Dramatic Response to Enfortumab Vedotin in Soft-tissue Metastases from Urothelial Carcinoma: A Case Report DOI Creative Commons
Ming‐Shiang Wu, Chung‐Chieh Wang, Fu-Jen Hsueh

et al.

Journal of Cancer Research and Practice, Journal Year: 2024, Volume and Issue: 11(4), P. 151 - 154

Published: Oct. 1, 2024

Abstract Soft-tissue metastasis from urothelial carcinoma is a rare but advanced disease entity. We report patient with muscle-invasive bladder cancer who experienced rapid recurrence following radical surgery and adjuvant platinum-based chemotherapy. Despite further treatment taxane-based chemotherapy immune checkpoint inhibitors, the developed diffuse soft-tissue metastases, including in skin, muscles of extraocular area, extremities, trunk. Salvage enfortumab vedotin (EV) was administered along local radiation therapy to orbital for better symptom control. Unexpectedly, metastases showed dramatic response after first cycle EV. However, two cycles EV treatment, skin extremity muscular progressed, while remained controlled. Four months died due systemic progression infection.

Language: Английский

Survival strategies: How tumor hypoxia microenvironment orchestrates angiogenesis DOI Open Access

Mengchao YANG,

Yufeng Mu,

Xiaoyun Yu

et al.

Biomedicine & Pharmacotherapy, Journal Year: 2024, Volume and Issue: 176, P. 116783 - 116783

Published: May 25, 2024

During tumor development, the itself must continuously generate new blood vessels to meet their growth needs while also allowing for invasion and metastasis. One of most common features tumors is hypoxia, which drives process angiogenesis by regulating microenvironment, thus adversely affecting prognosis patients. In addition, overcome unsuitable environments growth, such as nutrient deficiency, hyperacidity, immunosuppression, microenvironment (TME) coordinates in several ways restore supply oxygen nutrients remove metabolic wastes. A growing body research suggests that hypoxia interact through a complex interplay crosstalk, inextricably linked TME. Here, we review TME's positive contribution from an angiogenesis-centric perspective considering objective impact hypoxic phenotypes status limitations current angiogenic therapies.

Language: Английский

Citations

10

Nectin-4-directed antibody-drug conjugates (ADCs): Spotlight on preclinical and clinical evidence DOI

Mohammad Javad Khosravanian,

Yousef Mirzaei,

Ali Hussein Mer

et al.

Life Sciences, Journal Year: 2024, Volume and Issue: 352, P. 122910 - 122910

Published: Sept. 1, 2024

Language: Английский

Citations

7

Head and neck cancer: pathogenesis and targeted therapy DOI Creative Commons
Yan Liu, Nannan Zhang,

Yi Wen

et al.

MedComm, Journal Year: 2024, Volume and Issue: 5(9)

Published: Aug. 21, 2024

Head and neck cancer (HNC) is a highly aggressive type of tumor characterized by delayed diagnosis, recurrence, metastasis, relapse, drug resistance. The occurrence HNC were associated with smoking, alcohol abuse (or both), human papillomavirus infection, complex genetic epigenetic predisposition. Currently, surgery radiotherapy are the standard treatments for most patients early-stage HNC. For recurrent or metastatic (R/M) HNC, first-line treatment platinum-based chemotherapy combined antiepidermal growth factor receptor cetuximab, when resurgery radiation therapy not an option. However, curing remains challenging, especially in cases metastasis. In this review, we summarize pathogenesis including changes, abnormal signaling pathways, immune regulation mechanisms, along all potential therapeutic strategies such as molecular targeted therapy, immunotherapy, gene modifications, combination therapies. Recent preclinical clinical studies that may offer future research on also discussed. Additionally, new targets methods, antibody-drug conjugates, photodynamic radionuclide mRNA vaccines, have shown promising results trials, offering prospects

Language: Английский

Citations

6

Unmet Potential of Antibody-Drug Conjugates: An Evaluation of the Past, Present, and Future of Antibody-Drug Conjugate Development in Advanced Urothelial Carcinoma DOI
Kevin Zarrabi,

Abhiraj Saxena,

Kent W. Mouw

et al.

American Society of Clinical Oncology Educational Book, Journal Year: 2025, Volume and Issue: 45(2)

Published: Jan. 1, 2025

Antibody-drug conjugates (ADCs) represent an emerging class of therapeutics across solid tumor oncology and are already positioned as a cornerstone therapy for patients with urothelial carcinoma (UC). In recent years, there has been paradigm shift in the therapeutic landscape frontline treatment UC formerly relied on use platinum-based agents now evolved to include combination strategies ADCs. These dramatic changes due part our improved understanding molecular features bladder tumors identification tumor-associated antigens specific UC, which may serve druggable targets. Despite notable advances clinical success ADCs other malignancies, their full potential remains largely unmet. Early enfortumab vedotin sacituzumab govitecan demonstrated antitumor activity; however, multiple challenges these ADCs, including on-target, off-tumor toxicity difficulty maintaining sustained responses. Newer-generation ADC constructs, either alone or approaches, currently under investigation. This review examines historical development, current landscape, trends highlighting both progress made obstacles that continue hinder optimal outcomes.

Language: Английский

Citations

0

Pilot Study of Nectin-4–Targeted PET Imaging Agent68Ga-FZ-NR-1 in Triple-Negative Breast Cancer from Bench to First-in-Human DOI

Li Sun,

Yuyun Sun, Ke Zuo

et al.

Journal of Nuclear Medicine, Journal Year: 2025, Volume and Issue: unknown, P. jnumed.124.269024 - jnumed.124.269024

Published: Feb. 13, 2025

Nectin cell adhesion molecule 4 (Nectin-4) is an emerging biomarker for cancer diagnosis and therapy. We developed a Nectin-4-targeted 68Ga-DOTA-Sar10-Nectin-4 (68Ga-FZ-NR-1) PET/CT radiotracer detecting Nectin-4 expression in tumor model triple-negative breast (TNBC) patients. Methods: A series of radiotracers-68Ga-FZ-NR-1, 68Ga-DOTA-polyethylene glycol 5-Nectin-4 (68Ga-FZ-NR-2), 10-Nectin-4 (68Ga-FZ-NR-3)-were synthesized, their targeting ability specificity were evaluated vitro vivo. In experiments performed the MDA-MB-468 (Nectin-4-positive) MDA-MB-231 (Nectin-4-negative) lines. imaging models was to assess Nectin-4-targeting radiotracers. After preclinical screening, 68Ga-FZ-NR-1 selected safety efficacy evaluation first-in-human trial TNBC Positive lesions biopsied analyzed by immunohistochemistry determine levels. Results: The 3 68Ga-labeled radiotracers exhibited high radiochemical purity, stability, strong affinity Nectin-4. uptake studies showed that effectively targeted cells, highest efficacy. model, taken up at higher rates than 68Ga-FZ-NR-2 68Ga-FZ-NR-3, it favorable pharmacokinetics profiles. thus subsequent clinical trials. identified tumors 9 patients with TNBC, which confirmed 18F-FDG PET/CT. Biopsy samples revealed positive corresponded areas expression. Conclusion: (68Ga-FZ-NR-1, 68Ga-FZ-NR-2, 68Ga-FZ-NR-3) evaluated. Preclinical demonstrated can identify preliminary study, used visualize Nectin-4-expressing immunohistochemistry. This provides noninvasive approach assessment potential basis development treatments TNBC.

Language: Английский

Citations

0

Nectin-4 Expression Patterns and Therapeutics in Oncology DOI
Mina Nikanjam, Judith Pérez-Granado,

Mark W. Gramling

et al.

Cancer Letters, Journal Year: 2025, Volume and Issue: unknown, P. 217681 - 217681

Published: April 1, 2025

Language: Английский

Citations

0

Association between drug-related cutaneous adverse events and survival outcomes in patients treated with enfortumab vedotin DOI Creative Commons
Samy Belkaïd, Emmanuel Ribereau‐Gayon, Sylvie Chabaud

et al.

European Journal of Cancer, Journal Year: 2025, Volume and Issue: unknown, P. 115427 - 115427

Published: April 1, 2025

The antibody-drug conjugate enfortumab vedotin (EV) received approval in patients with metastatic urothelial carcinoma (mUC). EV-related cutaneous toxicities are frequently reported, whether AEs association survival may exist is still unknown. We aim to report the between and receiving EV. This retrospective study enrolled treated monotherapy EV from two oncology centers, followed up for at least 3-months, data collection demographics, treatments, toxicities, outcomes. primary endpoint was progression-free (PFS) experiencing or not. Overall (OS) secondary endpoint. Data 63 July 19, 2019, March 12, 2024, were collected. Among them, 18 (28.6 %) any-grade during treatment showed significantly longer median PFS (mPFS: 9.2 vs. 4.7 months, hazard ratio [HR] 0.35; p = 0.0041) OS (mOS: not reached 8.4 HR 0.38; 0.0253). multivariate analysis a significant of improved (HR 0.40, 0.0319), did demonstrate even if tendency kept 0.41, 0.067). These results support that toxicity (skin rash) had prolonged PFS. With recent expansion combined using plus pembrolizumab first-line mUC patients, need be carefully monitored optimized dedicated management provided, considering predictive patient outcome.

Language: Английский

Citations

0

Laryngeal Squamous Cell Carcinoma Is Characterized by a Stronger Expression of Nectin-4 Compared to Nectin-2 DOI Creative Commons
Matej Maršić, Nives Jonjić, Maja Gligora Marković

et al.

Current Issues in Molecular Biology, Journal Year: 2025, Volume and Issue: 47(5), P. 296 - 296

Published: April 23, 2025

Nectin-2 and Nectin-4 are cell adhesion molecules associated with the progression of various cancers. The main goal this pilot study was to evaluate expression patterns in laryngeal squamous carcinoma (LSCC). A retrospective conducted on tissue microarray (TMA) samples derived from 31 patients who underwent total laryngectomy. findings revealed heterogenous both tumor cells surrounding stroma, being significantly higher than expression. Specifically, 74% cases showed weak cytoplasmic staining for Nectin-2, while 41.93% exhibited strong Nectin-4. Both expressions were more pronounced at invasive margins. Although no significant differences observed across grades (W = 83.500; z −0.463; p 0.658), noted. Well-differentiated tumors (Grade 1), 80.65% cases, predominantly membranous staining, including epithelial mucosal surface. Conversely, less-differentiated 2 3), a shift toward evident. 74.19% Grade 100% 3 predominant localization This transition also evident normal superficial epithelium malignant tissue. These observations suggest that alterations subcellular may be carcinogenesis could serve as potential markers assessment precancerous lesions aggressiveness tumors.

Language: Английский

Citations

0

[Review] Understanding the Measles Virus at 70 Years: From Cellular Mechanisms to Immunisation, 1954-2024 DOI
Brent Brown, Ingo Fricke, Chinua Imarogbe

et al.

Published: July 16, 2024

Measles virus (_Morbillivirus_ abbreviated as MV, but more recently MeV) is the causal agent of disease, thought to have existed at least 4000 years ago, affecting predominantly infants, also immunocompromised individuals and others remaining a public health issue today globally. In this review, we are discussing historical background about MeV infection modern–day research, then delving into disease what known immunisation against disease. We elucidate viral structure function proteins. The genomic stability particle suggestive that third pathogen with potential be eradicated (after Variola Rinderpest viruses) requires further biological immunological clarification. Here therefore covers bow from mechanism clinical aspects touching topics like cellular receptor–associated factors immunology infection. highlight actual knowledge innate immune response during infection, including chemokine cytokine expression finalised by current understanding adaptive responses MeV.

Language: Английский

Citations

0

Nectin-4: A promising prognostic marker and therapeutic target in cancer DOI

Shilpa Kuttikrishnan,

Kirti S. Prabhu,

Ummu Habeeba

et al.

International review of cell and molecular biology, Journal Year: 2024, Volume and Issue: unknown, P. 223 - 255

Published: Sept. 12, 2024

Language: Английский

Citations

0