Precision-guided treatment in high-risk pediatric cancers
Nature Medicine,
Journal Year:
2024,
Volume and Issue:
30(7), P. 1913 - 1922
Published: June 6, 2024
Recent
research
showed
that
precision
medicine
can
identify
new
treatment
strategies
for
patients
with
childhood
cancers.
However,
it
is
unclear
which
will
benefit
most
from
precision-guided
(PGT).
Here
we
report
consecutive
data
384
high-risk
pediatric
cancer
(with
an
expected
cure
rate
of
less
than
30%)
who
had
at
least
18
months
follow-up
on
the
ZERO
Childhood
Cancer
Precision
Medicine
Program
PRecISion
Children
(PRISM)
trial.
A
total
256
(67%)
received
PGT
recommendations
and
110
(29%)
a
recommended
treatment.
resulted
in
36%
objective
response
improved
2-year
progression-free
survival
compared
standard
care
(26%
versus
12%;
P
=
0.049)
or
targeted
agents
not
guided
by
molecular
findings
5.2%;
0.003).
based
tier
1
evidence,
targeting
fusions
commenced
before
disease
progression
greatest
clinical
benefit.
Our
show
informed
comprehensive
profiling
significantly
improves
outcomes
children
ClinicalTrials.gov
registration:
NCT03336931.
Language: Английский
Basic Science, New Target Investigation, and Research in Childhood Cancer
Hafeez Abdelhafeez,
No information about this author
Victor M. Santana
No information about this author
Published: Jan. 1, 2025
Language: Английский
Emergence of Liquid Biopsies in Pediatric Eye Cancers
Published: Jan. 1, 2025
Language: Английский
The third generation AKR1C3-activated prodrug, ACHM-025, eradicates disease in preclinical models of aggressive T-cell acute lymphoblastic leukemia
Blood Cancer Journal,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Nov. 6, 2024
T-cell
acute
lymphoblastic
leukemia
(T-ALL)
is
an
aggressive
hematological
malignancy
that
expresses
high
levels
of
the
enzyme
aldo-keto
reductase
family
1
member
C3
(AKR1C3).
To
exploit
this
finding,
we
developed
a
novel
prodrug,
ACHM-025,
which
selectively
activated
by
AKR1C3
to
nitrogen
mustard
DNA
alkylating
agent.
We
show
ACHM-025
has
potent
in
vivo
efficacy
against
T-ALL
patient-derived
xenografts
(PDXs)
and
eradicated
disease
7
PDXs.
was
significantly
more
effective
than
cyclophosphamide
both
as
single
agent
when
used
combination
with
cytarabine/6-mercaptopurine.
Notably,
nelarabine
curative
treat
chemoresistant
PDX
vivo.
The
directly
correlated
expression
levels,
providing
predictive
biomarker
for
response.
Together,
our
work
provides
strong
preclinical
evidence
highlighting
potential
targeted
therapy
forms
T-ALL.
Language: Английский
Proteomic insights into paediatric cancer: Unravelling molecular signatures and therapeutic opportunities
Bhavna Padhye,
No information about this author
Urwah Nawaz,
No information about this author
Peter G. Hains
No information about this author
et al.
Pediatric Blood & Cancer,
Journal Year:
2024,
Volume and Issue:
71(6)
Published: March 31, 2024
Abstract
Survival
rates
in
some
paediatric
cancers
have
improved
greatly
over
recent
decades,
part
due
to
the
identification
of
diagnostic,
prognostic
and
predictive
molecular
signatures,
development
risk‐directed
therapies.
However,
other
proved
difficult
treat,
there
is
an
urgent
need
identify
novel
biomarkers
that
reveal
therapeutic
opportunities.
The
proteome
total
set
expressed
proteins
present
a
cell
or
tissue
at
point
time,
vastly
more
dynamic
than
genome.
Proteomics
holds
significant
promise
for
cancer
research,
as
are
ultimately
responsible
cellular
phenotype
target
most
anticancer
drugs.
Here,
we
review
discoveries,
opportunities
challenges
proteomic
analyses
cancer,
with
focus
on
mass
spectrometry
(MS)‐based
approaches.
Accelerating
incorporation
proteomics
into
precision
medicine
has
potential
improve
survival
quality
life
children
cancer.
Language: Английский
Molecular and modular intricacies of precision oncology
Ravneet Chhabra
No information about this author
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: Oct. 23, 2024
Precision
medicine
is
revolutionizing
the
world
in
combating
different
disease
modalities,
including
cancer.
The
concept
of
personalized
treatments
not
new,
but
modeling
it
into
a
reality
has
faced
various
limitations.
last
decade
seen
significant
improvements
incorporating
several
novel
tools,
scientific
innovations
and
governmental
support
precision
oncology.
However,
socio-economic
factors
risk-benefit
analyses
are
important
considerations.
This
mini
review
includes
summary
some
commendable
milestones,
which
just
series
successes,
also
cautious
outlook
to
challenges
practical
implications
advancing
techno-medical
era.
Language: Английский