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Integrating priorities at the intersection of cancer and neuroscience 整合癌症与神经科学交叉领域的优先事项
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-17 DOI: 10.1016/j.ccell.2024.09.014
William L. Hwang, Ella N. Perrault, Alexander Birbrair, Brandi J. Mattson, David H. Gutmann, Donald J. Mabbott, Edna Cukierman, Elizabeth A. Repasky, Erica K. Sloan, Hui Zong, Ihsan Ekin Demir, Jami L. Saloman, Jeremy C. Borniger, Jian Hu, Jorg Dietrich, Joshua J. Breunig, Kaan Çifcibaşı, Khalil Ali Ahmad Kasm, Manuel Valiente, Max Wintermark, Moran Amit
Cancer neuroscience is a rapidly growing multidisciplinary field that conceptualizes tumors as tissues fully integrated into the nervous system. Recognizing the complexity and challenges in this field is of fundamental importance to achieving the goal of translational impact for cancer patients. Our commentary highlights key scientific priorities, optimal training settings, and roadblocks to translating scientific findings to the clinic in this emerging field, aiming to formulate a transformative and cohesive path forward.
癌症神经科学是一个快速发展的多学科领域,它将肿瘤视为完全融入神经系统的组织。认识到这一领域的复杂性和挑战对于实现为癌症患者带来转化影响的目标至关重要。我们的评论强调了这一新兴领域的关键科学重点、最佳培训设置以及将科学发现转化为临床实践的障碍,旨在制定一条具有变革性和凝聚力的前进道路。
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引用次数: 0
A pan-cancer single-cell RNA-seq atlas of intratumoral B cells 肿瘤内 B 细胞的泛癌症单细胞 RNA 序列图谱
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-14 DOI: 10.1016/j.ccell.2024.09.011
Evelyn Fitzsimons, Danwen Qian, Andrei Enica, Krupa Thakkar, Marcellus Augustine, Samuel Gamble, James L. Reading, Kevin Litchfield
Tumor-infiltrating B cells play a significant role in tumor development, progression, and prognosis, yet a comprehensive classification system is lacking. To address this gap, we present a pan-cancer single-cell RNA sequencing (scRNA-seq) atlas of tumor-infiltrating B and plasma cells across a large sample cohort. We identify key B cell subset signatures, revealing distinct subpopulations and highlighting the heterogeneity and functional diversity of these cells in the tumor microenvironment. We explore associations between B cell subsets and checkpoint inhibitor therapy responses, finding subset-specific effects on overall response. Additionally, we examine B and T cell crosstalk, identifying unique ligand-receptor pairs for specific B cell subsets, spatially validated. This comprehensive dataset serves as a valuable resource, providing a detailed atlas that enhances the understanding of B cell complexity in tumors and opens new avenues for research and therapeutic strategies.
肿瘤浸润 B 细胞在肿瘤发生、发展和预后中起着重要作用,但目前还缺乏一个全面的分类系统。为了填补这一空白,我们在一个大型样本群中绘制了肿瘤浸润B细胞和浆细胞的泛癌症单细胞RNA测序(scRNA-seq)图谱。我们确定了关键的 B 细胞亚群特征,揭示了不同的亚群,并强调了这些细胞在肿瘤微环境中的异质性和功能多样性。我们探讨了 B 细胞亚群与检查点抑制剂治疗反应之间的关联,发现了亚群对总体反应的特异性影响。此外,我们还研究了 B 细胞和 T 细胞的串扰,为特定的 B 细胞亚群确定了独特的配体-受体对,并进行了空间验证。这个全面的数据集是一个宝贵的资源,它提供了一个详细的图谱,加深了人们对肿瘤中 B 细胞复杂性的了解,并为研究和治疗策略开辟了新的途径。
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引用次数: 0
A prospective study of neoadjuvant pembrolizumab plus chemotherapy for resectable esophageal squamous cell carcinoma: The Keystone-001 trial 针对可切除食管鳞状细胞癌的新辅助 pembrolizumab 加化疗的前瞻性研究:Keystone-001 试验
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-14 DOI: 10.1016/j.ccell.2024.09.008
Xiaobin Shang, Yongjie Xie, Jinpu Yu, Chen Zhang, Gang Zhao, Fei Liang, Liang Liu, Weihong Zhang, Runmei Li, Wenwen Yu, Jie Yue, Chuangui Chen, Xiaofeng Duan, Zhao Ma, Zuoyu Chen, Yanjuan Xiong, Fan Yang, Jianyu Xiao, Rui Zhang, Pengpeng Liu, Hongjing Jiang
In this phase II study, 47 patients with locally advanced, resectable esophageal squamous cell carcinoma (ESCC) received three cycles of pembrolizumab plus chemotherapy, followed by Da Vinci robot-assisted surgery. The primary endpoints were safety and major pathological response (MPR). Key secondary endpoints included complete pathological response (pCR) and survival. No grade ≥3 adverse events or surgical delays occurred during neoadjuvant therapy. Among 46 patients studied for efficacy, the MPR and pCR rates were 72% and 41%, respectively. After a median follow-up of 27.2 months, the 2-year overall survival (OS) and disease-free survival (DFS) rates were 91% and 89%, respectively. Expansion of TRGC2+ NKT cells in peripheral blood correlated with neoadjuvant treatment effectiveness, which was validated by in vitro organoid experiments and external cancer datasets, and its functional classification and mechanism of action were further explored. These findings show preoperative pembrolizumab plus chemotherapy is a promising therapeutic strategy for resectable ESCC.
在这项II期研究中,47名局部晚期、可切除食管鳞状细胞癌(ESCC)患者接受了三个周期的pembrolizumab+化疗,随后接受达芬奇机器人辅助手术。主要终点是安全性和主要病理反应(MPR)。主要次要终点包括完全病理反应(pCR)和生存期。新辅助治疗期间未发生≥3级不良事件或手术延迟。在接受疗效研究的46名患者中,MPR和pCR率分别为72%和41%。中位随访 27.2 个月后,2 年总生存率(OS)和无病生存率(DFS)分别为 91% 和 89%。外周血中TRGC2+ NKT细胞的扩增与新辅助治疗效果相关,这一点已通过体外类器官实验和外部癌症数据集得到验证,其功能分类和作用机制也得到了进一步探讨。这些研究结果表明,术前使用pembrolizumab加化疗是一种治疗可切除ESCC的有效策略。
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引用次数: 0
B cell heterogeneity in cancer comes of age 癌症中的 B 细胞异质性时代来临
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-14 DOI: 10.1016/j.ccell.2024.09.013
Colleen Sturdevant, Yuliya Pylayeva-Gupta
The role of B cells in cancer remains incompletely understood. Three recent publications, including a study by Fitzsimons et al. in this issue of Cancer Cell,1 use single-cell RNA sequencing to define pan-cancer atlases of tumor-infiltrating B cell subsets, paving the way for profound advances in our understanding of B cell-dependent antitumor immunity.
人们对 B 细胞在癌症中的作用仍然知之甚少。最近发表的三篇论文,包括 Fitzsimons 等人在本期《癌细胞》(Cancer Cell)1 上发表的一项研究,利用单细胞 RNA 测序确定了肿瘤浸润 B 细胞亚群的泛癌症图谱,为我们深入了解 B 细胞依赖性抗肿瘤免疫铺平了道路。
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引用次数: 0
The hallmarks of cancer immune evasion 癌症免疫逃避的特征
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.ccell.2024.09.010
Claudia Galassi, Timothy A. Chan, Ilio Vitale, Lorenzo Galluzzi
According to the widely accepted “three Es” model, the host immune system eliminates malignant cell precursors and contains microscopic neoplasms in a dynamic equilibrium, preventing cancer outgrowth until neoplastic cells acquire genetic or epigenetic alterations that enable immune escape. This immunoevasive phenotype originates from various mechanisms that can be classified under a novel “three Cs” conceptual framework: (1) camouflage, which hides cancer cells from immune recognition, (2) coercion, which directly or indirectly interferes with immune effector cells, and (3) cytoprotection, which shields malignant cells from immune cytotoxicity. Blocking the ability of neoplastic cells to evade the host immune system is crucial for increasing the efficacy of modern immunotherapy and conventional therapeutic strategies that ultimately activate anticancer immunosurveillance. Here, we review key hallmarks of cancer immune evasion under the “three Cs” framework and discuss promising strategies targeting such immunoevasive mechanisms.
根据广为接受的 "三E "模式,宿主免疫系统会消灭恶性细胞前体,并在动态平衡中控制微小肿瘤,防止癌症扩散,直到肿瘤细胞发生基因或表观遗传学改变,使免疫逃逸成为可能。这种免疫侵袭表型源于各种机制,可归类为新颖的 "三C "概念框架:(1) 伪装,隐藏癌细胞,使其无法被免疫识别;(2) 胁迫,直接或间接干扰免疫效应细胞;(3) 细胞保护,使恶性细胞免受免疫细胞毒性的侵袭。阻断肿瘤细胞逃避宿主免疫系统的能力对于提高现代免疫疗法和传统治疗策略的疗效至关重要,而这些策略最终会激活抗癌免疫监视。在此,我们回顾了 "三C "框架下癌症免疫逃避的关键特征,并讨论了针对此类免疫逃避机制的前景广阔的策略。
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引用次数: 0
Long-term breast cancer response to CDK4/6 inhibition defined by TP53-mediated geroconversion 由 TP53 介导的雌激素转化确定乳腺癌对 CDK4/6 抑制的长期反应
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.ccell.2024.09.009
Rei Kudo, Anton Safonov, Catherine Jones, Enrico Moiso, Jonathan R. Dry, Hong Shao, Sharanya Nag, Edaise M. da Silva, Selma Yeni Yildirim, Qing Li, Elizabeth O'Connell, Payal Patel, Marie Will, Atsushi Fushimi, Marimar Benitez, Martina Bradic, Li Fan, Harikrishna Nakshatri, Dhivya R. Sudhan, Christopher R. Denz, Sarat Chandarlapaty
Inhibition of CDK4/6 kinases has led to improved outcomes in breast cancer. Nevertheless, only a minority of patients experience long-term disease control. Using a large, clinically annotated cohort of patients with metastatic hormone receptor-positive (HR+) breast cancer, we identify TP53 loss (27.6%) and MDM2 amplification (6.4%) to be associated with lack of long-term disease control. Human breast cancer models reveal that p53 loss does not alter CDK4/6 activity or G1 blockade but instead promotes drug-insensitive p130 phosphorylation by CDK2. The persistence of phospho-p130 prevents DREAM complex assembly, enabling cell-cycle re-entry and tumor progression. Inhibitors of CDK2 can overcome p53 loss, leading to geroconversion and manifestation of senescence phenotypes. Complete inhibition of both CDK4/6 and CDK2 kinases appears to be necessary to facilitate long-term response across genomically diverse HR+ breast cancers.
抑制 CDK4/6 激酶可改善乳腺癌的治疗效果。然而,只有少数患者的病情得到了长期控制。通过对大量激素受体阳性(HR+)转移性乳腺癌患者进行临床注释,我们发现 TP53 缺失(27.6%)和 MDM2 扩增(6.4%)与缺乏长期疾病控制有关。人类乳腺癌模型显示,P53 的缺失不会改变 CDK4/6 的活性或 G1 阻断,反而会促进 CDK2 对药物不敏感的 p130 磷酸化。磷酸化 p130 的持续存在阻止了 DREAM 复合物的组装,使细胞周期再入和肿瘤进展成为可能。CDK2 抑制剂可以克服 p53 的缺失,导致老年转化和衰老表型的表现。完全抑制 CDK4/6 和 CDK2 激酶似乎是促进不同基因组 HR+ 乳腺癌长期应答的必要条件。
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引用次数: 0
Accelerated approvals: Early-phase success or premature authorization? 加速审批:早期成功还是过早授权?
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.ccell.2024.09.005
Xiangyun Mao, G. Caleb Alexander, Guanqiao Li
We compare the clinical trial success rates of products receiving US Food and Drug Administration (FDA) accelerated approval (AA) to those approved without using this pathway. Our findings raise important questions about how the AA pathway can best optimize early access to therapeutics that are ultimately proven safe and effective.
我们比较了获得美国食品和药物管理局(FDA)加速批准(AA)的产品与未使用该途径获得批准的产品的临床试验成功率。我们的研究结果提出了一些重要的问题,即 AA 途径如何才能最好地优化治疗药物的早期使用,并最终证明其安全有效。
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引用次数: 0
The activity of tertiary lymphoid structures in high grade serous ovarian cancer is governed by site, stroma, and cellular interactions 高级别浆液性卵巢癌中三级淋巴结构的活性受部位、基质和细胞相互作用的影响
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.ccell.2024.09.007
Ian P. MacFawn, Grant Magnon, Grace Gorecki, Sheryl Kunning, Rufiaat Rashid, Medard Ernest Kaiza, Huda Atiya, Ayana T. Ruffin, Sarah Taylor, T. Rinda Soong, Riyue Bao, Lan G. Coffman, Tullia C. Bruno
Most high grade serous ovarian cancers (HGSOC) originate in the fallopian tube but spread to the ovary and peritoneal cavity, highlighting the need to understand antitumor immunity across HGSOC sites. Using spatial analyses, we discover that tertiary lymphoid structures (TLSs) within ovarian tumors are less developed compared with TLSs in fallopian tube or omental tumors. We reveal transcriptional differences across a spectrum of lymphoid structures, demonstrating that immune cell activity increases when residing in more developed TLSs and produce a prognostic, spatially derived TLS signature from HGSOC tumors. We interrogate TLS-adjacent stroma and assess how normal mesenchymal stem cells MSCs (nMSCs) may support B cell function and TLS, contrary to cancer-educated MSCs (CA-MSCs) which negate the prognostic benefit of our TLS signature, suggesting that pro-tumorigenic stroma could limit TLS formation.
大多数高级别浆液性卵巢癌(HGSOC)起源于输卵管,但会扩散到卵巢和腹膜腔,因此需要了解HGSOC不同部位的抗肿瘤免疫。通过空间分析,我们发现卵巢肿瘤内的三级淋巴结构(TLS)与输卵管或网膜肿瘤内的三级淋巴结构相比发育较差。我们揭示了一系列淋巴结构的转录差异,证明了免疫细胞在较发达的三级淋巴结构中的活性会增加,并从 HGSOC 肿瘤中得出了一个预后、空间衍生的三级淋巴结构特征。我们研究了TLS邻近基质,并评估了正常间充质干细胞间充质干细胞(nMSCs)如何支持B细胞功能和TLS,这与癌症教育间充质干细胞(CA-MSCs)相反,后者否定了我们TLS特征的预后益处,这表明促肿瘤基质可能会限制TLS的形成。
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引用次数: 0
Lactylation in cancer: Current understanding and challenges 癌症中的乳化作用:当前的认识和挑战
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.ccell.2024.09.006
Hongde Li, Linchong Sun, Ping Gao, Hai Hu
Lactylation, a recently identified post-translational modification, has initially been linked to gene transcription regulation through epigenetic mechanisms. However, its role in tumorigenesis—whether as a major driver or a minor regulator—remains uncertain. Here, we summarize the current understanding of lactylation and discuss the inherent challenges in definitively attributing specific biological roles to this modification. We emphasize the necessity for precise methodologies to manipulate lactylation levels within pathophysiologically relevant conditions. Further investigation is required to determine whether lactylation plays a critical role in tumor biology or merely reflects secondary metabolic alterations.
乳化是最近发现的一种翻译后修饰,最初是通过表观遗传机制与基因转录调控联系在一起的。然而,它在肿瘤发生中的作用--无论是作为主要驱动因素还是次要调节因素--仍不确定。在此,我们总结了目前对乳化作用的理解,并讨论了将特定生物学作用明确归因于这种修饰所面临的固有挑战。我们强调了在病理生理相关条件下操纵乳糖化水平的精确方法的必要性。要确定乳酰化是在肿瘤生物学中发挥关键作用,还是仅仅反映继发性代谢改变,还需要进一步的研究。
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引用次数: 0
Spark in the darkness: Discovering action potentials in brain tumors 黑暗中的火花发现脑肿瘤中的动作电位
IF 50.3 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-03 DOI: 10.1016/j.ccell.2024.09.004
Nikolas Andreas Stevens, Nina Drewa, Varun Venkataramani
Gliomas exhibit significant molecular diversity and poor prognosis. In this issue of Cancer Cell, Curry et al. apply Patch-seq on human glioma samples uncovering hybrid cells with glial and neuronal features, capable of firing action potentials in isocitrate dehydrogenase mutant gliomas. These findings highlight the importance of neural features in tumor biology and progression.
胶质瘤表现出明显的分子多样性和不良预后。在本期《癌细胞》(Cancer Cell)杂志上,Curry 等人对人类胶质瘤样本进行了 Patch-seq 分析,发现了具有胶质和神经元特征的混合细胞,它们能在异柠檬酸脱氢酶突变型胶质瘤中产生动作电位。这些发现凸显了神经特征在肿瘤生物学和进展中的重要性。
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引用次数: 0
期刊
Cancer Cell
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