Publications by authors named "Feng-hua Wang"

Background: The beneficial effects of first-line programmed death-1 (PD-1) inhibitors plus chemotherapy in patients with low programmed death-ligand 1 (PD-L1)-expressing advanced gastric or gastroesophageal junction (G/GEJ) adenocarcinoma are controversial.

Methods: We conducted a retrospective analysis of patients with G/GEJ adenocarcinoma who had undergone first-line treatment with PD-1 inhibitors plus chemotherapy between October 2017 and May 2022. The primary outcomes were objective response rate (ORR) and progression-free survival (PFS).

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Recent advances have revealed that the role of the immune system is prominent in the antitumor response. In the present study, it is aimed to provide an expression profile of tumor-infiltrating lymphocytes (TILs), including mature B cells, plasma cells, and their clinical relevance in neuroblastoma. The expression of CD20 and CD138 was analyzed in the Cangelosi786 dataset (n = 769) as a training dataset and in our cohort (n = 120) as a validation cohort.

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  • A clinical trial was conducted to compare the effectiveness and safety of two treatments—cetuximab plus FOLFOXIRI (triplet therapy) and cetuximab plus FOLFOX (doublet therapy)—in RAS/BRAF wild-type colorectal cancer patients who had unresectable liver metastases.
  • The study enrolled 146 patients across seven medical centers in China between April 2018 and December 2022, assessing their objective response rate and other outcomes such as tumor response and survival.
  • Results showed that the response rates were similar between the two treatment groups (84.7% for triplet vs. 79.7% for doublet), indicating no significant difference in efficacy, and the trial also monitored
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  • - The CAPability-01 trial studied the effectiveness of combining the PD-1 antibody sintilimab with the HDAC inhibitor chidamide, with or without the VEGF antibody bevacizumab, in patients who have advanced colorectal cancer resistant to chemotherapy.
  • - Results showed that the combination therapy (triplet arm) significantly improved progression-free survival and overall response rates compared to the dual therapy (doublet arm), indicating increased treatment efficacy.
  • - Patients experienced various adverse side effects, with two treatment-related deaths reported; however, the analysis suggested the triplet therapy led to enhanced immune activity in the tumor environment.
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The 2023 update of the Chinese Society of Clinical Oncology (CSCO) Clinical Guidelines for Gastric Cancer focuses on standardizing cancer diagnosis and treatment in China, reflecting the latest advancements in evidence-based medicine, healthcare resource availability, and precision medicine. These updates address the differences in epidemiological characteristics, clinicopathological features, tumor biology, treatment patterns, and drug selections between Eastern and Western gastric cancer patients. Key revisions include a structured template for imaging diagnosis reports, updated standards for molecular marker testing in pathological diagnosis, and an elevated recommendation for neoadjuvant chemotherapy in stage III gastric cancer.

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Solitary fibrous tumors (SFTs) are rare mesenchymal tumors with unpredictable evolution and with a recurrence or metastasis rate of 10-40%. Current medical treatments for relapsed SFTs remain ineffective. Here, we identify potential therapeutic targets and risk factors, including IDH1 p.

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Introduction: Whether and when to monitor the amount of anti-factor Xa (aFXa) activity in critically ill patients with complex diseases to prevent venous thromboembolism (VTE) remain unclear. This study is a randomised controlled trial to investigate the effect of aFXa level monitoring on reducing VTE and to establish a new method for accurately preventing VTE in critically ill patients with low-molecular-weight heparin (LMWH).

Methods And Analysis: A randomised controlled trial is planned in two centres with a planned sample size of 858 participants.

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Background: Cysteine dioxygenase 1 (CDO1) is frequently methylated, and its expression is decreased in many human cancers including breast cancer (BC). However, the functional and mechanistic aspects of CDO1 inactivation in BC are poorly understood, and the diagnostic significance of serum CDO1 methylation remains unclear.

Methods: We performed bioinformatics analysis of publicly available databases and employed MassARRAY EpiTYPER methylation sequencing technology to identify differentially methylated sites in the CDO1 promoter of BC tissues compared to normal adjacent tissues (NATs).

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Epstein‒Barr virus (EBV)-associated gastric cancer (GC) manifests an intriguing immunotherapy response. However, the cellular basis for EBV-imprinted tumour immunity and on-treatment response remains undefined. This study aimed to finely characterize the dynamic tumour immune contexture of human EBV (+) GC treated with immunochemotherapy by longitudinal scRNA-seq and paired scTCR/BCR-seq.

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  • - Gastric mixed adenoneuroendocrine carcinoma (MANEC) is a complex and aggressive tumor consisting of two types: adenocarcinoma (ACA) and neuroendocrine carcinoma (NEC), but its genetic evolution is not well understood.
  • - Analysis of 101 samples from 33 patients revealed four key mutated genes (TP53, RB1, APC, CTNNB1) and indicated that MANEC tends to have whole-genome doubling, reflecting traits similar to certain other gastric cancers.
  • - The study confirmed that MANEC tumors have a single clonal origin, with NEC components exhibiting more aggressive genetic traits, and it found a sequence of transitions from ACA to NEC, providing new insights into how these tumors
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Background: Neuroblastoma (NB) places a substantial health burden on families worldwide. This study aimed to develop an immune checkpoint-based signature (ICS) based on the expression of immune checkpoints to better assess patient survival risk and potentially guide patient selection for immunotherapy of NB.

Methods: Immunohistochemistry integrated with digital pathology was used to determine the expression levels of 9 immune checkpoints in 212 tumor tissues used as the discovery set.

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Although chemotherapy plus PD-1 blockade (chemo+anti-PD-1) has become the standard first-line therapy for advanced esophageal squamous cell carcinoma (ESCC), reliable biomarkers for this regimen are lacking. Here we perform whole-exome sequencing on tumor samples from 486 patients of the JUPITER-06 study and develop a copy number alteration-corrected tumor mutational burden that depicts immunogenicity more precisely and predicts chemo+anti-PD-1 efficacy. We identify several other favorable immunogenic features (e.

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Purpose: To investigate the association between mean ocular perfusion pressure (MOPP), estimated cerebrospinal fluid pressure (CSFP), and changes in diabetic retinopathy (DR) in a Northeastern Chinese population with Type 2 diabetes.

Methods: A total of 1,322 subjects from the Fushun Diabetic Retinopathy Cohort Study were enrolled. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and intraocular pressure (IOP) were recorded.

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Introduction: Gastric cancer (GC) complicated by bone marrow metastasis (BMM) and disseminated intravascular coagulation (DIC) represents poor prognosis and most of these patients would die in a few months. Active treatment strategies such as chemotherapy are effective in restoring coagulation function and prolonging patients' survival time. Immunotherapy including programmed death protein 1 (PD-1) or programmed death protein ligand 1 (PD-L1) inhibitors has emerged as a first-line treatment of gastric cancer.

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  • The study focuses on hereditary diffuse gastric cancer (HDGC) and the role of specific genes, particularly CDH1, which accounts for a portion of hereditary cases, while still leaving 50% to 75% of cases unexplained.
  • Researchers conducted a cohort study analyzing genetic samples from 284 HDGC patients in China to assess CDH1 gene alterations and identify potential new susceptibility genes.
  • Results showed a low incidence of CDH1 germline alterations (2.8%) but identified several other genes with higher rates of private germline alterations, suggesting a complex genetic landscape and environmental factors in HDGC.
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Background: SHR7390 is a novel, selective MEK1/2 inhibitor. Here, we report results from two phase I trials conducted to evaluate the tolerability, safety and antitumor activity of SHR7390 monotherapy for advanced solid tumors and SHR7390 plus camrelizumab for treatment-refractory advanced or metastatic colorectal cancer (CRC).

Patients And Methods: Patients received SHR7390 alone or combined with fixed-dose camrelizumab (200 mg every 2 weeks) in an accelerated titration scheme to determine the maximum tolerated dose (MTD).

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  • PIK3CA mutations are common in solid tumors, making PI3Kα a promising target for cancer treatment.
  • A study tested CYH33, a selective PI3Kα inhibitor, on 51 patients with advanced solid tumors, focusing on safety, maximum tolerated dose, and preliminary efficacy.
  • Results showed a maximum tolerated dose of 40 mg daily, manageable side effects, and a preliminary objective response rate of 14.3% in patients with PIK3CA mutations, suggesting potential effectiveness of CYH33.
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Introduction: Advanced biliary tract carcinoma (BTC) has a poor prognosis and few treatment options. We compared the efficacy of the PD-1 monoclonal antibody (PD-1-mAb) combined regimens with the standard chemotherapy in the first-line and second-line treatment of advanced BTC.

Methods: We retrospectively assessed the patients with advanced BTC, who received treatment at the First Affiliated Hospital of Sun Yat-Sen University and the Sun Yat-Sen University Cancer Center.

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Aims: This study aimed to identify mechanisms of drug resistance to the combination of vemurafenib, irinotecan, and cetuximab (VIC) in BRAF metastatic colorectal cancer (mCRC).

Methods: Forty-one patients with BRAF mCRC from July 2018 and June 2020 were evaluated, with tissue and/or plasma samples collected. We profiled tissue and plasma samples using whole-exome sequencing and targeted sequencing of 425 cancer-relevant genes.

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  • The study investigated the consistency and prognostic value of tumor regression grade (TRG) compared to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) in gastric cancer patients who underwent preoperative treatment.
  • Only 19.6% of patients showed consistent results between the two evaluation methods, indicating a poor agreement between them.
  • TRG was found to be a better predictor of disease-free survival (DFS) and overall survival (OS) than RECIST 1.1, with results showing significant correlations with patient outcomes.
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Metabolic deregulation, a hallmark of cancer, fuels cancer cell growth and metastasis. Phosphoserine phosphatase (PSPH), an enzyme of the serine metabolism pathway, has been shown to affect patients' prognosis in many cancers but its significance in neuroblastoma remains unknown. Here, we show that the functional role and potential mechanism of PSPH and it is correlated with survival of neuroblastoma patients.

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  • - The study aimed to assess whether adding high-dose vitamin C to the standard chemotherapy (FOLFOX ± bevacizumab) would improve outcomes for patients with metastatic colorectal cancer (mCRC).
  • - Results showed that there was no significant difference in progression-free survival (PFS), overall survival (OS), or response rates between the vitamin C group and the control group, although patients with RAS mutations did experience longer PFS with vitamin C.
  • - Overall, high-dose vitamin C did not provide a clear benefit over standard chemotherapy for mCRC, except potentially for patients with specific genetic mutations (RAS mutation).
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Deficient mismatch repair (dMMR) or the microsatellite instability (MSI) phenotype occupied approximately 15-18% of CRC patients. Previous studies showed that dMMR/MSI status is a favorable prognostic factor for stage II/III CRC patients. For metastatic colorectal cancer (mCRC) patients, only 5% of patients have the dMMR/MSI-H phenotype.

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  • The study highlights significant immune heterogeneity in gastroesophageal adenocarcinoma (GEA), particularly in metastatic sites, which may affect responses to immunotherapy.
  • Multi-region sampling and advanced sequencing techniques revealed that while metastatic sites exhibited diverse immune cell infiltration and TCR repertoires, primary and normal tissues showed more uniform characteristics.
  • The findings point to the need for tailored immunotherapy approaches, emphasizing the importance of understanding immune dynamics in individual patients.
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