Radiomics models based on multisequence MRI for prediction of PD-1/PD-L1 expression in hepatocellular carcinoma DOI Creative Commons

Xue-Qin Gong,

Ning Liu,

Yun-Yun Tao

et al.

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: March 7, 2023

Abstract The purpose of this study was to explore the efficacy radiomics based on multisequence MRI predict expression PD-1/PD-L1 in HCC.One hundred eight patients with HCC who underwent contrast-enhanced 2 weeks before surgical resection were enrolled retrospective study.Corresponding paraffin sections collected for immunohistochemistry detect PD-1 and PD-L1. All randomly divided into a training cohort validation at ratio 7:3.The features extracted from axial fat suppression T2-weighted imaging (FS-T2WI), arterial phase (A) portal (P) dynamic MRI, corresponding feature sets generated. least absolute shrinkage selection operator (LASSO) performed select optimal analysis. A logistic regression analysis construct single-sequence (FS-T2WI, P) (M) models. predictive performance judged by area under receiver operating characteristic curve (AUC) cohorts.In whole cohort, positive 43 PD-L1 34 patients. AUC values FS-T2WI, A, P M models 0.696, 0.843, 0.863, 0.946 group 0.669, 0.792, 0.800 0.815 group, respectively.The 0.731, 0.800, 0.831 0.621, 0.743, 0.771,and 0.810 respectively. combined model (M model) better than other results suggest that had potential preoperative HCC, which may become biomarker ICI treatment.

Language: Английский

Radiomics models based on multisequence MRI for predicting PD-1/PD-L1 expression in hepatocellular carcinoma DOI Creative Commons

Xue-Qin Gong,

Ning Liu,

Yun-Yun Tao

et al.

Scientific Reports, Journal Year: 2023, Volume and Issue: 13(1)

Published: May 12, 2023

Abstract The purpose of this study was to explore the effectiveness radiomics based on multisequence MRI in predicting expression PD-1/PD-L1 hepatocellular carcinoma (HCC). One hundred and eight patients with HCC who underwent contrast-enhanced 2 weeks before surgical resection were enrolled retrospective study. Corresponding paraffin sections collected for immunohistochemistry detect PD-1 PD-L1. All randomly divided into a training cohort validation at ratio 7:3. Univariate multivariate analyses used select potential clinical characteristics related PD-L1 expression. Radiomics features extracted from axial fat-suppression T2-weighted imaging (FS-T2WI) images arterial phase portal venous dynamic MRI, corresponding feature sets generated. least absolute shrinkage selection operator (LASSO) optimal analysis. Logistic regression analysis performed construct single-sequence radiomic-clinical models. predictive performance judged by area under receiver operating characteristic curve (AUC) cohorts. In whole cohort, positive 43 patients, 34 patients. presence satellite nodules served as an independent predictor AUC values FS-T2WI, phase, models 0.696, 0.843, 0.863, 0.946 group 0.669, 0.792, 0.800 0.815 group, respectively. 0.731, 0.800, 0.831 0.898 0.621, 0.743, 0.771, 0.810 0.779 combined showed better performance. results suggest that model has predict preoperative HCC, which could become biomarker immune checkpoint inhibitor (ICI)-based treatment.

Language: Английский

Citations

24

γδ T Cells: A Game Changer in the Future of Hepatocellular Carcinoma Immunotherapy DOI Open Access
Stavros P. Papadakos, Konstantinos Arvanitakis, Ioanna Ε. Stergiou

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(3), P. 1381 - 1381

Published: Jan. 23, 2024

Hepatocellular carcinoma (HCC) remains a global health challenge with limited treatment options and poor prognosis for advanced-stage patients. Recent advancements in cancer immunotherapy have generated significant interest exploring novel approaches to combat HCC. One such approach involves the unique versatile subset of T cells known as γδ cells. represent distinct lymphocytes that differ from conventional αβ terms antigen recognition effector functions. They play crucial role immunosurveillance against various malignancies, including studies demonstrated can directly recognize target HCC cells, making them an attractive candidate immunotherapy. In this article, we aimed explore exerted by context We investigate strategies designed maximize therapeutic effectiveness these examine challenges opportunities inherent applying research findings clinical practice. The potential bring about revolutionary shift capitalizing on attributes offers considerable promise enhancing patient outcomes, warranting further investigation.

Language: Английский

Citations

7

Improving the Conversion Success Rate of Hepatocellular Carcinoma: Focus on the Use of Combination Therapy with a High Objective Response Rate DOI Open Access
Qifeng Chen,

Song Chen,

Minshan Chen

et al.

Journal of Clinical and Translational Hepatology, Journal Year: 2024, Volume and Issue: 000(000), P. 000 - 000

Published: Jan. 10, 2024

The high mortality rate in hepatocellular carcinoma (HCC) is partially due to the fact that a significant number of patients are diagnosed at an intermediate or advanced stage, with surgical treatment options unavailable. Conversion therapy, which involves both locoregional and systemic treatments, has potential downstage tumors selected initially unresectable HCC, thereby making possibility potentially increasing long-term survival. To optimize conversion rate, it necessary maximize successful conversions clearly define target population for through collaborative effort. In this review article, we summarize clinical experience evidence therapy 'potentially resectable' HCC from four perspectives: 1) defining 2) selecting appropriate strategy, placing emphasis on utilization combination exhibits objective response 3) determining timing urgency resection, 4) promoting adoption multidisciplinary team model. authors optimistic continuous progress deeper understanding success will increase, overall survival be prolonged.

Language: Английский

Citations

6

Perspective on the Role of Gut Microbiome in the Treatment of Hepatocellular Carcinoma with Immune Checkpoint Inhibitors DOI Creative Commons
Ludovico Abenavoli, Michele Montori, Gianluca Svegliati‐Baroni

et al.

Medicina, Journal Year: 2023, Volume and Issue: 59(8), P. 1427 - 1427

Published: Aug. 6, 2023

Background and Objectives: Hepatocellular carcinoma (HCC) is the leading cause of liver cancer worldwide has a high mortality rate. Its incidence increased due to metabolic-associated disease (MAFLD) epidemics. Liver transplantation surgery remain most resolute measures. Despite optimistic use multi-kinase inhibitors, namely sorafenib, co-existence chronic made response rate low in these patients. Immune checkpoint inhibitors (ICIs) have become promising hope for certain advanced solid tumors and, also, HCC. Unfortunately, large cohort patients with HCC fail respond immunotherapy. Materials Methods: We conducted narrative search on main medical databases original articles, reviews, meta-analyses, randomized clinical trials, case series using following keywords acronyms their associations: hepatocellular carcinoma, immunotherapy, gut microbiota, fecal microbiota transplantation. Results: ICIs are sufficiently safe treatment option In detail, they significantly improved survival prognosis vs. sorafenib. Although there several highlighted mechanisms resistance, signature can be used both as biomarker an effect enhancer. Practically, probiotic dose-finding weapons that increase ICI’s treatment-response-reducing resistance mechanisms. Conclusion: Immunotherapy been significant step-up treatment, modulation effective liaison its efficacy.

Language: Английский

Citations

13

Comparative efficacy of tislelizumab plus lenvatinib and tislelizumab alone against advanced hepatocellular carcinoma after lenvatinib failure: a real-world study DOI Creative Commons

Jiajin Yang,

Qiuping Xu,

Sihao Luo

et al.

BMC Cancer, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 16, 2025

This study evaluated the effectiveness and safety of tislelizumab plus lenvatinib (TL group) monotherapy (T in patients with stage C hepatocellular carcinoma (HCC) according to Barcelona Clinic Liver Cancer (BCLC) staging system after failure, it analyzed factors influencing TL as a second-line treatment. retrospective analysis involved 51 treated at single center between January 2019 July 2023. Survival outcomes tumor responses were compared T groups. Prognostic for overall survival (OS) progression-free (PFS) identified using Cox proportional hazard regression models. Among BCLC advanced HCC who experienced treatment median PFS was significantly longer group than (6.8 months vs. 4.5 months, p = 0.003), OS notably extended (14.0 10.4 0.012). Although disease control rate (64% 53.8%, 0.461) objective response (20% 7.7%, 0.202) numerically higher group, these differences did not reach significance. Child-Pugh B liver function independent prognostic poor OS, whereas only an factor PFS, PFS. Subgroup demonstrated benefit A 12.0 0.013) but those (7.7 6.1 0.225). In most frequent treatment-related adverse events (AEs) hand-foot skin reaction (32%), hypertension (28%), diarrhea hypothyroidism (20%). Grade 3 or AEs occurred 24% grade AEs. The incidence comparable two As treatment, combination well tolerated associated improved versus alone HCC, particularly function.

Language: Английский

Citations

0

Unraveling the Significance of EPH/Ephrin Signaling in Liver Cancer: Insights into Tumor Progression and Therapeutic Implications DOI Open Access
Stavros P. Papadakos, Ioanna Ε. Stergiou,

Nikolina Gkolemi

et al.

Cancers, Journal Year: 2023, Volume and Issue: 15(13), P. 3434 - 3434

Published: June 30, 2023

Liver cancer is a complex and challenging disease with limited treatment options dismal prognosis. Understanding the underlying molecular mechanisms driving liver progression metastasis crucial for developing effective therapeutic strategies. The EPH/ephrin system, which comprises family of cell surface receptors their corresponding ligands, has been implicated in pathogenesis HCC. This review paper aims to provide an overview current understanding role system Specifically, we discuss dysregulation signaling HCC its impact on various cellular processes, including proliferation, migration, invasion. Overall, emerges as compelling multifaceted player biology. Elucidating precise implications responses may pave way novel targeted therapies personalized approaches patients. Further research warranted unravel full potential clinical translation.

Language: Английский

Citations

9

CHMP3 promotes the progression of hepatocellular carcinoma by inhibiting caspase‑1‑dependent pyroptosis DOI Creative Commons
Yuting Zheng, Shaojie Yang,

Wanlin Dai

et al.

International Journal of Oncology, Journal Year: 2023, Volume and Issue: 64(1)

Published: Nov. 30, 2023

Charged multivesicular body protein 3 (CHMP3) is an elemental constituent of the endosomal sorting complex required for transport (ESCRT) III, whose function as a tumor susceptibility gene in development liver cancer remains unclear. CHMP3 was found to be associated with pyroptosis by bioinformatics analysis data from patients hepatocellular carcinoma (HCC) The Cancer Genome Atlas database. It aimed explore role and potential mechanisms cancer. expression at tissue level examined using immunohistochemistry western blot analysis. Subsequently, HepG2 Huh‑7 cells were transfected small interfering RNA overexpression plasmids change expression. proliferative capacity colony formation Cell Counting Kit‑8 assays. Wound healing Transwell assays used examine migratory invasive abilities cells. Transmission electron microscopy observe changes cell morphology. Western blotting caspase‑1 signaling pathway related proteins, classic pyroptosis. In addition, xenograft model tumorigenic ability vivo. results demonstrated that upregulated HCC poor prognosis. Knockdown or inhibited promoted proliferation, migration invasion showed membrane integrity well cytoplasmic leakage. Furthermore, knockdown may activate which turn inhibits progression cancer, this effect can reversed inhibitor AYC. conclusion, affect through caspase‑1‑mediated pathway.

Language: Английский

Citations

8

Combination Immunotherapy of Oncolytic Flu-Vectored Virus and Programmed Cell Death 1 Blockade Enhances Antitumor Activity in Hepatocellular Carcinoma DOI
Hongyu Yu, Fang Sun, Yan Xu

et al.

Human Gene Therapy, Journal Year: 2024, Volume and Issue: 35(5-6), P. 177 - 191

Published: Feb. 22, 2024

Oncolytic viruses (OVs) are appealing anti-tumor agents. But it is limited in its effectiveness. In this study, we used combination therapy with immune checkpoint inhibitor to enhance the antitumor efficacy of OVs. Using reverse genetics technology, rescued an oncolytic influenza virus name delNS1-GM-CSF from virus. After identifying hemagglutination and 50% tissue culture infectivedose (TCID

Language: Английский

Citations

2

Abscopal effect in a patient with advanced hepatocellular carcinoma upon resuming bevacizumab in combination with atezolizumab after radiotherapy DOI
Tasuku Nakabori, Toshiki Ikawa,

Kazuhiro Kozumi

et al.

Clinical Journal of Gastroenterology, Journal Year: 2024, Volume and Issue: 17(6), P. 1053 - 1057

Published: Aug. 14, 2024

Language: Английский

Citations

2

FNBP4 is a Potential Biomarker Associated with Cuproptosis and Promotes Tumor Progression in Hepatocellular Carcinoma DOI Creative Commons
Kai-Wen Zheng, Chaohua Zhang,

Wu Wu

et al.

International Journal of General Medicine, Journal Year: 2023, Volume and Issue: Volume 16, P. 467 - 480

Published: Feb. 1, 2023

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors that lacks an efficient therapeutic approach because its elusive molecular mechanisms. This study aimed to investigate biological function and potential mechanism formin-binding protein 4 (FNBP4) in HCC.FNBP4 expression tissues cells were detected by quantitative real-time PCR (qRT‒PCR), Western blot, immunohistochemistry (IHC). The Kaplan-Meier method was used explore correlation between FNBP4 clinical survival. MTT, EdU incorporation, colony formation, Transwell assays performed evaluate cell proliferation migration vitro. Kyoto Encyclopedia Genes Genomes (KEGG) pathway analysis FNBP4. prognostic risk signature nomogram constructed demonstrate value FNBP4.We found upregulated patients with HCC associated poor overall survival (OS). Furthermore, knockdown inhibited cells. Then, we a KEGG coexpressed genes may be tumor-related signaling pathways cuproptosis. We verified could cause cycle progression inactivation hippo pathway. A containing three FNBP4-related differentially expressed cuproptosis regulators (DECRs) established can as independent factor prognosis HCC. In addition, including score clinicopathological factors predict patient probabilities.FNBP4, biomarker cuproptosis, promotes metastasis. provide new strategy for treatment targeting

Language: Английский

Citations

5