Frontiers in Oncology,
Год журнала:
2023,
Номер
13
Опубликована: Март 29, 2023
Pancreatic
cancer
is
one
of
the
most
malignant
tumors
with
increased
incidence
rate.
The
effect
surgery
combined
chemoradiotherapy
on
survival
patients
unsatisfactory.
New
treatment
strategy
such
as
immunotherapy
need
to
be
investigated.
accumulation
desmoplastic
stroma,
infiltration
immunosuppressive
cells
including
myeloid
derived
suppressor
(MDSCs),
tumor
associated
macrophages
(TAMs),
cancer-associated
fibroblasts
(CAFs),
and
regulatory
T
(Tregs),
well
cytokine
TGF-β,
IL-10,
IL-35,
CCL5
CXCL12
construct
an
microenvironment
pancreatic
cancer,
which
presents
challenges
for
immunotherapy.
In
this
review
article,
we
explore
roles
mechanism
lymphocytes
in
establishing
cancer.
addition,
strategies
based
immune
checkpoint
inhibitors,
targeting
extracellular
matrix
(ECM),
interfering
stromal
or
cytokines
TME,
vaccines
vesicles
(EVs)
are
also
discussed.
It
necessary
identify
approach
combination
other
modalities
produce
a
synergistic
response
rates
therapy.
Frontiers in Immunology,
Год журнала:
2022,
Номер
13
Опубликована: Дек. 1, 2022
Despite
the
many
benefits
immunotherapy
has
brought
to
patients
with
different
cancers,
its
clinical
applications
and
improvements
are
still
hindered
by
drug
resistance.
Fostering
a
reliable
approach
identifying
sufferers
who
sensitive
certain
immunotherapeutic
agents
is
of
great
relevance.We
propose
an
ELISE
(Ensemble
Learning
for
Immunotherapeutic
Response
Evaluation)
pipeline
generate
robust
highly
accurate
predicting
individual
responses
immunotherapies.
employed
iterative
univariable
logistic
regression
select
genetic
features
patients,
using
Monte
Carlo
Tree
Search
(MCTS)
tune
hyperparameters.
In
each
trial,
selected
multiple
models
integration
based
on
add
or
concatenate
stacking
strategies,
including
deep
neural
network,
automatic
feature
interaction
learning
via
self-attentive
networks,
factorization
machine,
compressed
linear
then
adopted
best
trial
final
approach.
SHapley
Additive
exPlanations
(SHAP)
algorithm
was
applied
interpret
ELISE,
which
validated
in
independent
test
set.Regarding
prediction
atezolizumab
within
esophageal
adenocarcinoma
(EAC)
demonstrated
superior
accuracy
(Area
Under
Curve
[AUC]
=
100.00%).
AC005786.3
(Mean
[|SHAP
value|]
0.0097)
distinguished
as
most
valuable
contributor
output,
followed
SNORD3D
(0.0092),
RN7SKP72
(0.0081),
EREG
(0.0069),
IGHV4-80
(0.0063),
MIR4526
(0.0063).
Mechanistically,
immunoglobulin
complex,
production,
adaptive
immune
response,
antigen
binding
others,
were
downregulated
ELISE-neg
EAC
subtypes
resulted
unfavorable
responses.
More
encouragingly,
could
be
extended
accurately
estimate
responsiveness
various
against
other
PD1/PD-L1
suppressor
metastatic
urothelial
cancer
(AUC
88.86%),
MAGE-A3
melanoma
100.00%).This
study
presented
insights
into
integrating
ensemble
self-attention
mechanism
human
highlighting
potential
tool
approaches
individualized
treatment.
Journal for ImmunoTherapy of Cancer,
Год журнала:
2022,
Номер
10(1), С. e003809 - e003809
Опубликована: Янв. 1, 2022
Pancreatic
ductal
adenocarcinoma
(PDAC)
is
one
of
the
most
malignant
cancers
worldwide.
Despite
promising
outcome
immune
checkpoint
inhibitors
and
agonist
antibody
therapies
in
different
malignancies,
PDAC
exhibits
high
resistance
due
to
its
immunosuppressive
tumor
microenvironment
(TME).
Ameliorating
TME
thus
a
rational
strategy
for
therapy.
The
intratumoral
application
oncolytic
herpes
simplex
virus-1
(oHSV)
upregulates
pro-inflammatory
macrophages
lymphocytes
TME,
enhances
responsiveness
immunotherapy.
However,
antitumor
activity
oHSV
remains
be
maximized.
aim
this
study
investigate
effect
CD40L
armed
on
microenvironment,
ultimately
prolong
survival
mouse
model.The
membrane-bound
form
murine
was
engineered
into
by
CRISPR/Cas9-based
gene
editing.
oHSV-CD40L
induced
cytopathic
immunogenic
cell
death
were
determined
microscopy
flow
cytometry.
expression
function
assessed
reporter
assay.
administrated
intratumorally
competent
syngeneic
model,
leukocytes
tumor-draining
lymph
node
analyzed
multicolor
Intratumoral
cytokines
ELISA.Intratumoral
efficiently
restrained
growth
prolonged
model.
In
oHSV-CD40L-treated
accommodated
more
maturated
dendritic
cells
(DCs),
which
turn
activated
T
helper
1
cytotoxic
CD8+
an
interferon-γ-dependent
interleukin-12-dependent
manner.
contrast,
regulatory
significantly
reduced
treatment.
Repeated
dosing
combinational
therapy
extended
lifespan
mice.CD40L-armed
endues
with
increased
DCs
maturation
DC-dependent
activation
cells,
prolongs
model
mice.
This
may
lead
understanding
development
as
synergy
blockade.
Clinical Cancer Research,
Год журнала:
2023,
Номер
30(4), С. 655 - 662
Опубликована: Окт. 13, 2023
Abstract
KRAS
mutations
drive
oncogenic
alterations
in
numerous
cancers,
particularly
human
pancreatic
ductal
adenocarcinoma
(PDAC).
About
93%
of
PDACs
have
mutations,
with
G12D
(∼42%
cases)
and
G12V
(∼32%
being
the
most
common.
The
recent
approval
sotorasib
(AMG510),
a
small-molecule,
covalent,
selective
KRASG12C
inhibitor,
for
treating
patients
non–small
cell
lung
cancer
represents
breakthrough
targeted
therapy.
However,
there
is
need
to
develop
other
much-needed
KRAS-mutant
inhibitors
PDAC
Notably,
Mirati
Therapeutics
recently
developed
MRTX1133,
noncovalent,
KRASG12D
inhibitor
through
extensive
structure-based
drug
design.
MRTX1133
has
demonstrated
potent
vitro
vivo
antitumor
efficacy
against
KRASG12D-mutant
cells,
especially
PDAC,
leading
its
initiation
phase
I/II
clinical
trial.
Here,
we
provide
summary
advancements
related
use
focusing
on
underlying
mechanistic
actions.
In
addition,
discuss
potential
challenges
future
directions
therapy
including
overcoming
intrinsic
acquired
resistance,
developing
effective
combination
therapies,
improving
MRTX1133’s
oral
bioavailability
target
spectrum.
promising
results
obtained
from
preclinical
studies
suggest
that
could
revolutionize
treatment
bringing
about
paradigm
shift
management.
Frontiers in Oncology,
Год журнала:
2023,
Номер
13
Опубликована: Март 29, 2023
Pancreatic
cancer
is
one
of
the
most
malignant
tumors
with
increased
incidence
rate.
The
effect
surgery
combined
chemoradiotherapy
on
survival
patients
unsatisfactory.
New
treatment
strategy
such
as
immunotherapy
need
to
be
investigated.
accumulation
desmoplastic
stroma,
infiltration
immunosuppressive
cells
including
myeloid
derived
suppressor
(MDSCs),
tumor
associated
macrophages
(TAMs),
cancer-associated
fibroblasts
(CAFs),
and
regulatory
T
(Tregs),
well
cytokine
TGF-β,
IL-10,
IL-35,
CCL5
CXCL12
construct
an
microenvironment
pancreatic
cancer,
which
presents
challenges
for
immunotherapy.
In
this
review
article,
we
explore
roles
mechanism
lymphocytes
in
establishing
cancer.
addition,
strategies
based
immune
checkpoint
inhibitors,
targeting
extracellular
matrix
(ECM),
interfering
stromal
or
cytokines
TME,
vaccines
vesicles
(EVs)
are
also
discussed.
It
necessary
identify
approach
combination
other
modalities
produce
a
synergistic
response
rates
therapy.