Publications by authors named "Damodaran S"

Ameloblastoma is a rare tumor arising from odontogenic cells that is benign, yet locally aggressive. Metastasizing ameloblastoma (METAM) is an ultra-rare ameloblastoma variant in which both primary and secondary tumors have histological features of benign ameloblastoma. This is a case report of a patient who presented with a jaw mass and subsequent lung metastases, later diagnosed as METAM.

View Article and Find Full Text PDF

Unlabelled: Combination chemotherapy remains essential for clinical management of triple-negative breast cancer (TNBC). Consequently, responses to multiple single agents cannot be delineated at the single patient level, even though some patients might not require all drugs in the combination. Herein, we conduct multi-omic analyses of orthotopic TNBC patient-derived xenografts (PDXs) treated with single agent carboplatin, docetaxel, or the combination.

View Article and Find Full Text PDF

Background: Datopotamab deruxtecan (Dato-DXd), is a humanized anti-TROP2 IgG1 monoclonal antibody linked to a potent topoisomerase I inhibitor payload (DXd). Dato-DXd has already shown antitumor activity in breast cancer; however, the determinants of response, including the importance of TROP2 expression, remain unclear. We tested the activity of Dato-DXd in a panel of breast cancer patient-derived xenografts (BCXs) varying in TROP2 expression.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effectiveness of the anti-EGFR monoclonal antibody panitumumab combined with carboplatin and paclitaxel for treating chemotherapy-resistant triple-negative breast cancer (TNBC) patients.
  • It included 43 patients who had not sufficiently responded to prior doxorubicin and cyclophosphamide treatment, achieving a combined pathological complete response/residual cancer burden class I rate of 30.2%.
  • The results indicate that panitumumab shows promise as part of neoadjuvant therapy for TNBC, warranting further evaluation in larger clinical trials.
View Article and Find Full Text PDF

Background: The healthcare system in India is tiered and has primary, secondary and tertiary levels of facilities depending on the complexity and severity of health challenges at these facilities. Evidence suggests that emergency services in the country is fragmented. This study aims to identify the barriers and facilitators of emergency care delivery for patients with time-sensitive conditions, and develop and implement a contextually relevant model, and measure its impact using implementation research outcomes.

View Article and Find Full Text PDF

Developmental reprogramming allows for flexibility in growth and adaptation to changing environmental conditions. In plants, wounding events can result in new stem cell niches and lateral organs. Adventitious roots develop from aerial parts of the plant and are regulated by multiple stimuli, including wounding.

View Article and Find Full Text PDF

Luminal androgen receptor (LAR)-enriched triple-negative breast cancer (TNBC) is a distinct subtype. The efficacy of AR inhibitors and the relevant biomarkers in neoadjuvant therapy (NAT) are yet to be determined. We tested the combination of the AR inhibitor enzalutamide (120 mg daily by mouth) and paclitaxel (80 mg/m weekly intravenously) (ZT) for 12 weeks as NAT for LAR-enriched TNBC.

View Article and Find Full Text PDF
Article Synopsis
  • Datopotamab deruxtecan (Dato-DXd) is an antibody-drug conjugate designed to target TROP2 in solid tumors, specifically tested for safety and effectiveness in treating hormone receptor-positive and triple-negative breast cancers.
  • In a phase I trial involving 85 patients, the treatment showed an objective response rate of 26.8% for hormone receptor-positive breast cancer and 31.8% for triple-negative breast cancer, with a median progression-free survival of 8.3 months and 4.4 months, respectively.
  • The most common treatment-related side effects included stomatitis, with the study indicating that Dato-DXd has promising clinical potential and an acceptable safety profile, warranting further investigation
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how the PI3K pathway is altered in different subtypes of triple-negative breast cancer (TNBC), focusing on those with mesenchymal (M) and luminal androgen receptor (LAR) characteristics.
  • Using tumor samples from patients undergoing neoadjuvant therapy, researchers analyzed alterations in 32 genes related to the PI3K pathway, finding significant differences in gene alterations across seven TNBC subtypes.
  • Results indicated that LAR subtype had the highest incidence of pathway alterations and that these alterations may influence treatment responses, suggesting that targeted therapies could benefit patients with M and LAR TNBC.
View Article and Find Full Text PDF

Background: Acquired estrogen receptor alpha (ER/ESR1) mutations commonly cause endocrine resistance in ER+ metastatic breast cancer (mBC). Lasofoxifene, a novel selective ER modulator, stabilizes an antagonist conformation of wild-type and ESR1-mutated ER-ligand binding domains, and has antitumor activity in ESR1-mutated xenografts.

Patients And Methods: In this open-label, randomized, phase II, multicenter, ELAINE 1 study (NCT03781063), we randomized women with ESR1-mutated, ER+/human epidermal growth factor receptor 2 negative (HER2-) mBC that had progressed on an aromatase inhibitor (AI) plus a cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) to oral lasofoxifene 5 mg daily or IM fulvestrant 500 mg (days 1, 15, and 29, and then every 4 weeks) until disease progression/toxicity.

View Article and Find Full Text PDF

Background: Acquired ESR1 mutations in estrogen receptor-positive (ER+) metastatic breast cancer (mBC) drive treatment resistance and tumor progression; new treatment strategies are needed. Lasofoxifene, a next-generation, oral, endocrine therapy and tissue-specific ER antagonist, provided preclinical antitumor activity, alone or combined with a cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) in ESR1-mutated mBC.

Patients And Methods: In the open-label, phase II, ELAINE 2 trial (NCT04432454), women with ESR1-mutated, ER+/human epidermal growth factor receptor 2-negative (HER2-) mBC who progressed on prior therapies (including CDK4/6i) received lasofoxifene 5 mg/day and abemaciclib 150 mg b.

View Article and Find Full Text PDF

Several alterations in fibroblast growth factor receptor (FGFR) genes have been found in breast cancer; however, they have not been well characterized as therapeutic targets. Futibatinib (TAS-120; Taiho) is a novel, selective, pan-FGFR inhibitor that inhibits FGFR1-4 at nanomolar concentrations. We sought to determine futibatinib's efficacy in breast cancer models.

View Article and Find Full Text PDF

An acute coronary syndrome due to mast-cell activation in the presence of an allergen is known as Kounis Syndrome (KS). This relatively new entity of KS is being increasingly recognized among allergists, cardiologists, and emergency physicians; however, it is not well-known among anesthesiologists. We report here, a case of type 2 KS due to antibiotic administration causing sudden perioperative cardiac arrest.

View Article and Find Full Text PDF

TROP2 antibody drug conjugates (ADCs) are under active development. We seek to determine whether we can enhance activity of TROP2 ADCs by increasing TROP2 expression. In metaplastic breast cancers (MpBC), there is limited expression of TROP2, and downregulating transcription factor ZEB1 upregulates E-cad and TROP2, thus sensitizing cancers to TROP2 ADC sacituzumab govitecan (SG).

View Article and Find Full Text PDF

In this work, a simple and environmentally friendly approach has been followed to synthesize amine-functionalized reduced graphene oxide (RGO)-supported silver nanoparticle (AgNPs) having superior catalytic efficiency towards the reduction of organic pollutants. RGO/AgNPs nanohybrid was synthesized by a one-pot hydrothermal reduction of silver nitrate in the presence of amino-propyl trimethoxy silane (APTMS)-functionalized graphene oxide (GO) nanosheets. The structural and morphological characterization of as-synthesized RGO/AgNPs nanohybrid was done by using XRD, SEM, TEM, FT-IR, and Raman spectroscopy techniques.

View Article and Find Full Text PDF
Article Synopsis
  • Recent research focuses on the phosphoinositide 3-kinase pathway in breast cancer, highlighting the role of PTEN as a crucial component.
  • The study aimed to investigate PTEN expression changes in triple-negative breast cancer (TNBC) patients and assess if next-generation sequencing (NGS) could effectively identify PTEN loss, serving as an alternative to traditional immunohistochemistry (IHC).
  • Findings revealed inconsistencies in PTEN expression between pretreatment and post-treatment samples, with some tumors showing intratumoral heterogeneity and overlapping copy numbers, suggesting that testing multiple specimens may be necessary for accurate assessment in clinical trials.
View Article and Find Full Text PDF
Article Synopsis
  • High stromal tumor-infiltrating lymphocytes (sTILs) positively correlate with improved pathologic complete response (pCR) in triple-negative breast cancer (TNBC), suggesting their potential as a predictive marker for treatment outcomes.
  • A study involving 408 TNBC patients assessed various clinical and biomarker features, identifying thresholds for sTILs and Ki-67 to predict pCR, resulting in specific groups of patients likely benefiting from treatment de-escalation.
  • The research demonstrated that combining high sTILs with high Ki-67 significantly increased the accuracy of predicting pCR rates, indicating a promising approach for refining patient selection in neoadjuvant clinical trials.
View Article and Find Full Text PDF

Unlabelled: Cyclin-dependent kinases 4/6 inhibitor (CDK4/6i) plus endocrine therapy (ET) is standard of care for patients with hormone receptor (HR)-positive, HER2-negative metastatic breast cancer (MBC). However, resistance to CDK4/6is plus ET remains a clinical problem with limited therapeutic options following disease progression. Different CDK4/6is might have distinct mechanisms of resistance, and therefore using them sequentially or targeting their differentially altered pathways could delay disease progression.

View Article and Find Full Text PDF

Purpose: There are numerous barriers to enrollment in oncology biomarker-driven studies.

Methods: The ELAINE 2 study (ClinicalTrials.gov identifier: NCT04432454) is an open-label phase 2 study of lasofoxifene combined with abemaciclib in patients with advanced or metastatic estrogen receptor-positive/human epidermal growth factor receptor 2-negative breast cancer with an mutation.

View Article and Find Full Text PDF

Testicular rupture is a rare but serious condition which requires immediate and emergent surgical intervention in order to preserve fertility and maintain gonadal hormone function. We present here a case of a 16-year-old male who suffered a shattered right testicle following gunshot wound. Additionally, the left cord structures were also hit with possible compromise of the left testicle.

View Article and Find Full Text PDF
Article Synopsis
  • Neoadjuvant anti-PD-(L)1 therapy, specifically atezolizumab combined with nab-paclitaxel, shows improved pathological complete response (pCR) rates in patients with treatment-resistant triple-negative breast cancer (TNBC).
  • A clinical study included 37 patients who had minimal or no response to prior chemotherapy, and found a pCR/RCB-I rate of 46%, significantly higher than the historical rate of 5%.
  • The study concluded that an adaptive approach using neoadjuvant immunotherapy based on initial response should be further investigated in randomized trials, as it suggests a promising method for treating high-risk TNBC patients.
View Article and Find Full Text PDF

Background: Selinexor (KPT-330) is a potent inhibitor of exportin 1 (XPO1), in turn inhibiting tumor growth. Selinexor enhances the antitumor efficacy of eribulin in triple-negative breast cancer (TNBC) in vitro and in vivo. Given the unmet medical need in TNBC and sarcoma, the authors explored the safety and efficacy of this combination.

View Article and Find Full Text PDF

Thermoplastic copolyesters (TPCs) are important structural components in countless high performance applications that require excellent thermal stability and outstanding mechanical integrity. Segmented multiblock architectures are often employed for the most demanding applications, in which semicrystalline segments of poly(butylene terephthalate) (PBT) are combined with various low soft blocks. These segmented copolymers are nearly always synthesized from pristine feedstocks that are derived from fossil-fuel sources.

View Article and Find Full Text PDF