establish
first
comprehensive
proteogenomic
atlas
disease
spectrum.
Our
analyses
revealed
high
degree
mutational
concordance
among
subtypes
at
genomic
level;
however,
distinct
profiles
enabled
clear
differentiation
subtypes,
unveiling
subtype-specific
related
tumor
metabolism,
immunity,
proliferation.
Furthermore,
RB1
mutations
confer
divergent
prognostic
effects
through
cis-
trans-
regulation.
addition,
identified
potential
protein
biomarkers
for
subtype
classification
risk
stratification,
which
were
validated
by
immunohistochemistry
an
independent
cohort.
This
study
provides
valuable
resource
insight
into
Lu-NEC
heterogeneity.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: April 12, 2023
Abstract
Patient-derived
xenograft
(PDX)
models,
in
which
tumor
tissues
from
patients
are
implanted
into
immunocompromised
or
humanized
mice,
have
shown
superiority
recapitulating
the
characteristics
of
cancer,
such
as
spatial
structure
cancer
and
intratumor
heterogeneity
cancer.
Moreover,
PDX
models
retain
genomic
features
across
different
stages,
subtypes,
diversified
treatment
backgrounds.
Optimized
engraftment
procedures
modern
technologies
multi-omics
deep
learning
enabled
a
more
comprehensive
depiction
molecular
landscape
boosted
utilization
models.
These
irreplaceable
advantages
make
an
ideal
choice
studies,
preclinical
trials
novel
drugs,
validating
drug
combinations,
screening
drug-sensitive
patients,
exploring
resistance
mechanisms.
In
this
review,
we
gave
overview
history
process
model
establishment.
Subsequently,
review
presents
strengths
weaknesses
highlights
integration
research.
Finally,
delineated
broad
application
chemotherapy,
targeted
therapy,
immunotherapy,
other
therapies.
Nature Cancer,
Journal Year:
2022,
Volume and Issue:
3(11), P. 1351 - 1366
Published: Nov. 21, 2022
Radiation
therapy
is
a
mainstay
of
cancer
treatment
but
does
not
always
lead
to
complete
tumor
regression.
Here
we
combine
radiotherapy
with
blockade
the
'don't-eat-me'
cell-surface
molecule
CD47
in
small
cell
lung
(SCLC),
highly
metastatic
form
cancer.
potently
enhances
local
antitumor
effects
preclinical
models
SCLC.
Notably,
also
stimulates
off-target
'abscopal'
inhibiting
non-irradiated
SCLC
tumors
mice
receiving
radiation.
These
abscopal
are
independent
T
cells
require
macrophages
that
migrate
into
sites
response
inflammatory
signals
produced
by
radiation
and
locally
activated
phagocytose
cells.
Similar
were
observed
other
treated
blockade.
The
systemic
activation
following
may
be
particularly
important
patients
who
suffer
from
disease.
Cancer Discovery,
Journal Year:
2023,
Volume and Issue:
13(7), P. 1572 - 1591
Published: April 16, 2023
Abstract
Small
cell
lung
cancer
(SCLC)
is
a
recalcitrant
neuroendocrine
carcinoma
with
dismal
survival
outcomes.
A
major
barrier
in
the
field
has
been
relative
paucity
of
human
tumors
studied.
Here
we
provide
an
integrated
analysis
3,600
“real-world”
SCLC
cases.
This
large
cohort
allowed
us
to
identify
new
recurrent
alterations
and
genetic
subtypes,
including
STK11-mutant
(1.7%)
TP53/RB1
wild-type
(5.5%),
as
well
rare
cases
that
were
papillomavirus–positive.
In
our
cohort,
gene
amplifications
on
4q12
are
associated
increased
overall
survival,
whereas
CCNE1
amplification
decreased
survival.
We
also
more
frequent
PTEN
pathway
brain
metastases.
Finally,
profiling
containing
oncogenic
drivers
typically
NSCLC
demonstrates
transformation
may
occur
across
multiple
distinct
molecular
cohorts
NSCLC.
These
novel
unsuspected
features
help
personalize
treatment
approaches
for
this
fatal
form
cancer.
Significance:
Minimal
changes
therapy
outcomes
have
occurred
past
four
decades.
The
identification
subtypes
mutations
improved
understanding
mechanisms
from
guide
development
personalized
therapies
subsets
patients
SCLC.
article
highlighted
Issue
feature,
p.
1501
Cancer Discovery,
Journal Year:
2023,
Volume and Issue:
13(4), P. 928 - 949
Published: Jan. 30, 2023
Small-cell
lung
cancer
(SCLC)
is
an
aggressive
neuroendocrine
cancer.
Oncogenic
MYC
amplifications
drive
SCLC
heterogeneity,
but
the
genetic
mechanisms
of
amplification
and
phenotypic
plasticity,
characterized
by
nonneuroendocrine
cell
states,
are
not
known.
Here,
we
integrate
whole-genome
sequencing,
long-range
optical
mapping,
single-cell
DNA
fluorescence
in
situ
hybridization
to
find
extrachromosomal
(ecDNA)
as
a
primary
source
oncogene
driver
fusions.
ecDNAs
bring
proximity
enhancer
elements
oncogenes,
creating
transcription-amplifying
units,
driving
exceptionally
high
gene
dosage.
We
demonstrate
that
cell-free
nucleosome
profiling
can
noninvasively
detect
ecDNA
plasma,
facilitating
its
genome-wide
interrogation
other
cancers.
Altogether,
our
work
provides
first
comprehensive
map
describes
new
mechanism
governs
MYC-driven
heterogeneity.
ecDNA-enabled
transcriptional
flexibility
may
explain
significantly
worse
survival
outcomes
harboring
complex
amplifications.
drives
progression,
basis
evolution
unknown.
Using
paradigm,
report
how
function
MYC-amplifying
fostering
tumor
plasticity
degree
This
article
highlighted
In
Issue
feature,
p.
799.
Science,
Journal Year:
2024,
Volume and Issue:
383(6683)
Published: Feb. 8, 2024
Lung
adenocarcinoma
(LUAD)
and
small
cell
lung
cancer
(SCLC)
are
thought
to
originate
from
different
epithelial
types
in
the
lung.
Intriguingly,
LUAD
can
histologically
transform
into
SCLC
after
treatment
with
targeted
therapies.
In
this
study,
we
designed
models
follow
conversion
of
found
that
barrier
histological
transformation
converges
on
tolerance
Myc,
which
implicate
as
a
lineage-specific
driver
pulmonary
neuroendocrine
cell.
Histological
transformations
frequently
accompanied
by
activation
Akt
pathway.
Manipulating
pathway
permitted
Myc
an
oncogenic
driver,
producing
rare,
stem-like
cells
transcriptionally
resemble
basal
lineage.
These
findings
suggest
may
require
plasticity
inherent
stem
cell,
enabling
previously
incompatible
programs.
npj Digital Medicine,
Journal Year:
2024,
Volume and Issue:
7(1)
Published: Jan. 18, 2024
Abstract
Small
cell
lung
cancer
(SCLC)
is
a
highly
aggressive
subtype
of
characterized
by
rapid
tumor
growth
and
early
metastasis.
Accurate
prediction
prognosis
therapeutic
response
crucial
for
optimizing
treatment
strategies
improving
patient
outcomes.
In
this
study,
we
conducted
deep-learning
analysis
Hematoxylin
Eosin
(H&E)
stained
histopathological
images
using
contrastive
clustering
identified
50
intricate
histomorphological
phenotype
clusters
(HPCs)
as
pathomic
features.
We
two
HPCs
with
significant
prognostic
value
then
integrated
them
into
pathomics
signature
(PathoSig)
the
Cox
regression
model.
PathoSig
showed
risk
stratification
overall
survival
disease-free
successfully
patients
who
may
benefit
from
postoperative
or
preoperative
chemoradiotherapy.
The
predictive
power
was
validated
in
independent
multicenter
cohorts.
Furthermore,
can
provide
comprehensive
information
beyond
current
TNM
staging
system
molecular
subtyping.
Overall,
our
study
highlights
potential
utilizing
histopathology
images-based
deep
learning
predictions
evaluating
SCLC.
represents
an
effective
tool
that
aids
clinicians
making
informed
decisions
selecting
personalized
SCLC
patients.
MedComm,
Journal Year:
2025,
Volume and Issue:
6(2)
Published: Jan. 19, 2025
Abstract
The
patient‐derived
xenograft
(PDX)
model
is
a
crucial
in
vivo
extensively
employed
cancer
research
that
has
been
shown
to
maintain
the
genomic
characteristics
and
pathological
structure
of
patients
across
various
subtypes,
metastatic,
diverse
treatment
histories.
Various
strategies
utilized
PDX
models
can
offer
valuable
insights
into
mechanisms
tumor
progression,
drug
resistance,
development
novel
therapies.
This
review
provides
comprehensive
overview
establishment
applications
models.
We
present
an
history
current
status
models,
elucidate
construction
methodologies
for
different
tumors,
conduct
comparative
analysis
highlight
distinct
advantages
limitations
this
relation
other
are
elucidated
domain
comprehending
underlying
therapy,
which
highlights
broad
fields
chemotherapy,
targeted
delivery
systems,
combination
antibody–drug
conjugates
radiotherapy.
Furthermore,
with
multiomics
single‐cell
analyses
also
emphasized.
application
clinical
personalized
medicine
additionally