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Entinostat, nivolumab and ipilimumab for women with advanced HER2-negative breast cancer: a phase Ib trial 恩替诺特、尼维单抗和伊匹单抗治疗晚期HER2阴性乳腺癌女性患者:Ib期试验。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-02-14 DOI: 10.1038/s43018-024-00729-w
Evanthia.T. Roussos Torres, Won J. Ho, Ludmila Danilova, Joseph A. Tandurella, James Leatherman, Christine Rafie, Chenguang Wang, Adam Brufsky, Patricia LoRusso, Vincent Chung, Yuan Yuan, Melinda Downs, Ashley O’Connor, Sarah M. Shin, Alexei Hernandez, Elizabeth L. Engle, Richard Piekarz, Howard Streicher, Zahra Talebi, Michelle A. Rudek, Qingfeng Zhu, Robert A. Anders, Ashley Cimino-Mathews, Elana J. Fertig, Elizabeth M. Jaffee, Vered Stearns, Roisin M. Connolly
We report the results of 24 women, 50% (N = 12) with hormone receptor-positive breast cancer and 50% (N = 12) with advanced triple-negative breast cancer, treated with entinostat + nivolumab + ipilimumab from the dose escalation (N = 6) and expansion cohort (N = 18) of ETCTN-9844 ( NCT02453620 ). The primary endpoint was safety. Secondary endpoints were overall response rate, clinical benefit rate, progression-free survival and change in tumor CD8:FoxP3 ratio. There were no dose-limiting toxicities. Among evaluable participants (N = 20), the overall response rate was 25% (N = 5), with 40% (N = 4) in triple-negative breast cancer and 10% (N = 1) in hormone receptor-positive breast cancer. The clinical benefit rate was 40% (N = 8), and progression-free survival at 6 months was 50%. Exploratory analyses revealed that changes in myeloid cells may contribute to responses; however, no correlation was noted between changes in CD8:FoxP3 ratio, PD-L1 status and tumor mutational burden and response. These findings support further investigation of this treatment in a phase II trial. Roussos-Torres and colleagues perform a phase Ib clinical trial of entinostat, nivolumab and ipilimumab in individuals with advanced HER2-negative breast cancer, report on safety and response and characterize the immune-modulatory effects.
我们报告了ETCTN-9844(NCT02453620)剂量升级队列(6人)和扩大队列(18人)中24名妇女接受恩替诺特+尼妥珠单抗+伊匹单抗治疗的结果,其中50%(12人)患有激素受体阳性乳腺癌,50%(12人)患有晚期三阴性乳腺癌。主要终点是安全性。次要终点是总反应率、临床获益率、无进展生存期和肿瘤CD8:FoxP3比值的变化。无剂量限制性毒性反应。在可评估的参与者(20人)中,总体反应率为25%(5人),其中三阴性乳腺癌为40%(4人),激素受体阳性乳腺癌为10%(1人)。临床获益率为 40%(8 例),6 个月无进展生存率为 50%。探索性分析表明,髓系细胞的变化可能有助于产生反应;但CD8:FoxP3比率、PD-L1状态和肿瘤突变负荷的变化与反应之间没有相关性。这些研究结果支持在II期试验中进一步研究这种疗法。
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引用次数: 0
Targeting LGR4–Wnt activates ferroptosis and reverses drug resistance in colorectal cancer 靶向 LGR4-Wnt 可激活铁突变并逆转结直肠癌的耐药性。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-14 DOI: 10.1038/s43018-023-00714-9
Our study reveals that the LGR4–Wnt signaling pathway dictates both ferroptosis and stemness traits to confer drug resistance to tumor cells. We thus generated a monoclonal antibody against LGR4 that blocks LGR4–Wnt signaling and sensitizes chemotherapy-resistant colorectal cancer tumors via selective promotion of ferroptosis.
我们的研究发现,LGR4-Wnt 信号通路决定了肿瘤细胞的铁突变和干性特征,从而赋予肿瘤细胞耐药性。因此,我们产生了一种针对LGR4的单克隆抗体,它能阻断LGR4-Wnt信号传导,并通过选择性促进铁突变来敏化耐化疗的结直肠癌肿瘤。
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引用次数: 0
The dopamine transporter antagonist vanoxerine inhibits G9a and suppresses cancer stem cell functions in colon tumors 多巴胺转运体拮抗剂凡诺塞林能抑制 G9a 并抑制结肠肿瘤中癌症干细胞的功能。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-13 DOI: 10.1038/s43018-024-00727-y
Christopher J. Bergin, Aïcha Zouggar, Amanda Mendes da Silva, Tanguy Fenouil, Joshua R. Haebe, Angelique N. Masibag, Gautam Agrawal, Muhammad S. Shah, Tamara Sandouka, Mario Tiberi, Rebecca C. Auer, Michele Ardolino, Yannick D. Benoit
Cancer stem cells (CSCs), functionally characterized by self-renewal and tumor-initiating activity, contribute to decreased tumor immunogenicity, while fostering tumor growth and metastasis. Targeting G9a histone methyltransferase (HMTase) effectively blocks CSC functions in colorectal tumors by altering pluripotent-like molecular networks; however, existing molecules directly targeting G9a HMTase activity failed to reach clinical stages due to safety concerns. Using a stem cell-based phenotypic drug-screening pipeline, we identified the dopamine transporter (DAT) antagonist vanoxerine, a compound with previously demonstrated clinical safety, as a cancer-specific downregulator of G9a expression. Here we show that gene silencing and chemical antagonism of DAT impede colorectal CSC functions by repressing G9a expression. Antagonizing DAT also enhanced tumor lymphocytic infiltration by activating endogenous transposable elements and type-I interferon response. Our study unveils the direct implication of the DAT–G9a axis in the maintenance of CSC populations and an approach to improve antitumor immune response in colon tumors. Benoit and colleagues identify the dopamine transporter antagonist vanoxerine as a suppressor of G9a methyltransferase and show that treatment leads to cancer stem cell suppression and restoration of an immunoresponsive tumor microenvironment in CRC.
癌症干细胞(CSC)在功能上具有自我更新和诱发肿瘤的活性,可降低肿瘤的免疫原性,同时促进肿瘤生长和转移。靶向G9a组蛋白甲基转移酶(HMTase)可通过改变多能样分子网络,有效阻断结直肠肿瘤中的CSC功能;然而,由于安全性问题,现有的直接靶向G9a HMTase活性的分子未能进入临床阶段。利用基于干细胞的表型药物筛选管道,我们确定了多巴胺转运体(DAT)拮抗剂凡诺塞林(一种先前已证明具有临床安全性的化合物)是一种癌症特异性G9a表达下调剂。在这里,我们证明了基因沉默和化学拮抗剂 DAT 可通过抑制 G9a 的表达来阻碍结直肠癌 CSC 的功能。拮抗DAT还能通过激活内源性转座元件和I型干扰素反应增强肿瘤淋巴细胞浸润。我们的研究揭示了 DAT-G9a 轴在维持 CSC 群体中的直接作用,以及改善结肠肿瘤抗肿瘤免疫反应的方法。
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引用次数: 0
A randomized, non-comparative phase 2 study of neoadjuvant immune-checkpoint blockade in retroperitoneal dedifferentiated liposarcoma and extremity/truncal undifferentiated pleomorphic sarcoma 腹膜后低分化脂肪肉瘤和四肢/三叉神经未分化多形性肉瘤新辅助免疫检查点阻断疗法的随机、非比较性 2 期研究。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-13 DOI: 10.1038/s43018-024-00726-z
Christina L. Roland, Elise F. Nassif Haddad, Emily Z. Keung, Wei-Lien Wang, Alexander J. Lazar, Heather Lin, Manoj Chelvanambi, Edwin R. Parra, Khalida Wani, B. Ashleigh Guadagnolo, Andrew J. Bishop, Elizabeth M. Burton, Kelly K. Hunt, Keila E. Torres, Barry W. Feig, Christopher P. Scally, Valerae O. Lewis, Justin E. Bird, Ravin Ratan, Dejka Araujo, M. Alexandra Zarzour, Shreyaskumar Patel, Robert Benjamin, Anthony P. Conley, J. Andrew Livingston, Vinod Ravi, Hussein A. Tawbi, Patrick P. Lin, Bryan S. Moon, Robert L. Satcher, Bilal Mujtaba, Russell G. Witt, Raymond S. Traweek, Brandon Cope, Rossana Lazcano, Chia-Chin Wu, Xiao Zhou, Mohammad M. Mohammad, Randy A. Chu, Jianhua Zhang, Ashish Damania, Pranoti Sahasrabhojane, Taylor Tate, Kate Callahan, Sa Nguyen, Davis Ingram, Rohini Morey, Shadarra Crosby, Grace Mathew, Sheila Duncan, Cibelle F. Lima, Jean-Yves Blay, Wolf Herman Fridman, Kenna Shaw, Ignacio Wistuba, Andrew Futreal, Nadim Ajami, Jennifer A. Wargo, Neeta Somaiah
Based on the demonstrated clinical activity of immune-checkpoint blockade (ICB) in advanced dedifferentiated liposarcoma (DDLPS) and undifferentiated pleomorphic sarcoma (UPS), we conducted a randomized, non-comparative phase 2 trial ( NCT03307616 ) of neoadjuvant nivolumab or nivolumab/ipilimumab in patients with resectable retroperitoneal DDLPS (n = 17) and extremity/truncal UPS (+ concurrent nivolumab/radiation therapy; n = 10). The primary end point of pathologic response (percent hyalinization) was a median of 8.8% in DDLPS and 89% in UPS. Secondary end points were the changes in immune infiltrate, radiographic response, 12- and 24-month relapse-free survival and overall survival. Lower densities of regulatory T cells before treatment were associated with a major pathologic response (hyalinization > 30%). Tumor infiltration by B cells was increased following neoadjuvant treatment and was associated with overall survival in DDLPS. B cell infiltration was associated with higher densities of regulatory T cells before treatment, which was lost upon ICB treatment. Our data demonstrate that neoadjuvant ICB is associated with complex immune changes within the tumor microenvironment in DDLPS and UPS and that neoadjuvant ICB with concurrent radiotherapy has significant efficacy in UPS. Roland et al. report the results of a randomized, non-comparative phase 2 trial of neoadjuvant nivolumab or a combination of nivolumab and ipilimumab in patients with resectable retroperitoneal dedifferentiated liposarcoma and extremity/truncal undifferentiated pleomorphic sarcoma.
基于免疫检查点阻断疗法(ICB)在晚期脂肪肉瘤(DDLPS)和未分化多形性肉瘤(UPS)中已证实的临床活性,我们开展了一项随机、非比较性的2期试验(NCT03307616)、新辅助尼妥珠单抗或尼妥珠单抗/伊匹单抗治疗腹膜后可切除DDLPS(n = 17)和四肢/直肠UPS(+同期尼妥珠单抗/放疗,n = 10)患者的非比较性2期试验(NCT03307616);n = 10).病理反应(透明化百分比)这一主要终点在DDLPS和UPS中的中位数分别为8.8%和89%。次要终点是免疫浸润的变化、放射学反应、12个月和24个月无复发生存率以及总生存率。治疗前调节性T细胞密度较低与主要病理反应(透明化> 30%)有关。新辅助治疗后,B细胞对肿瘤的浸润增加,并与DDLPS的总生存率相关。B 细胞浸润与治疗前较高密度的调节性 T 细胞有关,而在 ICB 治疗后,这种浸润消失了。我们的数据表明,在DDLPS和UPS中,新辅助ICB与肿瘤微环境中复杂的免疫变化有关,而新辅助ICB与同期放疗在UPS中具有显著疗效。
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引用次数: 0
Repurposing the dopamine transporter antagonist vanoxerine to treat colorectal cancer 将多巴胺转运体拮抗剂凡诺塞林重新用于治疗结直肠癌。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-13 DOI: 10.1038/s43018-024-00723-2
Winnie Chen, Ian Maze
Self-renewing cancer stem cells drive tumor initiation and progression and represent a major target for therapeutic development. A study now shows that vanoxerine, a dopamine transporter antagonist, precisely inhibits this cell population in colorectal cancer, which leads to attenuation of tumor initiation and increased infiltration by immune cells.
自我更新的癌症干细胞驱动着肿瘤的发生和发展,是治疗开发的主要目标。现在的一项研究表明,多巴胺转运体拮抗剂凡诺塞林能精确抑制结直肠癌中的这一细胞群,从而减少肿瘤的发生,增加免疫细胞的浸润。
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引用次数: 0
Melanoma leverages local cues to promote liver-specific metastasis 黑色素瘤利用局部线索促进肝脏特异性转移。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-12 DOI: 10.1038/s43018-023-00705-w
Using CRISPR–Cas9 screens, we found that cancer-cell-intrinsic loss of Pip4k2c conferred liver-metastatic organotropism in melanoma through hypersensitization to insulin-mediated PI3K–AKT signaling via co-optation of distinct hepatic metabolic cues. Additionally, we showed that combinatorial therapies that abolished physiological and drug-induced changes in glucose and insulin levels specifically reduced liver metastasis.
通过 CRISPR-Cas9 筛选,我们发现癌细胞内在缺失 Pip4k2c 会通过共同选择不同的肝脏代谢线索,对胰岛素介导的 PI3K-AKT 信号过敏,从而赋予黑色素瘤肝脏转移的器官向性。此外,我们还发现,消除葡萄糖和胰岛素水平的生理性变化和药物诱导变化的组合疗法能特异性地减少肝转移。
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引用次数: 0
Integrated multiomic profiling of breast cancer in the Chinese population reveals patient stratification and therapeutic vulnerabilities 中国人群乳腺癌多基因组综合分析揭示了患者分层和治疗弱点。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-12 DOI: 10.1038/s43018-024-00725-0
Yi-Zhou Jiang, Ding Ma, Xi Jin, Yi Xiao, Ying Yu, Jinxiu Shi, Yi-Fan Zhou, Tong Fu, Cai-Jin Lin, Lei-Jie Dai, Cheng-Lin Liu, Shen Zhao, Guan-Hua Su, Wanwan Hou, Yaqing Liu, Qingwang Chen, Jingcheng Yang, Naixin Zhang, Wen-Juan Zhang, Wei Liu, Weigang Ge, Wen-Tao Yang, Chao You, Yajia Gu, Virginia Kaklamani, François Bertucci, Claire Verschraegen, Anneleen Daemen, Nakul M. Shah, Ting Wang, Tiannan Guo, Leming Shi, Charles M. Perou, Yuanting Zheng, Wei Huang, Zhi-Ming Shao
Molecular profiling guides precision treatment of breast cancer; however, Asian patients are underrepresented in publicly available large-scale studies. We established a comprehensive multiomics cohort of 773 Chinese patients with breast cancer and systematically analyzed their genomic, transcriptomic, proteomic, metabolomic, radiomic and digital pathology characteristics. Here we show that compared to breast cancers in white individuals, Asian individuals had more targetable AKT1 mutations. Integrated analysis revealed a higher proportion of HER2-enriched subtype and correspondingly more frequent ERBB2 amplification and higher HER2 protein abundance in the Chinese HR+HER2+ cohort, stressing anti-HER2 therapy for these individuals. Furthermore, comprehensive metabolomic and proteomic analyses revealed ferroptosis as a potential therapeutic target for basal-like tumors. The integration of clinical, transcriptomic, metabolomic, radiomic and pathological features allowed for efficient stratification of patients into groups with varying recurrence risks. Our study provides a public resource and new insights into the biology and ancestry specificity of breast cancer in the Asian population, offering potential for further precision treatment approaches. Shao and colleagues present a multiomic analysis of breast tumor samples from Chinese patients, consisting of genomic, transcriptomic, proteomic, metabolomic, radiomic and digital pathology data.
分子图谱分析为乳腺癌的精准治疗提供了指导;然而,在公开的大规模研究中,亚洲患者的代表性不足。我们建立了一个包含 773 名中国乳腺癌患者的综合多组学队列,系统分析了他们的基因组、转录组、蛋白质组、代谢组、放射组和数字病理特征。我们在这里发现,与白人乳腺癌患者相比,亚洲人有更多可靶向的AKT1突变。综合分析表明,在中国的HR+HER2+队列中,HER2富集亚型的比例更高,相应地ERBB2扩增更频繁,HER2蛋白丰度更高,因此这些人需要接受抗HER2治疗。此外,全面的代谢组学和蛋白质组学分析揭示了铁突变是基底样肿瘤的潜在治疗靶点。通过整合临床、转录组学、代谢组学、放射组学和病理学特征,可以有效地将患者分为具有不同复发风险的组别。我们的研究为了解亚洲人乳腺癌的生物学特性和祖先特异性提供了公共资源和新见解,为进一步的精准治疗方法提供了潜力。
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引用次数: 0
Mitochondrial DNA mutation enhances sensitivity to immunotherapy in melanoma 线粒体DNA突变增强了黑色素瘤对免疫疗法的敏感性。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-09 DOI: 10.1038/s43018-023-00722-9
Mitochondrial DNA mutations are present in over 50% of all cancers, and truncating mutations in several genes encoding components of complex I of the respiratory chain are most recurrent. We found that these mutations are a source of Warburg-like metabolic shifts that promote a pro-inflammatory immunological state, enhancing sensitivity to checkpoint blockade.
50%以上的癌症都存在线粒体DNA突变,而编码呼吸链复合体I成分的几个基因的截短突变最为常见。我们发现,这些突变是沃伯格样代谢转变的来源,而沃伯格样代谢转变会促进炎症免疫状态,提高对检查点阻断的敏感性。
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引用次数: 0
PD-L2 expression in senescent cancer cells limits tumor clearance after chemotherapy 衰老癌细胞中 PD-L2 的表达限制了化疗后肿瘤的清除。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-08 DOI: 10.1038/s43018-023-00713-w
Senescent cancer cells, which are characteristically present in tumors after genotoxic therapies, upregulate the immune checkpoint ligand programmed cell death 1 ligand 2 (PD-L2). We show that genetic or pharmacological ablation of PD-L2 prevents the accumulation of intratumoral senescent cells, reducing the recruitment of immunosuppressive myeloid cells and facilitating tumor clearance by T cells.
衰老癌细胞是基因毒性疗法后肿瘤中出现的特征性细胞,它们会上调免疫检查点配体程序性细胞死亡1配体2(PD-L2)。我们的研究表明,通过基因或药物消减 PD-L2 可以防止瘤内衰老细胞的聚集,减少免疫抑制性髓系细胞的招募,促进 T 细胞清除肿瘤。
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引用次数: 0
Roadmap for a European cancer data management and precision medicine infrastructure 欧洲癌症数据管理和精准医疗基础设施路线图。
IF 22.7 1区 医学 Q1 Medicine Pub Date : 2024-02-06 DOI: 10.1038/s43018-023-00717-6
Macha Nikolski, Eivind Hovig, Fatima Al-Shahrour, Niklas Blomberg, Serena Scollen, Alfonso Valencia, Gary Saunders
Gold-standard cancer data management is pivotal to enable precision medicine for European citizens. Achieving this goal relies on key elements: adopting standardized data formats, ensuring robust data privacy, educating professionals about the infrastructure’s benefits and leveraging cutting-edge technologies to transform cancer care.
黄金标准的癌症数据管理对于为欧洲公民提供精准医疗至关重要。实现这一目标有赖于以下关键要素:采用标准化数据格式、确保健全的数据隐私、向专业人员宣传基础设施的益处以及利用尖端技术改变癌症护理。
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引用次数: 0
期刊
Nature cancer
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