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IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2026-01-23 DOI: 10.1016/S0147-0272(26)00006-1
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引用次数: 0
Information for Readers 读者资讯
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2026-01-23 DOI: 10.1016/S0147-0272(26)00007-3
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引用次数: 0
Title: Impact of CYP3A5*3 genetic polymorphism on breast cancer risk: Evidence from Bangladesh CYP3A5*3基因多态性对乳腺癌风险的影响:来自孟加拉国的证据。
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2026-01-21 DOI: 10.1016/j.currproblcancer.2026.101268
Sm Faysal Bellah , S M Saker Billah

Background

The CYP3A5 gene plays a crucial role in drug metabolism and carcinogen activation, potentially influencing breast cancer susceptibility. However, its genetic association with breast cancer risk in the Bangladeshi population remains under explored.

Objective

This study aims to examine the expression and genetic correlation of the CYP3A5*3 (rs776746) polymorphism in relation to breast cancer susceptibility.

Methods

A case-control study was performed with 150 breast cancer patients and 150 healthy controls to investigate genotypic variations of the CYP3A5*3 (rs776746) polymorphism using Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) analysis. The relationship between the CYP3A5*3 variant and breast cancer risk was assessed by calculating odds ratios (ORs) and 95% confidence intervals (CIs) through logistic regression models.

Results

The CYP3A5*3 polymorphism exhibited a significant association with increased breast cancer risks. Breast cancer risk was found to be higher in heterozygotes than in homozygotes. Individuals carrying the heterozygous (*1/*3) and mutant homozygote (*3/*3) genotypes had a 3.04-fold (p = 0.0005) and 1.9-fold (p = 0.0227) increased risk of developing breast cancer respectively. Furthermore, the combined (*1/*3 + *3/*3) genotype was significantly linked to a 3.67-fold higher susceptibility to breast cancer risks (p < 0.0005).

Conclusion

Our findings suggest that the CYP3A5*3 polymorphism is significantly associated with an elevated risk of breast cancer in Bangladeshi population.
背景:CYP3A5基因在药物代谢和致癌物活化中起着至关重要的作用,可能影响乳腺癌的易感性。然而,其与孟加拉国人群乳腺癌风险的遗传关系仍有待探索。目的:研究CYP3A5*3 (rs776746)多态性在乳腺癌易感性中的表达及其遗传相关性。方法:采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法,对150例乳腺癌患者和150例健康对照进行病例-对照研究,探讨CYP3A5*3 (rs776746)多态性的基因型差异。通过logistic回归模型计算优势比(ORs)和95%置信区间(CIs),评估CYP3A5*3变异与乳腺癌风险的关系。结果:CYP3A5*3多态性与乳腺癌风险增加有显著相关性。研究发现,杂合子患乳腺癌的风险高于纯合子。携带杂合子(*1/*3)和突变纯合子(*3/*3)基因型的个体患乳腺癌的风险分别增加3.04倍(p = 0.0005)和1.9倍(p = 0.0227)。此外,联合(*1/*3 + *3/*3)基因型与乳腺癌易感性增加3.67倍显著相关(p < 0.0005)。结论:我们的研究结果表明,CYP3A5*3多态性与孟加拉国人群乳腺癌风险升高显著相关。
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引用次数: 0
CAR-T/NK/M-based combination therapies in cancer: A comprehensive review 基于CAR-T/NK/ m的癌症联合治疗:综述
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2026-01-20 DOI: 10.1016/j.currproblcancer.2026.101269
Shivani Vaja , Shubhi Khandelwal , Chaitali Vora , Abdul Arif Khan , Syed Wajeed , M. Hassan Sk , Mirza S. Baig
Chimeric Antigen Receptor T (CAR-T) cell therapy, in combination with other treatments or medications, presents a groundbreaking development in cancer immunotherapy. CAR-T immunotherapy has shown remarkable progress, with multiple therapies approved by the US FDA for hematological malignancies. Studies indicate that CAR-NK and CAR-M therapies are more effective against solid tumors than CAR-T-based therapy. The synergistic potential of combining CAR-based therapies with immunomodulatory agents, cytokines, oncolytic viruses, and immune checkpoint inhibitors presents a promising strategy for treating various cancers. This comprehensive review examines the current status and application of CAR-T, CAR-NK, and CAR-M therapies, particularly their integration with immunomodulatory agents and other molecules for treating solid tumors, including glioblastoma, pancreatic, gastric, liver, ovarian, lung, and breast cancers.
嵌合抗原受体T (CAR-T)细胞疗法与其他治疗或药物联合使用,在癌症免疫治疗方面取得了突破性进展。CAR-T免疫疗法已经取得了显著的进展,美国FDA批准了多种治疗血液恶性肿瘤的疗法。研究表明,CAR-NK和CAR-M治疗比car -based治疗对实体瘤更有效。将基于car的疗法与免疫调节剂、细胞因子、溶瘤病毒和免疫检查点抑制剂联合使用的协同潜力为治疗各种癌症提供了一种有希望的策略。本文综述了CAR-T、CAR-NK和CAR-M疗法的现状和应用,特别是它们与免疫调节剂和其他分子结合治疗实体肿瘤,包括胶质母细胞瘤、胰腺癌、胃癌、肝癌、卵巢癌、肺癌和乳腺癌。
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引用次数: 0
Successful autologous stem cell transplantation in a case of multiple myeloma with mechanical heart valves 自体干细胞移植成功治疗多发性骨髓瘤伴机械心脏瓣膜一例
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2026-01-14 DOI: 10.1016/j.currproblcancer.2026.101267
Isha Shah , Diksha Dev Yadav , Brig. Dr Anil Khetrapal , Giriraj Saini , Pankaj Malhotra , Lalit Kumar
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引用次数: 0
Electronic symptom monitoring improves chemotherapy dose intensity in neoadjuvant chemotherapy for breast cancer 电子症状监测提高乳腺癌新辅助化疗剂量强度。
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2025-12-16 DOI: 10.1016/j.currproblcancer.2025.101266
Yuki Takei , Atsufumi Nomoto , Mizuki Kawashima , Yuko Miyake , Arisa Kawakami , Tadamitsu Shima , Isao Teshima , Natsumi Nomoto , Yoshiharu Mitsunaga , Tamaki Watanabe , Yukie Nagase , Nobuhiro Yasuno

Purpose

The present study investigated the clinical impact of electronic patient-reported outcome (ePRO) monitoring on chemotherapy dose intensities and adverse event (AE) management in patients with early-stage breast cancer receiving neoadjuvant chemotherapy.

Methods

In this single-center retrospective study, conducted between October 2022 and June 2024, we compared outcomes between patients treated with and without ePRO monitoring during neoadjuvant chemotherapy. The primary endpoint was the percentage of patients who achieved an average relative dose intensity (ARDI) of ≥85 %. The secondary endpoint was the persistence of grade ≥2 non-hematologic AEs, defined as symptoms that remained unresolved (i.e., not improved to grade ≤1) by the start of the subsequent chemotherapy cycle. Follow-ups continued until October 31, 2024.

Results

Ninety-six patients were analyzed (ePRO group, n = 42; usual care group, n = 54). The percentage of patients achieving ARDI ≥85 % was significantly higher in the ePRO group than in the usual care group (85.7 % vs. 66.7 %, p = 0.029). The persistence of non-hematologic AEs was significantly lower in the ePRO group (p = 0.002). A multivariate analysis confirmed that ePRO use was independently associated with ARDI ≥85 % (odds ratio [OR], 4.05; 95 % confidence interval [CI], 1.04–15.8; p = 0.045) and reduced AE persistence (OR, 0.08; 95 % CI, 0.01–0.49; p = 0.002).

Conclusion

ePRO monitoring may help to maintain chemotherapy dose intensities and shorten the duration of AEs in early-stage breast cancer patients receiving neoadjuvant chemotherapy.
目的:本研究探讨电子患者报告预后(ePRO)监测对早期乳腺癌新辅助化疗患者化疗剂量强度和不良事件(AE)处理的临床影响。方法:在这项于2022年10月至2024年6月进行的单中心回顾性研究中,我们比较了在新辅助化疗期间接受和未接受ePRO监测的患者的结果。主要终点是达到平均相对剂量强度(ARDI)≥85%的患者百分比。次要终点是持续≥2级非血液学ae,定义为在随后的化疗周期开始时症状仍未解决(即未改善到≤1级)。随访一直持续到2024年10月31日。结果:共分析96例患者,其中ePRO组42例,常规护理组54例。ePRO组达到ARDI≥85%的患者比例显著高于常规护理组(85.7% vs. 66.7%, p = 0.029)。ePRO组非血液学ae的持续时间显著降低(p = 0.002)。多因素分析证实,ePRO的使用与ARDI≥85%(优势比[OR], 4.05; 95%可信区间[CI], 1.04-15.8; p = 0.045)和AE持续性降低独立相关(OR, 0.08; 95% CI, 0.01-0.49; p = 0.002)。结论:ePRO监测有助于早期乳腺癌新辅助化疗患者维持化疗剂量强度,缩短ae持续时间。
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引用次数: 0
Unraveling the microbiome’s role in breast cancer progression and treatment response 揭示微生物组在乳腺癌进展和治疗反应中的作用
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2025-12-05 DOI: 10.1016/j.currproblcancer.2025.101264
Anmar Ghanim Taki , Abdulkareem Shareef , Vimal Arora , Rami Oweis , S. Renuka Jyothi , Udaybir Singh , Samir Sahoo , Ashish Singh Chauhan , Farzona Alimova , Hayder Naji Sameer , Ahmed Yaseen , Zainab H. Athab , Mohaned Adil
The human microbiome, encompassing microbial communities in the gut and breast tissue, has emerged as a critical modulator of breast cancer (BC) initiation, progression, and treatment response. This review synthesizes current evidence on the microbiome’s role in BC, highlighting its influence on tumorigenesis, tumor microenvironment (TME), and therapeutic outcomes. Breast cancer, the most prevalent malignancy among women globally, exhibits significant heterogeneity across its molecular subtype’s hormone receptor-positive, HER2-enriched, and triple-negative—each with distinct clinical challenges. Recent studies reveal that microbial dysbiosis in the gut and breast tissue can drive oncogenesis through mechanisms such as immune modulation, estrogen metabolism, and inflammation. Gut microbes, via the “estrobolome,” regulate circulating estrogen levels, impacting hormone-driven BC, while breast tissue microbiota contributes to local inflammation and DNA damage, promoting tumor progression. Specific microbial taxa, including Bacillus, Staphylococcus, and Escherichia coli, are enriched in BC patients, whereas beneficial species like Lactobacillus and Bifidobacterium are diminished. The microbiome also influences treatment efficacy, with gut microbial diversity linked to enhanced chemotherapy and immunotherapy responses, while antibiotic-induced dysbiosis may impair outcomes. Emerging research suggests microbiome signatures as potential biomarkers for predicting therapeutic success, with Akkermansia muciniphila and short-chain fatty acids showing promise in enhancing anti-tumor immunity. Probiotics, prebiotics, and fecal microbiota transplantation offerel therapeutic avenues, though challenges such as standardization, interindividual variability, and safety concerns remain. Integrating multi-omics and machine learning could elucidate microbiome-host interactions, paving the way for precision oncology. This review underscores the transformative potential of microbiome-based diagnostics and interventions in improving BC management, emphasizing the need for large-scale, longitudinal studies to validate these findings and address existing research gaps.
人类微生物组,包括肠道和乳腺组织中的微生物群落,已经成为乳腺癌(BC)发生、进展和治疗反应的关键调节剂。这篇综述综合了微生物组在BC中作用的现有证据,强调了其对肿瘤发生、肿瘤微环境(TME)和治疗结果的影响。乳腺癌是全球女性中最常见的恶性肿瘤,其分子亚型在激素受体阳性、her2富集和三阴性中表现出显著的异质性,每种亚型都有不同的临床挑战。最近的研究表明,肠道和乳腺组织中的微生物生态失调可以通过免疫调节、雌激素代谢和炎症等机制驱动肿瘤的发生。肠道微生物通过“雌激素组”调节循环雌激素水平,影响激素驱动的BC,而乳房组织微生物群有助于局部炎症和DNA损伤,促进肿瘤进展。特定的微生物类群,包括芽孢杆菌、葡萄球菌和大肠杆菌,在BC患者中丰富,而有益的物种,如乳酸杆菌和双歧杆菌则减少。微生物组也影响治疗效果,肠道微生物多样性与增强化疗和免疫治疗反应有关,而抗生素诱导的生态失调可能会损害结果。新兴的研究表明,微生物组特征是预测治疗成功的潜在生物标志物,嗜粘杆菌和短链脂肪酸显示出增强抗肿瘤免疫的希望。益生菌、益生元和粪便微生物群移植提供了治疗途径,尽管标准化、个体间差异和安全问题等挑战仍然存在。整合多组学和机器学习可以阐明微生物组与宿主的相互作用,为精确肿瘤学铺平道路。这篇综述强调了基于微生物组的诊断和干预在改善BC管理方面的变革潜力,强调需要大规模的纵向研究来验证这些发现并解决现有的研究空白。
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引用次数: 0
Efficacy and safety of immunotherapy combined with chemotherapy in both neoadjuvant and adjuvant settings among triple-negative breast cancer: A meta-analysis of randomized clinical trials. 免疫疗法联合化疗在三阴性乳腺癌新辅助和辅助治疗中的疗效和安全性:随机临床试验的荟萃分析
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2025-11-24 DOI: 10.1016/j.currproblcancer.2025.101265
Jingru Han, Simeng Gao, Man Li, Xiao Li

This meta-analysis evaluated the efficacy and safety of combining immune checkpoint inhibitors (ICIs) with chemotherapy in triple-negative breast cancer (TNBC). We systematically searched PubMed, Embase, and the Cochrane Library for randomized controlled trials (RCTs) comparing immunotherapy plus chemotherapy with chemotherapy alone in TNBC patients, published from inception through 30 June 2022. Outcomes included pathological complete response (pCR), progression-free survival (PFS), overall survival (OS), adverse events (AEs), and immune-related AEs (irAEs), analyzed using hazard ratios (HRs) or odds ratios (ORs). The addition of ICIs to chemotherapy improved pCR (OR 1.90, 95 % CI: 1.28-2.83, *P* = 0.002) and event-free survival (EFS) (HR 0.65, 95 % CI: 0.51-0.82, *P* = 0.0004) in the neoadjuvant setting. Notably, pCR benefits persisted regardless of PD-L1 status (OR 1.65, 95 % CI: 1.26-2.16, *P* = 0.0002 in PD-L1-positive patients; OR 1.56, 95 % CI: 1.04-2.33, *P* = 0.03 in PD-L1-negative patients). In the adjuvant setting, ICIs significantly prolonged PFS in both the intention-to-treat population (HR 0.82, 95 % CI: 0.74-0.90, *P* < 0.0001, *I*² = 0 %) and PD-L1-positive subgroups (HR 0.71, 95 % CI: 0.62-0.82, *P* < 0.00001, *I*² = 12 %). However, combination therapy increased the incidence of any-grade AEs, serious AEs, and grade ≥3 AEs in neoadjuvant treatment. The experimental group also exhibited higher toxicity for irAEs, including hypothyroidism and hyperthyroidism. These findings support the use of ICIs with chemotherapy for TNBC, though careful monitoring of adverse effects is warranted. PROSPERO registration number:CRD42022367366.

本荟萃分析评估了免疫检查点抑制剂(ICIs)联合化疗治疗三阴性乳腺癌(TNBC)的疗效和安全性。我们系统地检索了PubMed、Embase和Cochrane图书馆的随机对照试验(rct),比较了从开始到2022年6月30日发表的TNBC患者的免疫治疗加化疗与单独化疗。结果包括病理完全缓解(pCR)、无进展生存期(PFS)、总生存期(OS)、不良事件(ae)和免疫相关ae (irAEs),使用风险比(hr)或优势比(ORs)进行分析。在化疗中加入ICIs可改善新辅助环境下的pCR (OR 1.90, 95% CI: 1.28-2.83, *P* = 0.002)和无事件生存率(EFS) (HR 0.65, 95% CI: 0.51-0.82, *P* = 0.0004)。值得注意的是,无论PD-L1状态如何,pCR的益处都持续存在(PD-L1阳性患者OR 1.65, 95% CI: 1.26-2.16, *P* = 0.0002; PD-L1阴性患者OR 1.56, 95% CI: 1.04-2.33, *P* = 0.03)。在辅助治疗中,ICIs显著延长了意向治疗人群(HR 0.82, 95% CI: 0.74-0.90, *P* < 0.0001, *I*²= 0%)和pd - l1阳性亚组(HR 0.71, 95% CI: 0.62-0.82, *P* < 0.00001, *I*²= 12%)的PFS。然而,在新辅助治疗中,联合治疗增加了任何级别ae、严重ae和≥3级ae的发生率。实验组对irae也表现出更高的毒性,包括甲状腺功能减退和甲状腺功能亢进。这些发现支持在化疗中使用ICIs治疗TNBC,尽管需要仔细监测不良反应。普洛斯彼罗注册号:CRD42022367366。
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引用次数: 0
Information for Readers 读者资讯
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2025-11-17 DOI: 10.1016/S0147-0272(25)00086-8
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引用次数: 0
Title Page 标题页
IF 2.3 4区 医学 Q3 ONCOLOGY Pub Date : 2025-11-17 DOI: 10.1016/S0147-0272(25)00085-6
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引用次数: 0
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Current Problems in Cancer
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