Biomolecules,
Год журнала:
2025,
Номер
15(1), С. 146 - 146
Опубликована: Янв. 18, 2025
Background:
Despite
advances
in
uveal
melanoma
(UM)
diagnosis
and
treatment,
about
50%
of
patients
develop
distant
metastases,
thereby
displaying
poor
overall
survival.
Molecular
profiling
has
identified
several
genetic
alterations
that
can
stratify
with
UM
into
different
risk
categories.
However,
these
are
currently
dispersed
over
multiple
studies
methodologies,
emphasizing
the
need
for
a
defined
workflow
will
allow
standardized
reproducible
molecular
analyses.
Methods:
Following
findings
published
by
“The
Cancer
Genome
Atlas–UM”
(TCGA-UM)
study,
we
developed
an
NGS-based
gene
panel
(called
UMpanel)
classifies
mutation
sets
four
categories:
initiating
(CYSLTR2,
GNA11,
GNAQ
PLCB4),
prognostic
(BAP1,
EIF1AX,
SF3B1
SRSF2),
emergent
biomarkers
(CDKN2A,
CENPE,
FOXO1,
HIF1A,
RPL5
TP53)
chromosomal
abnormalities
(imbalances
chromosomes
1,
3
8).
Results:
Employing
commercial
panels,
reference
mutated
DNAs
Sanger
sequencing,
performed
comparative
analysis
found
our
methodological
approach
successfully
predicted
survival
great
specificity
sensitivity
compared
to
TCGA-UM
cohort
was
used
as
validation
group.
Conclusions:
Our
results
demonstrate
translates
reliable
tool
clinical
stratification
UM.
Photochemical & Photobiological Sciences,
Год журнала:
2021,
Номер
20(1), С. 1 - 67
Опубликована: Янв. 1, 2021
Abstract
This
assessment
by
the
Environmental
Effects
Assessment
Panel
(EEAP)
of
United
Nations
Environment
Programme
(UNEP)
provides
latest
scientific
update
since
our
most
recent
comprehensive
(Photochemical
and
Photobiological
Sciences,
2019,
18,
595–828).
The
interactive
effects
between
stratospheric
ozone
layer,
solar
ultraviolet
(UV)
radiation,
climate
change
are
presented
within
framework
Montreal
Protocol
Sustainable
Development
Goals.
We
address
how
these
global
environmental
changes
affect
atmosphere
air
quality;
human
health;
terrestrial
aquatic
ecosystems;
biogeochemical
cycles;
materials
used
in
outdoor
construction,
energy
technologies,
fabrics.
In
many
cases,
there
is
a
growing
influence
from
seasonality
extreme
events
due
to
change.
Additionally,
we
assess
transmission
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2),
which
responsible
for
COVID-19
pandemic,
context
linkages
with
UV
radiation
Protocol.
Nature Communications,
Год журнала:
2021,
Номер
12(1)
Опубликована: Авг. 27, 2021
Abstract
Preclinical
studies
have
suggested
that
epigenetic
therapy
could
enhance
immunogenicity
of
cancer
cells.
We
report
the
results
PEMDAC
phase
2
clinical
trial
(
n
=
29;
NCT02697630)
where
HDAC
inhibitor
entinostat
was
combined
with
PD-1
pembrolizumab
in
patients
metastatic
uveal
melanoma
(UM).
The
primary
endpoint
objective
response
rate
(ORR),
and
met
an
ORR
14%.
benefit
at
18
weeks
28%,
median
progression
free
survival
2.1
months
overall
13.4
months.
Toxicities
were
manageable,
there
no
treatment-related
deaths.
Objective
responses
and/or
prolonged
seen
BAP1
wildtype
tumors,
one
patient
iris
exhibited
a
UV
signature.
Longer
also
correlated
low
baseline
ctDNA
levels
or
LDH.
In
conclusion,
inhibition
anti-PD1
immunotherapy
durable
subset
UM.
Trial
registration
ClinicalTrials.gov
number:
NCT02697630
(registered
3
March
2016).
EudraCT
2016–002114-50.
Nature Medicine,
Год журнала:
2022,
Номер
28(11), С. 2364 - 2373
Опубликована: Окт. 13, 2022
Abstract
In
patients
with
previously
treated
metastatic
uveal
melanoma,
the
historical
1
year
overall
survival
rate
is
37%
a
median
of
7.8
months.
We
conducted
multicenter,
single-arm,
open-label
phase
2
study
tebentafusp,
soluble
T
cell
receptor
bispecific
(gp100×CD3),
in
127
treatment-refractory
melanoma
(NCT02570308).
The
primary
endpoint
was
estimation
objective
response
based
on
RECIST
(Response
Evaluation
Criteria
Solid
Tumours)
v1.1.
Secondary
objectives
included
safety,
survival,
progression-free
and
disease
control
rate.
All
had
at
least
one
treatment-related
adverse
event,
rash
(87%),
pyrexia
(80%)
pruritus
(67%)
being
most
common.
Toxicity
mostly
mild
to
moderate
severity
but
greatly
reduced
incidence
intensity
after
initial
three
doses.
Despite
low
5%
(95%
CI:
2–10%),
62%
53–70%)
16.8
months
12.9–21.3),
suggesting
benefit
beyond
traditional
radiographic-based
criteria.
an
exploratory
analysis,
early
on-treatment
reduction
circulating
tumour
DNA
strongly
associated
even
radiographic
progression.
Our
findings
indicate
that
tebentafusp
has
promising
clinical
activity
acceptable
safety
profile
data
ctDNA
as
indicator
from
need
confirmation
randomized
trial.
New England Journal of Medicine,
Год журнала:
2023,
Номер
389(24), С. 2256 - 2266
Опубликована: Окт. 21, 2023
Tebentafusp,
a
T-cell
receptor-bispecific
molecule
that
targets
glycoprotein
100
and
CD3,
is
approved
for
adult
patients
who
are
positive
HLA-A*02:01
have
unresectable
or
metastatic
uveal
melanoma.
The
primary
analysis
in
the
present
phase
3
trial
supported
long-term
survival
benefit
associated
with
drug.
British Journal of Cancer,
Год журнала:
2022,
Номер
126(11), С. 1511 - 1528
Опубликована: Фев. 21, 2022
Abstract
Uveal
melanoma
(UM)
is
the
most
common
primary
intraocular
malignancy
affecting
adults.
Despite
successful
local
treatment
of
tumour,
metastatic
disease
develops
in
up
to
50%
patients.
Metastatic
UM
carries
a
particularly
poor
prognosis,
with
no
effective
therapeutic
option
available
date.
Genetic
studies
have
demonstrated
that
cytogenetic
features,
including
gene
expression,
somatic
copy
number
alterations
and
specific
mutations
can
allow
more
accurate
assessment
risk.
Pre-emptive
therapies
avert
metastasis
are
being
tested
clinical
trials
patients
high-risk
UM.
However,
current
prognostic
methods
require
an
tumour
biopsy,
which
highly
invasive
procedure
carrying
risk
vision-threatening
complications
limited
by
sampling
variability.
Recently,
new
diagnostic
concept
known
as
“liquid
biopsy”
has
emerged,
heralding
substantial
potential
for
minimally
genetic
characterisation
tumours.
Here,
we
examine
evidence
supporting
blood
circulating
cells
(CTCs),
DNA
(ctDNA),
microRNA
(miRNA)
exosomes
biomarkers
In
particular,
discuss
these
aid
decision
making
throughout
management
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Апрель 16, 2024
Abstract
Immune
checkpoint
inhibition
has
shown
success
in
treating
metastatic
cutaneous
melanoma
but
limited
efficacy
against
uveal
melanoma,
a
rare
variant
arising
from
the
immune
privileged
eye.
To
better
understand
this
resistance,
we
comprehensively
profile
100
human
metastases
using
clinicogenomics,
transcriptomics,
and
tumor
infiltrating
lymphocyte
potency
assessment.
We
find
that
over
half
of
these
harbor
lymphocytes
with
potent
autologous
specificity,
despite
low
mutational
burden
resistance
to
prior
immunotherapies.
However,
observe
strikingly
intratumoral
T
cell
receptor
clonality
within
microenvironment
even
after
harness
quiescent
lymphocytes,
develop
transcriptomic
biomarker
enable
vivo
identification
ex
liberation
counter
their
growth
suppression.
Finally,
demonstrate
adoptive
transfer
transcriptomically
selected
can
promote
immunity
patients
when
other
immunotherapies
are
incapable.