Publications by authors named "Bouscary D"

Inflammation in Waldenström Macroglobulinemia (iWM) predicts outcomes after immuno-chemotherapy and BTK inhibitors, but its origin is unknown. Here, we unravel increased clonal hematopoiesis in iWM patients (61% versus 23% in non-inflammatory WM), suggesting a contribution of environmental cells to iWM.

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  • Primary testicular lymphoma (PTL) is a rare form of diffuse large B-cell lymphoma (DLBCL), making up 1%-2% of DLBCL cases and is linked to poor outcomes due to high rates of central nervous system relapse.
  • In a study of 15 patients (5 with PTL and 10 with DLBCL involving the testes), treatment with high-dose methotrexate and R-CHOP showed a 73% complete response (CR) rate overall, with 100% CR in PTL patients and only 55% in DLBCL-T patients.
  • The molecular similarities between PTL and primary CNS lymphoma (PCNSL) indicate they may have common origins, highlighting
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  • * Researchers excluded pregnancies that ended in termination or miscarriage and those with prior blood cancer histories, focusing on the survival rates and maternal health during these malignancies compared to healthy pregnancies.
  • * The study found that of nearly 10 million pregnancies analyzed, 1,366 were associated with haematological cancers, providing new insights into their incidence and effects on maternal morbidity and mortality.
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  • This study examined the benefits of intensity-modulated proton therapy (IMPT) over volumetric modulated arc therapy (VMAT) in reducing the effective dose to circulating immune cells (EDIC) in patients with mediastinal Hodgkin lymphoma (mHL) after chemotherapy.! -
  • Ten mHL patients were analyzed, revealing that IMPT significantly lowered the median EDIC from 1.93 Gy with VMAT to 1.08 Gy with IMPT, highlighting a notable reduction in radiation exposure.! -
  • The reduction in EDIC was primarily attributed to decreased integral dose to the body and better lung protection with IMPT, indicating a potential advantage for this treatment in improving patient outcomes in cancer therapy.!
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Myelodysplastic syndromes (MDS) with mutated SF3B1 gene present features including a favourable outcome distinct from MDS with mutations in other splicing factor genes SRSF2 or U2AF1. Molecular bases of these divergences are poorly understood. Here we find that SF3B1-mutated MDS show reduced R-loop formation predominating in gene bodies associated with intron retention reduction, not found in U2AF1- or SRSF2-mutated MDS.

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Myelodysplastic neoplasms (MDS) are characterized by clonal evolution starting from the compartment of hematopoietic stem and progenitors cells (HSPCs), leading in some cases to leukemic transformation. We hypothesized that deciphering the diversity of the HSPCs compartment may allow for the early detection of an emergent sub-clone that drives disease progression. Deep analysis of HSPCs repartition by multiparametric flow cytometry revealed a strong disorder of the hematopoietic branching system in most patients at diagnosis with different phenotypic signatures closely related to specific MDS features.

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Chimeric antigen receptor (CAR) T cells have shown promising results in the treatment of B-cell malignancies. Despite the successes, challenges remain. One of them directly involves the CAR T-cell manufacturing process and especially the ex vivo activation phase.

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Immunotherapy (IT) is a major therapeutic strategy for lymphoma, significantly improving patient prognosis. IT remains ineffective for a significant number of patients, however, and exposes them to specific toxicities. The identification predictive factors around efficacy and toxicity would allow better targeting of patients with a higher ratio of benefit to risk.

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  • High-risk febrile neutropenia (HR-FN) is a serious complication for patients dealing with blood cancers or certain chemotherapy treatments that requires updated management strategies, as significant advances have occurred in the last decade.
  • The study reviews literature from 2010 to 2023 focusing on antibiotic pharmacokinetics, initial dosing, and strategies for safely reducing or stopping antibiotics in HR-FN treatment.
  • Findings suggest that optimizing antibiotic dosages and using strategic discontinuation can improve patient outcomes and should be considered for future guidelines on HR-FN management.
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Autologous hematopoietic stem cell transplant (ASCT) is the standard curative treatment for patients with high-risk relapsed/refractory Hodgkin lymphoma (R/R HL). The AETHERA study showed survival gain with Brentuximab Vedotin (BV) maintenance after ASCT in BV-naive patients, which was recently confirmed in the retrospective AMAHRELIS cohort, including a majority of BV-exposed patients. However, this approach has not been compared to intensive tandem auto/auto or auto/allo transplant strategies, which were used before BV approval.

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The phosphatidylinositol 3-kinase (PI3K) pathway plays a key role in cancer progression and in host immunity. Idelalisib was the first of this class to be approved with the second-generation Pi3 kinase inhibitors copanlisib, duvelisib and umbralisib, subsequently being approved in the United States. Real-world data are lacking, however, in relation to the incidence and toxicity of Pi3 kinase inhibitor-induced colitis.

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  • The study explores the role of the transcription factor CCAAT-enhancer binding protein α (C/EBPα) in lipid metabolism and cellular homeostasis in acute myeloid leukemia (AML), particularly with mutations in FLT3.
  • Researchers found that C/EBPα and FLT3 activation enhance lipid production and desaturation in AML cells, leading to increased vulnerability to oxidative stress.
  • Inhibiting C/EBPα or FLT3 demonstrates potential for therapeutic strategies targeting lipid metabolism to promote ferroptotic cell death in FLT3-mutant AML, a type of leukemia affecting 30% of patients.
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Transcription factor Forkhead box P1 (FOXP1) belongs to the same protein family as the FOXOs that are well-known regulators of murine hematopoietic stem progenitor cell (HSPC) maintenance via dampening oxidative stress. FOXP1 and FOXOs can play opposite, or similar, roles depending on cell context; they can crossregulate each other's expression. In a previous study, we have shown that FOXP1 contributes to healthy human HSPC and acute myeloid leukemia (AML) cell growth.

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Artemisinin is an anti-malarial drug that has shown anticancer properties. Recently, ferroptosis was reported to be induced by dihydroartemisinin (DHA) and linked to iron increase. In the current study, we determined the effect of DHA in leukemic cell lines on ferroptosis induction and iron metabolism and the cytoprotective effect triggered in leukemic cells.

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  • Patients with hematological malignancies are at increased risk for severe COVID-19 and may have weakened vaccine responses due to their condition and treatments.
  • A study observed 338 vaccinated patients, finding that 16.9% contracted COVID-19, with those receiving immunotherapy being more affected.
  • Immunotherapy, particularly with anti-CD20 monoclonal antibodies and Bruton's tyrosine kinase inhibitors, is linked to higher rates of infection and hospitalization, while those who received tixagevimab/cilgavimab had lower infection rates.
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Purpose: Multiple myeloma (MM) is characterized by copy number abnormalities (CNAs), some of which influence patient outcomes and are sometimes observed only at relapse(s), suggesting their acquisition during tumor evolution. However, the presence of micro-subclones may be missed in bulk analyses. Here, we use single-cell genomics to determine how often these high-risk events are missed at diagnosis and selected at relapse.

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  • - The study aimed to assess the effects of pharmaceutical care on cancer patients receiving oral treatments, focusing on clinical, economic, and organizational outcomes over a year.
  • - It found that pharmacists made significant interventions, with 1.81 interventions per admission, leading to improved patient outcomes and organizational quality of care, along with substantial cost savings.
  • - The cost-benefit analysis revealed a yearly savings of €539,047, highlighting the importance of integrating multidisciplinary and pharmaceutical care in cancer treatment to enhance patient outcomes and reduce unnecessary costs.
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Introduction: Plasma cell neoplasms are exceptionally rare in the pediatric population; the demographic characteristics and the clinical outcomes of plasma cell neoplasms in this population are currently poorly understood. The aim of this study was to provide a comprehensive analysis of pediatric plasma cell neoplasms, based on the United-States Surveillance, Epidemiology, and End Results (SEER) program registries.

Materials And Methods: All pediatric patients (aged less than 20 years) diagnosed with a malignant plasma cell neoplasm were retrieved from the SEER Program database (18 registries), collecting patient records between 2000 and 2018.

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