Overcoming immunotherapy resistance in gastric cancer: insights into mechanisms and emerging strategies
Cell Death and Disease,
Год журнала:
2025,
Номер
16(1)
Опубликована: Фев. 7, 2025
Abstract
Gastric
cancer
(GC)
remains
a
leading
cause
of
cancer-related
mortality
worldwide,
with
limited
treatment
options
in
advanced
stages.
Immunotherapy,
particularly
immune
checkpoint
inhibitors
(ICIs)
targeting
PD1/PD-L1,
has
emerged
as
promising
therapeutic
approach.
However,
significant
proportion
patients
exhibit
primary
or
acquired
resistance,
limiting
the
overall
efficacy
immunotherapy.
This
review
provides
comprehensive
analysis
mechanisms
underlying
immunotherapy
resistance
GC,
including
role
tumor
microenvironment,
dynamic
PD-L1
expression,
compensatory
activation
other
checkpoints,
and
genomic
instability.
Furthermore,
explores
GC-specific
factors
such
molecular
subtypes,
unique
evasion
mechanisms,
impact
Helicobacter
pylori
infection.
We
also
discuss
emerging
strategies
to
overcome
combination
therapies,
novel
immunotherapeutic
approaches,
personalized
based
on
genomics
microenvironment.
By
highlighting
these
key
areas,
this
aims
inform
future
research
directions
clinical
practice,
ultimately
improving
outcomes
for
GC
undergoing
Язык: Английский
Role of human microbiota in facilitating the metastatic journey of cancer cells
Naunyn-Schmiedeberg s Archives of Pharmacology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 12, 2025
Язык: Английский
Proton pump inhibitors reduce nivolumab efficacy in unresectable advanced or recurrent gastric cancer
Immunotherapy,
Год журнала:
2025,
Номер
unknown, С. 1 - 8
Опубликована: Апрель 14, 2025
Proton
pump
inhibitors
(PPI)
have
been
shown
to
decrease
the
efficacy
of
immune
checkpoint
in
patients
with
various
cancer
types.
However,
there
are
few
reports
on
their
effect
gastric
(GC).
Therefore,
we
investigated
nivolumab
GC
receiving
PPI.
This
retrospective
study
analyzed
data
who
received
monotherapy
for
unresectable
advanced
or
recurrent
at
Osaka
Metropolitan
University
Hospital
between
September
2017
and
December
2021.
The
primary
secondary
endpoints
were
progression-free
survival
(PFS)
overall
(OS),
respectively.
PPI
use
was
defined
as
within
30
days
before
after
initiation
monotherapy.
Seventy-seven
eligible
included
this
analysis.
PPIs
used
33
patients,
while
36
had
a
previous
gastrectomy.
Multivariate
analysis
revealed
that
only
an
independent
predictor
PFS
(hazard
ratio
[HR]
1.93,
95%
confidence
interval
[CI]
1.03-3.64,
p
=
0.042).
Contrastingly,
not
OS.
may
reduce
nivolumab,
should
be
carefully
considered
nivolumab.
Язык: Английский
Impact ofHelicobacter pylorion immunotherapy in gastric cancer
Journal for ImmunoTherapy of Cancer,
Год журнала:
2024,
Номер
12(10), С. e010354 - e010354
Опубликована: Окт. 1, 2024
This
study
reviews
the
contrasting
finding
regarding
impact
of
Язык: Английский
Adversarial regularized autoencoder graph neural network for microbe-disease associations prediction
Briefings in Bioinformatics,
Год журнала:
2024,
Номер
25(6)
Опубликована: Сен. 23, 2024
Abstract
Background
Microorganisms
inhabit
various
regions
of
the
human
body
and
significantly
contribute
to
numerous
diseases.
Predicting
associations
between
microbes
diseases
is
crucial
for
understanding
pathogenic
mechanisms
informing
prevention
treatment
strategies.
Biological
experiments
determine
these
are
time-consuming
costly.
Therefore,
integrating
deep
learning
with
biological
networks
can
efficiently
identify
potential
microbe-disease
on
a
large
scale.
Methods
We
propose
an
adversarial
regularized
autoencoder
graph
neural
network
algorithm,
named
Stacked
Adversarial
Regularization
Microbe-Disease
Associations
Prediction
(SARMDA),
predicting
First,
we
integrate
topological
structural
similarity
functional
metrics
construct
heterogeneous
network.
Then,
utilizing
based
GraphSAGE,
learn
both
attribute
representations
nodes
within
constructed
Finally,
introduce
embedding
model
address
inherent
limitations
traditional
GraphSAGE
autoencoders
in
capturing
global
information.
Results
Under
five-fold
cross-validation
pairs,
SARMDA
was
compared
eight
advanced
methods
using
Human
Association
Database
(HMDAD)
Disbiome
databases.
The
best
area
under
ROC
curve
(AUC)
achieved
by
HMDAD
0.9891$\pm$0.0057,
precision-recall
(AUPR)
0.9902$\pm$0.0128.
On
dataset,
AUC
0.9328$\pm$0.0072,
AUPR
0.9233$\pm$0.0089,
outperforming
other
MDAs
prediction
methods.
Furthermore,
effectiveness
our
demonstrated
through
detailed
analysis
asthma
inflammatory
bowel
disease
cases.
Язык: Английский